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

Overview

Address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113
Phone
(303) 788-5000
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
CMS Overall Rating
p63
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
2
5
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
5
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
10
1
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)
0.9286 p12
Heart Failure 184 discharges
0.9748 p33
Pneumonia 307 discharges
1.0227 p66
COPD
0.9860 p40
Hip/Knee Replacement
0.8407 p11
CABG Surgery
0.9926 p47
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.

23.1 p27
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
8.3 p73
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
12.5 p63
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
2.3 p2
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: 1.0227
Value-Based Purchasing
23.1 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.4831

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 3.00 No Different Than the National Rate 65
Hybrid_HWM 3.90 No Different Than the National Rate 1,692
MORT_30_AMI 10.70 No Different Than the National Rate 87
MORT_30_CABG 2.50 No Different Than the National Rate 27
MORT_30_COPD 8.90 No Different Than the National Rate 40
MORT_30_HF 12.30 No Different Than the National Rate 165
MORT_30_PN 15.70 No Different Than the National Rate 280
MORT_30_STK 11.20 Better Than the National Rate 545
PSI_03 0.43 No Different Than the National Rate 5,181
PSI_04 141.98 No Different Than the National Rate 159
PSI_06 0.14 No Different Than the National Rate 6,739
PSI_08 0.24 No Different Than the National Rate 6,610
PSI_09 1.71 No Different Than the National Rate 2,304
PSI_10 1.75 No Different Than the National Rate 1,122
PSI_11 12.51 No Different Than the National Rate 1,100
PSI_12 2.95 No Different Than the National Rate 2,374
PSI_13 5.24 No Different Than the National Rate 1,108
PSI_14 1.55 No Different Than the National Rate 546
PSI_15 0.73 No Different Than the National Rate 1,388
PSI_90 0.96 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 9%
H_COMP_1_U_P: Nurses "usually" communicated well 23%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 76%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 6%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 18%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 64%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 9%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 27%
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 11%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 26%
H_COMP_2_A_P: Doctors "always" communicated well 69%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9%
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 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 78%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 7%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 67%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 24%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 61%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 11%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 28%
H_COMP_5_A_P: Staff "always" explained 54%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 27%
H_COMP_5_U_P: Staff "usually" explained 19%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 68%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 20%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 39%
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 20%
H_COMP_6_N_P: No, staff "did not" give patients this information 21%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 79%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 23%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 77%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 19%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 81%
H_CLEAN_HSP_A_P: Room was "always" clean 63%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 16%
H_CLEAN_HSP_U_P: Room was "usually" clean 21%
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 51%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14%
H_QUIET_HSP_U_P: "Usually" quiet at night 35%
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) 17%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 24%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 59%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 12%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 61%
H_RECMND_PY: "YES", patients would probably recommend the hospital 27%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

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 0.162 No Different than National Benchmark
HAI_1_CIUPPER 1.228 No Different than National Benchmark
HAI_1_DOPC 7172.000 No Different than National Benchmark
HAI_1_ELIGCASES 7.858 No Different than National Benchmark
HAI_1_NUMERATOR 4.000 No Different than National Benchmark
HAI_1_SIR 0.509 No Different than National Benchmark
HAI_2_CILOWER 0.147 Better than the National Benchmark
HAI_2_CIUPPER 0.892 Better than the National Benchmark
HAI_2_DOPC 6763.000 Better than the National Benchmark
HAI_2_ELIGCASES 12.423 Better than the National Benchmark
HAI_2_NUMERATOR 5.000 Better than the National Benchmark
HAI_2_SIR 0.402 Better than the National Benchmark
HAI_3_CILOWER 0.263 No Different than National Benchmark
HAI_3_CIUPPER 1.593 No Different than National Benchmark
HAI_3_DOPC 259.000 No Different than National Benchmark
HAI_3_ELIGCASES 6.955 No Different than National Benchmark
HAI_3_NUMERATOR 5.000 No Different than National Benchmark
HAI_3_SIR 0.719 No Different than National Benchmark
HAI_4_CILOWER 0.647 No Different than National Benchmark
HAI_4_CIUPPER 4.915 No Different than National Benchmark
HAI_4_DOPC 245.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.963 No Different than National Benchmark
HAI_4_NUMERATOR 4.000 No Different than National Benchmark
HAI_4_SIR 2.038 No Different than National Benchmark
HAI_5_CILOWER N/A Better than the National Benchmark
HAI_5_CIUPPER 0.305 Better than the National Benchmark
HAI_5_DOPC 111356.000 Better than the National Benchmark
HAI_5_ELIGCASES 9.828 Better than the National Benchmark
HAI_5_NUMERATOR 0.000 Better than the National Benchmark
HAI_5_SIR 0.000 Better than the National Benchmark
HAI_6_CILOWER 0.095 Better than the National Benchmark
HAI_6_CIUPPER 0.299 Better than the National Benchmark
HAI_6_DOPC 107602.000 Better than the National Benchmark
HAI_6_ELIGCASES 68.212 Better than the National Benchmark
HAI_6_NUMERATOR 12.000 Better than the National Benchmark
HAI_6_SIR 0.176 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 very 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 83.0 Healthcare Personnel Vaccination
OP_18a 123.0 Emergency Department
OP_18b 118.0 Emergency Department
OP_18c 361.0 Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 17.0 Electronic Clinical Quality Measure
SEP_1 81.0 Sepsis Care
SEP_SH_3HR 85.0 Sepsis Care
SEP_SH_6HR 97.0 Sepsis Care
SEV_SEP_3HR 89.0 Sepsis Care
SEV_SEP_6HR 99.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 98.0 Electronic Clinical Quality Measure
VTE_1 91.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -0.50 Average Days per 100 Discharges
EDAC_30_HF -12.40 Average Days per 100 Discharges
EDAC_30_PN 28.70 More Days Than Average per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 12.70 No Different Than the National Rate
OP_35_ADM 9.50 No Different Than the National Rate
OP_35_ED 6.10 No Different Than the National Rate
OP_36 1.40 Worse than expected
READM_30_AMI 12.70 No Different Than the National Rate
READM_30_CABG 10.50 No Different Than the National Rate
READM_30_COPD 17.90 No Different Than the National Rate
READM_30_HF 19.10 No Different Than the National Rate
READM_30_HIP_KNEE 4.10 No Different Than the National Rate
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 2023)

All Data

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

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.07 metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.86 metrics.current_ratio
Cost Report Employees per Bed 5.21 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $1,144,279,024 metrics.fund_balance
Cost Report Net Income ($) $165,704,841 metrics.net_income
Cost Report Net Patient Revenue ($) $695,483,691 metrics.net_patient_revenue
Cost Report Operating Margin (%) 23.4% metrics.operating_margin
Cost Report Total Assets ($) $1,164,851,647 metrics.total_assets
Cost Report Total Costs ($) $461,228,252 metrics.total_costs
Cost Report Total Liabilities ($) $20,572,623 metrics.total_liabilities
Cost Report Total Margin (%) 23.7% metrics.total_margin
Cost Report Uncompensated Care (%) 3.2% metrics.uncompensated_care_pct
General Information Address 501 E HAMPDEN AVE Address
General Information City/Town ENGLEWOOD 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 8 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 2 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 10 Count of READM Measures No Different
General Information Count of READM Measures Worse 1 Count of READM Measures Worse
General Information Count of Safety Measures Better 5 Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish ARAPAHOE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 060034 Facility ID
General Information Facility Name HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER Facility Name
General Information Hospital overall rating 4 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Proprietary 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 CO State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (303) 788-5000 Telephone Number
General Information ZIP Code 80113 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.51 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.25 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.26 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.27 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.60 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.48 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) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.93 0.9995 p12 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.2% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 11.4% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.99 1.0000 p47 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 12.4% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.3% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.99 0.9969 p40 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 15.6% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Predicted readmission rate 15.4% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.97 0.9983 p33 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.3% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 184 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 31 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 17.8% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.84 0.9916 p11 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.3% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.4% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.02 0.9955 p66 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 14.8% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 307 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 48 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.2% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 8.33 5.00 p73 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 2.25 8.75 p2 person_community_score
Value-Based Purchasing Safety 12.50 10.00 p63 safety_score
Value-Based Purchasing Total Performance Score 23.08 29.50 p27 total_performance_score
Methodology

Full methodology →