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

Overview

Address
3001 W MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607
Phone
(813) 870-4398
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
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
1
6
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
3
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
9
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 11 of 12 measures reported
11 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) 400 discharges
1.1042 p93
Heart Failure 1,386 discharges
1.1111 p95
Pneumonia 1,274 discharges
0.9393 p14
COPD 374 discharges
0.9450 p8
Hip/Knee Replacement
— Not reported
CABG Surgery
0.8199 p2
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 above the national median, suggesting a positive payment adjustment.

31.3 p57
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
6.0 p57
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
13.3 p70
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
12.0 p71
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: 1.1111
Value-Based Purchasing
31.3 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: -0.4870

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 Number of Cases Too Small
Hybrid_HWM 3.80 No Different Than the National Rate 3,750
MORT_30_AMI 12.60 No Different Than the National Rate 427
MORT_30_CABG 2.30 No Different Than the National Rate 94
MORT_30_COPD 8.00 No Different Than the National Rate 333
MORT_30_HF 10.80 No Different Than the National Rate 1,171
MORT_30_PN 14.00 Better Than the National Rate 1,258
MORT_30_STK 12.30 No Different Than the National Rate 505
PSI_03 0.24 No Different Than the National Rate 15,152
PSI_04 151.36 No Different Than the National Rate 176
PSI_06 0.29 No Different Than the National Rate 17,320
PSI_08 0.29 No Different Than the National Rate 17,351
PSI_09 1.71 No Different Than the National Rate 3,254
PSI_10 1.54 No Different Than the National Rate 742
PSI_11 6.12 No Different Than the National Rate 755
PSI_12 3.99 No Different Than the National Rate 3,347
PSI_13 6.51 No Different Than the National Rate 711
PSI_14 1.50 No Different Than the National Rate 711
PSI_15 1.05 No Different Than the National Rate 3,264
PSI_90 0.86 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 80%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5%
H_COMP_1_U_P: Nurses "usually" communicated well 15%
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 87%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 10%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 77%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 76%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 18%
H_COMP_2_A_P: Doctors "always" communicated well 77%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 17%
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 83%
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 13%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 75%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72%
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 20%
H_COMP_5_A_P: Staff "always" explained 61%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21%
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 2
H_MED_FOR_A_P: Staff "always" explained new medications 75%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 46%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 32%
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 78%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 7%
H_CLEAN_HSP_U_P: Room was "usually" clean 15%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 67%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 26%
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) 7%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 16%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 77%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 78%
H_RECMND_PY: "YES", patients would probably recommend the hospital 17%
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 0.126 Better than the National Benchmark
HAI_1_CIUPPER 0.475 Better than the National Benchmark
HAI_1_DOPC 32966.000 Better than the National Benchmark
HAI_1_ELIGCASES 34.761 Better than the National Benchmark
HAI_1_NUMERATOR 9.000 Better than the National Benchmark
HAI_1_SIR 0.259 Better than the National Benchmark
HAI_2_CILOWER 0.247 Better than the National Benchmark
HAI_2_CIUPPER 0.664 Better than the National Benchmark
HAI_2_DOPC 27149.000 Better than the National Benchmark
HAI_2_ELIGCASES 38.269 Better than the National Benchmark
HAI_2_NUMERATOR 16.000 Better than the National Benchmark
HAI_2_SIR 0.418 Better than the National Benchmark
HAI_3_CILOWER 0.291 No Different than National Benchmark
HAI_3_CIUPPER 1.095 No Different than National Benchmark
HAI_3_DOPC 556.000 No Different than National Benchmark
HAI_3_ELIGCASES 15.089 No Different than National Benchmark
HAI_3_NUMERATOR 9.000 No Different than National Benchmark
HAI_3_SIR 0.596 No Different than National Benchmark
HAI_4_CILOWER 0.011 No Different than National Benchmark
HAI_4_CIUPPER 1.074 No Different than National Benchmark
HAI_4_DOPC 574.000 No Different than National Benchmark
HAI_4_ELIGCASES 4.594 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.218 No Different than National Benchmark
HAI_5_CILOWER 0.107 Better than the National Benchmark
HAI_5_CIUPPER 0.482 Better than the National Benchmark
HAI_5_DOPC 356330.000 Better than the National Benchmark
HAI_5_ELIGCASES 28.700 Better than the National Benchmark
HAI_5_NUMERATOR 7.000 Better than the National Benchmark
HAI_5_SIR 0.244 Better than the National Benchmark
HAI_6_CILOWER 0.074 Better than the National Benchmark
HAI_6_CIUPPER 0.188 Better than the National Benchmark
HAI_6_DOPC 327387.000 Better than the National Benchmark
HAI_6_ELIGCASES 148.416 Better than the National Benchmark
HAI_6_NUMERATOR 18.000 Better than the National Benchmark
HAI_6_SIR 0.121 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 36.0 Healthcare Personnel Vaccination
OP_18a 189.0 Emergency Department
OP_18b 187.0 Emergency Department
OP_18c 260.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 89.0 Emergency Department
OP_29 99.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 49.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 73.0 Sepsis Care
SEP_SH_3HR 74.0 Sepsis Care
SEP_SH_6HR 94.0 Sepsis Care
SEV_SEP_3HR 85.0 Sepsis Care
SEV_SEP_6HR 98.0 Sepsis Care
STK_02 94.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 89.0 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 19.80 More Days Than Average per 100 Discharges
EDAC_30_HF 11.10 More Days Than Average per 100 Discharges
EDAC_30_PN -2.00 Average Days per 100 Discharges
Hybrid_HWR 16.60 Worse Than the National Rate
OP_32 12.50 No Different Than the National Rate
OP_35_ADM 8.90 No Different Than the National Rate
OP_35_ED 4.70 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 14.80 No Different Than the National Rate
READM_30_CABG 8.70 No Different Than the National Rate
READM_30_COPD 17.20 No Different Than the National Rate
READM_30_HF 21.90 Worse Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.20 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 2023)

All Data

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

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Show 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.19 metrics.cost_to_charge_ratio
Cost Report Current Ratio 25.66 metrics.current_ratio
Cost Report Employees per Bed 1.53 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $2,924,141,292 metrics.fund_balance
Cost Report Net Income ($) $241,230,051 metrics.net_income
Cost Report Net Patient Revenue ($) $1,700,681,215 metrics.net_patient_revenue
Cost Report Operating Margin (%) 11.9% metrics.operating_margin
Cost Report Total Assets ($) $3,017,058,847 metrics.total_assets
Cost Report Total Costs ($) $1,249,045,584 metrics.total_costs
Cost Report Total Liabilities ($) $92,917,555 metrics.total_liabilities
Cost Report Total Margin (%) 13.9% metrics.total_margin
Cost Report Uncompensated Care (%) 6.3% metrics.uncompensated_care_pct
General Information Address 3001 W MARTIN LUTHER KING JR BLVD Address
General Information City/Town TAMPA 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 10 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 11 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 Count of MORT Measures Better
General Information Count of MORT Measures No Different 6 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 9 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 3 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish HILLSBOROUGH County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 100075 Facility ID
General Information Facility Name ST JOSEPHS HOSPITAL 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 Voluntary non-profit - Church 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 FL State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (813) 870-4398 Telephone Number
General Information ZIP Code 33607 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.54 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.19 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.37 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.51 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 -0.49 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 1.10 0.9995 p93 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 400 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 68 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.7% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.82 1.0000 p2 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.1% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 7.5% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.94 0.9969 p8 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.0% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 374 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 63 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.11 0.9983 p95 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.5% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 1,386 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 323 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.7% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.94 0.9955 p14 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.4% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 1,274 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 192 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.4% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 6.00 5.00 p57 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 12.00 8.75 p71 person_community_score
Value-Based Purchasing Safety 13.33 10.00 p70 safety_score
Value-Based Purchasing Total Performance Score 31.33 29.50 p57 total_performance_score
Methodology

Full methodology →