Hospital

MULTICARE GOOD SAMARITAN HOSPITAL

CCN: 500079 · PUYALLUP, WA 98372 · PIERCE County

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

Overview

Address
401 15TH AVENUE SE, PUYALLUP, WA 98372
Phone
(253) 697-2102
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
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 6 of 7 measures reported
5
1
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
4
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
8
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 10 of 12 measures reported
10 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) 237 discharges
0.9519 p20
Heart Failure 989 discharges
0.9639 p26
Pneumonia 727 discharges
0.9836 p41
COPD 218 discharges
1.1106 p98
Hip/Knee Replacement
0.9609 p40
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.

21.8 p23
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
0.0 p0
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
7.1 p25
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
12.5 p83
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: 1.1106
Value-Based Purchasing
21.8 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: 0.0926

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 3.30 No Different Than the National Rate 67
Hybrid_HWM 3.50 Better Than the National Rate 2,278
MORT_30_AMI 13.40 No Different Than the National Rate 284
MORT_30_CABG — — —
MORT_30_COPD 12.00 Worse Than the National Rate 206
MORT_30_HF 14.00 Worse Than the National Rate 946
MORT_30_PN 16.50 No Different Than the National Rate 770
MORT_30_STK 14.50 No Different Than the National Rate 310
PSI_03 1.78 Worse Than the National Rate 8,280
PSI_04 204.93 No Different Than the National Rate 92
PSI_06 0.14 No Different Than the National Rate 9,779
PSI_08 0.23 No Different Than the National Rate 9,786
PSI_09 2.78 No Different Than the National Rate 1,377
PSI_10 2.00 No Different Than the National Rate 329
PSI_11 9.30 No Different Than the National Rate 346
PSI_12 4.12 No Different Than the National Rate 1,478
PSI_13 5.28 No Different Than the National Rate 315
PSI_14 1.56 No Different Than the National Rate 323
PSI_15 0.81 No Different Than the National Rate 1,402
PSI_90 1.35 Worse 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 7% —
H_COMP_1_U_P: Nurses "usually" communicated well 25% —
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 77% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 19% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 64% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 29% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 62% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 10% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 28% —
H_COMP_2_A_P: Doctors "always" communicated well 67% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 10% —
H_COMP_2_U_P: Doctors "usually" communicated well 23% —
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 75% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 19% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 65% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 12% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23% —
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 13% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 26% —
H_COMP_5_A_P: Staff "always" explained 50% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 30% —
H_COMP_5_U_P: Staff "usually" explained 20% —
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 62% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16% —
H_MED_FOR_U_P: Staff "usually" explained new medications 22% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 38% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 43% —
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 17% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 83% —
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 17% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83% —
H_CLEAN_HSP_A_P: Room was "always" clean 61% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 16% —
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 44% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 18% —
H_QUIET_HSP_U_P: "Usually" quiet at night 38% —
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) 27% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 56% —
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 56% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 32% —
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 0.387 No Different than National Benchmark
HAI_1_CIUPPER 1.358 No Different than National Benchmark
HAI_1_DOPC 12568.000 No Different than National Benchmark
HAI_1_ELIGCASES 13.128 No Different than National Benchmark
HAI_1_NUMERATOR 10.000 No Different than National Benchmark
HAI_1_SIR 0.762 No Different than National Benchmark
HAI_2_CILOWER 0.099 Better than the National Benchmark
HAI_2_CIUPPER 0.596 Better than the National Benchmark
HAI_2_DOPC 14549.000 Better than the National Benchmark
HAI_2_ELIGCASES 18.581 Better than the National Benchmark
HAI_2_NUMERATOR 5.000 Better than the National Benchmark
HAI_2_SIR 0.269 Better than the National Benchmark
HAI_3_CILOWER 0.238 No Different than National Benchmark
HAI_3_CIUPPER 1.808 No Different than National Benchmark
HAI_3_DOPC 201.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.336 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 0.750 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 89.000 —
HAI_4_ELIGCASES 0.737 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.515 No Different than National Benchmark
HAI_5_CIUPPER 2.107 No Different than National Benchmark
HAI_5_DOPC 96639.000 No Different than National Benchmark
HAI_5_ELIGCASES 7.209 No Different than National Benchmark
HAI_5_NUMERATOR 8.000 No Different than National Benchmark
HAI_5_SIR 1.110 No Different than National Benchmark
HAI_6_CILOWER 0.211 Better than the National Benchmark
HAI_6_CIUPPER 0.498 Better than the National Benchmark
HAI_6_DOPC 91956.000 Better than the National Benchmark
HAI_6_ELIGCASES 63.305 Better than the National Benchmark
HAI_6_NUMERATOR 21.000 Better than the National Benchmark
HAI_6_SIR 0.332 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 2.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 95.0 Healthcare Personnel Vaccination
OP_18a 135.0 Emergency Department
OP_18b 131.0 Emergency Department
OP_18c 375.0 Emergency Department
OP_18d 396.0 Emergency Department
OP_22 1.0 Emergency Department
OP_23 48.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 2.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 15.0 Electronic Clinical Quality Measure
SEP_1 35.0 Sepsis Care
SEP_SH_3HR 43.0 Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 54.0 Sepsis Care
SEV_SEP_6HR 90.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 94.0 Electronic Clinical Quality Measure
VTE_1 — 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 0.60 Average Days per 100 Discharges
EDAC_30_HF 1.00 Average Days per 100 Discharges
EDAC_30_PN 0.50 Average Days per 100 Discharges
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 13.10 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.20 No Different than expected
READM_30_AMI 13.10 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 20.20 No Different Than the National Rate
READM_30_HF 19.00 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 15.90 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
0.91

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 0.23 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.37 — metrics.current_ratio
Cost Report Employees per Bed 6 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $805,848,682 — metrics.fund_balance
Cost Report Net Income ($) $-45,069,926 — metrics.net_income
Cost Report Net Patient Revenue ($) $637,347,328 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -10.5% — metrics.operating_margin
Cost Report Total Assets ($) $890,642,253 — metrics.total_assets
Cost Report Total Costs ($) $562,374,409 — metrics.total_costs
Cost Report Total Liabilities ($) $84,793,571 — metrics.total_liabilities
Cost Report Total Margin (%) -6.8% — metrics.total_margin
Cost Report Uncompensated Care (%) 4.8% — metrics.uncompensated_care_pct
General Information Address 401 15TH AVENUE SE — Address
General Information City/Town PUYALLUP — City/Town
General Information Count of Facility MORT Measures 6 — 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 8 — 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 10 — 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 1 — 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 8 — 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 3 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish PIERCE — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 500079 — Facility ID
General Information Facility Name MULTICARE GOOD SAMARITAN HOSPITAL — 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 Voluntary non-profit - Private — 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 WA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (253) 697-2102 — Telephone Number
General Information ZIP Code 98372 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.41 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.30 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.61 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.62 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.19 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.09 — 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 0.91 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.95 0.9995 p20 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.1% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 237 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 27 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.4% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.11 0.9969 p98 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.6% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 218 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 53 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.7% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.96 0.9983 p26 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.7% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 989 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 176 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.1% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.96 0.9916 p40 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.5% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.2% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p41 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.4% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 727 — 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 15.1% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 0.00 5.00 p0 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 12.50 2.50 p83 efficiency_score
Value-Based Purchasing Person & Community Engagement 2.25 8.75 p2 person_community_score
Value-Based Purchasing Safety 7.08 10.00 p25 safety_score
Value-Based Purchasing Total Performance Score 21.83 29.50 p23 total_performance_score
Methodology

Full methodology →