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

Overview

Address
4500 13TH STREET, GULFPORT, MS 39502
Phone
(228) 867-4000
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
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 8 of 8 measures reported
1
6
1
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 12 of 12 measures reported
12 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) 282 discharges
1.0183 p61
Heart Failure 754 discharges
1.1072 p94
Pneumonia 666 discharges
0.9728 p34
COPD 229 discharges
0.9950 p48
Hip/Knee Replacement
1.1150 p79
CABG Surgery
0.9117 p17
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.

18.8 p12
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
1.7 p18
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
9.2 p41
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
8.0 p43
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: 1.1150
Value-Based Purchasing
18.8 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.1479

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 2.90 No Different Than the National Rate 37
Hybrid_HWM 4.80 No Different Than the National Rate 1,969
MORT_30_AMI 14.70 No Different Than the National Rate 250
MORT_30_CABG 3.30 No Different Than the National Rate 89
MORT_30_COPD 8.90 No Different Than the National Rate 203
MORT_30_HF 12.70 No Different Than the National Rate 610
MORT_30_PN 18.60 No Different Than the National Rate 646
MORT_30_STK 15.10 No Different Than the National Rate 255
PSI_03 0.47 No Different Than the National Rate 6,306
PSI_04 182.36 No Different Than the National Rate 108
PSI_06 0.14 No Different Than the National Rate 8,146
PSI_08 0.24 No Different Than the National Rate 8,313
PSI_09 1.96 No Different Than the National Rate 1,654
PSI_10 3.06 No Different Than the National Rate 486
PSI_11 12.99 No Different Than the National Rate 517
PSI_12 3.56 No Different Than the National Rate 1,749
PSI_13 4.80 No Different Than the National Rate 466
PSI_14 1.61 No Different Than the National Rate 275
PSI_15 1.01 No Different Than the National Rate 1,306
PSI_90 1.07 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 79%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
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 86%
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 11%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 76%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 74%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 21%
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 85%
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 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 74%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 74%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 60%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21%
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 78%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 6%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 43%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 36%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 21%
H_COMP_6_N_P: No, staff "did not" give patients this information 11%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 11%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 89%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 11%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 89%
H_CLEAN_HSP_A_P: Room was "always" clean 62%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 23%
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 63%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 11%
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 3
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) 29%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62%
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 66%
H_RECMND_PY: "YES", patients would probably recommend the hospital 28%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 3
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 0.214 No Different than National Benchmark
HAI_1_CIUPPER 1.298 No Different than National Benchmark
HAI_1_DOPC 8182.000 No Different than National Benchmark
HAI_1_ELIGCASES 8.541 No Different than National Benchmark
HAI_1_NUMERATOR 5.000 No Different than National Benchmark
HAI_1_SIR 0.585 No Different than National Benchmark
HAI_2_CILOWER 0.225 No Different than National Benchmark
HAI_2_CIUPPER 1.019 No Different than National Benchmark
HAI_2_DOPC 10659.000 No Different than National Benchmark
HAI_2_ELIGCASES 13.585 No Different than National Benchmark
HAI_2_NUMERATOR 7.000 No Different than National Benchmark
HAI_2_SIR 0.515 No Different than National Benchmark
HAI_3_CILOWER 0.225 No Different than National Benchmark
HAI_3_CIUPPER 2.408 No Different than National Benchmark
HAI_3_DOPC 121.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.390 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 0.885 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 91.000
HAI_4_ELIGCASES 0.854
HAI_4_NUMERATOR 1.000
HAI_4_SIR
HAI_5_CILOWER 0.288 No Different than National Benchmark
HAI_5_CIUPPER 1.741 No Different than National Benchmark
HAI_5_DOPC 85164.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.365 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 0.786 No Different than National Benchmark
HAI_6_CILOWER 0.158 Better than the National Benchmark
HAI_6_CIUPPER 0.523 Better than the National Benchmark
HAI_6_DOPC 82040.000 Better than the National Benchmark
HAI_6_ELIGCASES 36.525 Better than the National Benchmark
HAI_6_NUMERATOR 11.000 Better than the National Benchmark
HAI_6_SIR 0.301 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 60.0 Healthcare Personnel Vaccination
OP_18a 160.0 Emergency Department
OP_18b 158.0 Emergency Department
OP_18c 201.0 Emergency Department
OP_18d Emergency Department
OP_22 3.0 Emergency Department
OP_23 50.0 Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 10.0 Electronic Clinical Quality Measure
SEP_1 55.0 Sepsis Care
SEP_SH_3HR 67.0 Sepsis Care
SEP_SH_6HR 79.0 Sepsis Care
SEV_SEP_3HR 76.0 Sepsis Care
SEV_SEP_6HR 88.0 Sepsis Care
STK_02 96.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 90.0 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 96.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -5.60 Average Days per 100 Discharges
EDAC_30_HF 17.30 More Days Than Average per 100 Discharges
EDAC_30_PN -2.60 Average Days per 100 Discharges
Hybrid_HWR 15.60 No Different Than the National Rate
OP_32 11.50 No Different Than the National Rate
OP_35_ADM 8.60 No Different Than the National Rate
OP_35_ED 5.90 No Different Than the National Rate
OP_36 0.80 No Different than expected
READM_30_AMI 13.70 No Different Than the National Rate
READM_30_CABG 9.70 No Different Than the National Rate
READM_30_COPD 18.30 No Different Than the National Rate
READM_30_HF 21.70 No Different Than the National Rate
READM_30_HIP_KNEE 5.40 No Different Than the National Rate
READM_30_PN 15.70 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
1.16

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 94 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.12 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.09 metrics.current_ratio
Cost Report Employees per Bed 12.50 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $254,617,948 metrics.fund_balance
Cost Report Net Income ($) $19,734,452 metrics.net_income
Cost Report Net Patient Revenue ($) $692,274,821 metrics.net_patient_revenue
Cost Report Operating Margin (%) -16.5% metrics.operating_margin
Cost Report Total Assets ($) $532,836,528 metrics.total_assets
Cost Report Total Costs ($) $554,968,274 metrics.total_costs
Cost Report Total Liabilities ($) $278,218,581 metrics.total_liabilities
Cost Report Total Margin (%) 2.4% metrics.total_margin
Cost Report Uncompensated Care (%) 4.5% metrics.uncompensated_care_pct
General Information Address 4500 13TH STREET Address
General Information City/Town GULFPORT 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 12 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 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 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish HARRISON County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 250019 Facility ID
General Information Facility Name MEMORIAL HOSPITAL AT GULFPORT Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Local 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 MS State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (228) 867-4000 Telephone Number
General Information ZIP Code 39502 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.56 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.22 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.55 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.50 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.68 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.15 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 1.16 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.02 0.9995 p61 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.6% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 282 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 43 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.91 1.0000 p17 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 12.3% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 11.2% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.99 0.9969 p48 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 229 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 43 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.9% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.11 0.9983 p94 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.0% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 754 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 183 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 23.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.11 0.9916 p79 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 7.2% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 8.0% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.97 0.9955 p34 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.1% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 666 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 109 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.6% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 1.67 5.00 p18 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 8.00 8.75 p43 person_community_score
Value-Based Purchasing Safety 9.17 10.00 p41 safety_score
Value-Based Purchasing Total Performance Score 18.83 29.50 p12 total_performance_score
Methodology

Full methodology →