Hospital

METHODIST HOSPITALS OF MEMPHIS

CCN: 440049 · MEMPHIS, TN 38104 · SHELBY County

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

Overview

Address
1265 UNION AVE SUITE 700, MEMPHIS, TN 38104
Phone
(901) 516-8274
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
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
4
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
11
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) 334 discharges
0.9241 p11
Heart Failure 1,272 discharges
0.9045 p6
Pneumonia 893 discharges
1.0051 p56
COPD 287 discharges
0.9727 p27
Hip/Knee Replacement 519 discharges
1.0046 p53
CABG Surgery 143 discharges
1.0422 p67
Expected (1.0) National median

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: 1.0422
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.1512

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 3.90 No Different Than the National Rate 563
Hybrid_HWM 4.20 No Different Than the National Rate 4,263
MORT_30_AMI 11.20 No Different Than the National Rate 295
MORT_30_CABG 2.50 No Different Than the National Rate 145
MORT_30_COPD 10.80 No Different Than the National Rate 254
MORT_30_HF 12.80 No Different Than the National Rate 1,125
MORT_30_PN 16.90 No Different Than the National Rate 878
MORT_30_STK 13.90 No Different Than the National Rate 854
PSI_03 0.85 No Different Than the National Rate 15,509
PSI_04 191.61 No Different Than the National Rate 255
PSI_06 0.18 No Different Than the National Rate 19,109
PSI_08 0.30 No Different Than the National Rate 19,516
PSI_09 1.95 No Different Than the National Rate 4,551
PSI_10 2.26 No Different Than the National Rate 1,477
PSI_11 14.96 Worse Than the National Rate 1,493
PSI_12 3.41 No Different Than the National Rate 4,687
PSI_13 4.52 No Different Than the National Rate 1,455
PSI_14 1.45 No Different Than the National Rate 1,186
PSI_15 0.78 No Different Than the National Rate 3,977
PSI_90 1.19 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 74% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 8% —
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 — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 81% —
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 13% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 9% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22% —
H_COMP_2_A_P: Doctors "always" communicated well 77% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
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 83% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 5% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12% —
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 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 57% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25% —
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 71% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12% —
H_MED_FOR_U_P: Staff "usually" explained new medications 17% —
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 38% —
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 20% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 80% —
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 22% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 78% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 18% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 82% —
H_CLEAN_HSP_A_P: Room was "always" clean 60% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 18% —
H_CLEAN_HSP_U_P: Room was "usually" clean 22% —
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 9% —
H_QUIET_HSP_U_P: "Usually" quiet at night 28% —
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) 13% —
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) 63% —
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) 9% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 65% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 26% —
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 0.413 Better than the National Benchmark
HAI_1_CIUPPER 0.789 Better than the National Benchmark
HAI_1_DOPC 54660.000 Better than the National Benchmark
HAI_1_ELIGCASES 63.947 Better than the National Benchmark
HAI_1_NUMERATOR 37.000 Better than the National Benchmark
HAI_1_SIR 0.579 Better than the National Benchmark
HAI_2_CILOWER 0.214 Better than the National Benchmark
HAI_2_CIUPPER 0.576 Better than the National Benchmark
HAI_2_DOPC 30246.000 Better than the National Benchmark
HAI_2_ELIGCASES 44.179 Better than the National Benchmark
HAI_2_NUMERATOR 16.000 Better than the National Benchmark
HAI_2_SIR 0.362 Better than the National Benchmark
HAI_3_CILOWER 0.092 Better than the National Benchmark
HAI_3_CIUPPER 0.701 Better than the National Benchmark
HAI_3_DOPC 503.000 Better than the National Benchmark
HAI_3_ELIGCASES 13.769 Better than the National Benchmark
HAI_3_NUMERATOR 4.000 Better than the National Benchmark
HAI_3_SIR 0.291 Better than the National Benchmark
HAI_4_CILOWER N/A Better than the National Benchmark
HAI_4_CIUPPER 0.848 Better than the National Benchmark
HAI_4_DOPC 388.000 Better than the National Benchmark
HAI_4_ELIGCASES 3.534 Better than the National Benchmark
HAI_4_NUMERATOR 0.000 Better than the National Benchmark
HAI_4_SIR 0.000 Better than the National Benchmark
HAI_5_CILOWER 0.645 No Different than National Benchmark
HAI_5_CIUPPER 1.396 No Different than National Benchmark
HAI_5_DOPC 357896.000 No Different than National Benchmark
HAI_5_ELIGCASES 26.894 No Different than National Benchmark
HAI_5_NUMERATOR 26.000 No Different than National Benchmark
HAI_5_SIR 0.967 No Different than National Benchmark
HAI_6_CILOWER 0.180 Better than the National Benchmark
HAI_6_CIUPPER 0.350 Better than the National Benchmark
HAI_6_DOPC 321124.000 Better than the National Benchmark
HAI_6_ELIGCASES 137.380 Better than the National Benchmark
HAI_6_NUMERATOR 35.000 Better than the National Benchmark
HAI_6_SIR 0.255 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 84.0 Healthcare Personnel Vaccination
OP_18a 246.0 Emergency Department
OP_18b 244.0 Emergency Department
OP_18c 320.0 Emergency Department
OP_18d — Emergency Department
OP_22 16.0 Emergency Department
OP_23 73.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 35.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 66.0 Sepsis Care
SEP_SH_3HR 77.0 Sepsis Care
SEP_SH_6HR 97.0 Sepsis Care
SEV_SEP_3HR 81.0 Sepsis Care
SEV_SEP_6HR 84.0 Sepsis Care
STK_02 95.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 91.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -4.50 Average Days per 100 Discharges
EDAC_30_HF 2.40 Average Days per 100 Discharges
EDAC_30_PN 18.70 More Days Than Average per 100 Discharges
Hybrid_HWR 15.30 No Different Than the National Rate
OP_32 12.40 No Different Than the National Rate
OP_35_ADM 10.40 No Different Than the National Rate
OP_35_ED 5.10 No Different Than the National Rate
OP_36 0.80 Better than expected
READM_30_AMI 12.50 No Different Than the National Rate
READM_30_CABG 11.00 No Different Than the National Rate
READM_30_COPD 17.60 No Different Than the National Rate
READM_30_HF 17.80 Better Than the National Rate
READM_30_HIP_KNEE 4.90 No Different Than the National Rate
READM_30_PN 16.10 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
1.03

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 Current Ratio 5.89 — metrics.current_ratio
Cost Report Employees per Bed 6.13 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $943,903,299 — metrics.fund_balance
Cost Report Net Income ($) $-265,931,511 — metrics.net_income
Cost Report Net Patient Revenue ($) $1,651,008,371 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -16.1% — metrics.operating_margin
Cost Report Total Assets ($) $984,461,801 — metrics.total_assets
Cost Report Total Costs ($) $1,575,398,455 — metrics.total_costs
Cost Report Total Liabilities ($) $40,558,502 — metrics.total_liabilities
Cost Report Total Margin (%) -16.1% — metrics.total_margin
Cost Report Uncompensated Care (%) 6.5% — metrics.uncompensated_care_pct
General Information Address 1265 UNION AVE SUITE 700 — Address
General Information City/Town MEMPHIS — 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 11 — 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 4 — 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 SHELBY — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 440049 — Facility ID
General Information Facility Name METHODIST HOSPITALS OF MEMPHIS — 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 TN — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (901) 516-8274 — Telephone Number
General Information ZIP Code 38104 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.27 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.16 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.49 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.89 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.37 — 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 1.03 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.92 0.9995 p11 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.9% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 334 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 39 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.9% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.04 1.0000 p67 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.0% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 143 — READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 16 — READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.4% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.97 0.9969 p27 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.2% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 287 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 46 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 16.7% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.90 0.9983 p6 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.4% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 1,272 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 216 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 17.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.00 0.9916 p53 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.0% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 519 — READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 26 — READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.0% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p56 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.3% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 893 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 138 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.4% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →