2020 Community Report Contents Emergency Services 20 Plantation General Hospital Urgent Care Northwest Medical Center 3 President’s Message 22 Trauma Services 24 University Hospital And Medical 4 Who We Are Center Orthopedic And Spine 5 Our Locations 26 Westside Regional Medical Center Neurosciences And Stroke 6 Patient Resources 28 Aventura Hospital And Medical Pediatric Care Center Womens Health 8 Giving Back To The Community 30 Kendall Regional Medical Center
Step Up For Students 32 Mercy Hospital 16 Quality Initiatives HCA Hope Fund 34 JFK Medical Center Hand Washing Initiative Fueling The Economy 36 JFK Medical Center North Campus
Patient Safety 38 Palms West Hospital Radiation Right 10 Our Services 40 Lawnwood Regional Medical Center Spoting Sepsis Cancer Care Powered By Sarah 42 Raulerson Hospital Canon 44 St. Lucie Medical Center
Ambulatory Surgical Centers 17 Our Hospitals 46 Highlands Regional Medical Center
Integrated Regional Labs 18 Capital Investment Behavioral Health 19 2019 East Florida Statistics Physical Rehabilitation ONE STEP Patient Transfer 48 Bay View Rehabilitation Center Heart And Vascular Services 49 Lawnwood Physical Rehabilitation Center program, which provides unique scholarships to low-income Florida students pursuing their education. These are just some of the ways we are dedicated to putting our communities first. The foundation of our Being a people-centered organization includes not only our patients, but our colleagues as culture at HCA East well. It all begins by attracting and training the best and brightest through our nurse residency Florida begins and program. We are here to support our clinicians through leadership development and continuous is supported by our training. Investing in our caregivers means investing in the future of medicine. Five of our Excellence ALWAYS facilities across South Florida host Graduate Medical Education (GME) programs. Through Mission, Vision, Values and GME, we are helping to address national physician shortages while contributing to the Patient Promise. care experience in our hospitals and physician A message from our HCA East Florida practices. • Our mission is above all else, we Division President, Charles Gressle To further our investment in growth and are committed to the care and At HCA Healthcare and HCA East Florida, our development, we committed $768 million improvement of human life. commitment to creating a healthier tomorrow to expansions and renovations ranging from is unwavering. As we reflect on the past year, increased access points, new tower additions • Our vision is to be your partner in we see clearly our continued focus on providing and the groundbreaking of a brand new healthcare excellence. high-quality, cost-efective care. This year’s hospital on the campus of Nova Southeastern Community Impact Report illustrates what University (NSU) in Davie, FL. This includes • Our values are reflected in the we have achieved throughout South Florida, emergency, surgical, maternity and pediatric ALWAYS pillars, which serve to and where we are headed in the years to come. care. From Sarah Cannon cancer care to our outline the foundation of our culture: When our colleagues and communities look to 21 ER locations throughout the region, we are Accountability, Leadership, Willingness, us for support, we will rise to the occasion as proud to be a trusted source of care for every Attitude, You First and Safety. we always have; as a family. patient at every stage of health.
• Our patient promise is that we are Our pursuit of improving the health and At HCA East Florida, we truly do care like committed to excellence always in quality of human life always begins with our family. Together, we have demonstrated that every action, every patient, every time. community impact. In 2019 alone, HCA East our resilience is unbreakable. As we look to the Florida was responsible for more than $325 future, we do so with an openness to every million in charitable and uncompensated care. opportunity for community engagement, We contributed more than $136 million in clinical advancement and the highest-caliber taxes, which went toward maintaining local care for those we serve. Excellence is what schools, developing and renovating our roads, we are made of and it is where we are headed. supporting first responders, and other vital We will continue raising the bar in service to services. Our patients and communities count our patients and to each other. Thank you for on us to be here for them when and where your continued support of our mission: Above they need us most. And since 2005, we have all else, we are committed to the care and redirected more than $150 million in corporate improvement of human life. income tax to the Step Up For Students
Community Report | East Florida Division | 3 14 hospitals. 19,044 employees. 7,418 staf physicians. 1 mission.
As a part of HCA Healthcare, we at HCA East Florida serve the South Florida area as the largest healthcare system, with more than 19,044 employees. Our 14 hospitals in Miami-Dade County, Who we are Broward County, Palm Beach County and the Treasure Coast work together to provide a higher level of care. In addition, our system includes seven hospital freestanding emergency departments and 12 ambulatory surgery centers, five Care Now urgent care centers, three trauma centers, one burn center, one regional laboratory, nine psychiatric programs, 34 teaching programs and 93 physician practice locations.
HCA Healthcare is a collaborative healthcare network, driven by physicians and colleagues helping each other champion the practice of medicine for a healthier world. For the benefit of each patient who walks through our doors, our network extends a knowledge pipeline into every one of our facilities, creating one of the country’s most connected medical environments. We never stop in our pursuit of insights and care advances based on medical data from approximately 30 million patient encounters a year. In recent years our proprietary research and trials have enhanced our clinical capabilities to drive down incidences of blood stream infections (including MRSA), maternity mortality, infant mortality and NICU admissions, just to name a few.
*Based on FY 2019 Data 4 | Community Report | East Florida Division Lawnwood Regional Medical Center ‡ Treasure Coast Lawnwood ER Vero Beach Highlands Regional Medical Center ‡ Highlands Regional Medical Center Lawnwood Regional Medical Center Raulerson Hospital ‡ St. Lucie Medical Center St. Lucie Medical Center Raulerson Hospital ‡ St. Lucie ER at Darwin Square St. Lucie ER at Darwin Square Lawnwood ER Vero Beach ‡ ☆ Palm Beach County ‡ JFK Medical Center JFK ER Palm Beach Gardens JFK Medical Center North Campus
JFK ER Palm Beach Gardens JFK Medical Center North Campus JFK ER Boynton Beach Palms West Hospital Palms West Hospital ☆ JFK ER Boynton Beach JFK Medical Center ☀ Broward County Northwest Medical Center University Hospital and Medical Center Plantation General Hospital Northwest Medical Center University Hospital and Medical Center Westside Regional Medical Center Plantation General Hospital Westside Regional Medical Center Westside Regional ER Davie ☀
◊ Miami-Dade County Westside Regional ER Davie Aventura Hospital and Medical Center Kendall Regional Medical Center Kendall Regional ER Doral Aventura Hospital and Medical Center Mercy Hospital Kendall Regional Medical Center Kendall Regional ER Doral Kendall Regional ER Town and Country Mercy Hospital Kendall Regional ER Town and Country ◊◊
Community Report | East Florida Division | 5 Consult-A-Nurse® is HCA East Florida’s health care information and physician referral line. This free service connects the community with information about health services, hospital programs and registers people for numerous community education classes and events hosted by our hospitals. Members of the community can also speak to a registered nurse to receive guidance and health information.
Call 1-866-442-2362 to connect with an HCA East Florida hospital near you.
MyHealthOne provides patients instant access to their health information through a secure portal. Patients can see medical records, sign-up for hospital classes and pay bills.
To register, visit HCAEastFlorida.com/myhealthone
Patient Resources YouTube Our YouTube channel hosts more than 955 videos featuring patient testimonials, physician biographies and common hospital procedures. To subscribe and see our video library, visit YouTube.com and search HCA East Florida.
Engage with our hospitals on Facebook, Instagram, Twitter and LinkedIn. Search the hospital name on the platform to get connected. You can connect with HCA East Florida by following @HCAEastFlorida on Twitter or by liking HCA East Florida on Facebook.
All our hospital websites house information on our service and live average ER wait times. To learn more about our services, please visit: HCAEastFlorida.com
6 Community Report | East Florida Division Surgical Symphony Voice Recognition Sofware iMobile
When a loved one is in surgery, timely We are constantly evaluating ways to iMobile is a clinical communication communication is critical for peace streamline processes for physicians. platform that connects our physicians, of mind. One tool HCA East Florida HCA East Florida has implemented nurses, therapists, case workers, hospitals use to provide current communications Voice Recognition Sofware for our providers, transportation assistants, pharmacists to families is Surgical Symphony. Surgical decreasing their documentation time and and other ancillary staf at a number of our Symphony, used in every hospital operating increasing patient interaction time. Physicians facilities. Our care teams can connect with each room, displays updates for surgical patients and have the option of using the microphone function other using secure iPhones, allowing real-time clinicians to loved ones within the facility. We on their smart phones to dictate through a mobile communication between departments. are also able to send patients’ relatives text app, allowing them to capture critical information messages that provide patient status. from virtually any system in the hospital. Health Information Exchange (HIE) Peri-Operative Documentation System In times of emergency, patients may have to be transferred to a diferent (PODS) facility. HIE gives clinicians at the We also strive to make the pre-operative receiving facility access to clinical records process simple for our patients. Our immediately, allowing for smooth continuation Peri-Operative Documentation System of care. (PODS) ofers a fax and scanning solution that helps streamline the collection of required pre- operative documentation. Instead of relying on Patient Transport multiple information sources, all documents for surgery are sent by fax or eFax into the The Patient Transportation System PODS application and attached to the patient’s was developed in-house to enhance scheduled surgery. This ensures complete the management of transport information is available for the care team in one resources. This system provides place. visibility into activities and metrics that has helped teams plan and prioritize the transport With incredible efort and support of many of patients within facilities. throughout HCA, we are able to safely care for our patients and staf during procedures.
Evidence Based Clinical Documentation
Orbit Our teams have implemented Evidenced Based Clinical Documentation The patient and nurse relationship is a (EBCD) at all facilities. This powerful critical aspect of the care experience. solution enhances electronic health record Orbit is HCA Healthcare’s leader documentation work flow to allow our rounding application. The programs allows leaders caregivers to spend more time at the bedside to monitor patient and colleague experiences in while ensuring accurate information. real time to help better serve patients and the teams caring for them. Tracking rounding data allows facilities to identify trends and improve the care experience. Community Report | East Florida Division | 7 Our single most important community contribution is ensuring that Floridians have access to quality healthcare close to home.
But there are other ways that we make a positive impact on the communities we serve.
The core of our values comes from our continual act of improving the health and quality of life in communities we serve. Our community- benefit activities encompass charity care, corporate charitable giving, colleague giving and volunteerism to benefit a wide variety of charitable organizations. HCA East Florida’s commitment to the health of the community includes providing care to those without the Giving Back ability to pay. The countless hours of our employees and Step Up For Students to the Community physicians to provide support through wellness Since 2005, HCA East Florida has redirected education and volunteer eforts to reach over $150 million in corporate income tax to the those who need it most go well beyond our Step Up For Students program. Through these organization’s eforts. We are fortunate to donations, over 36,000 low-income students partner in these initiatives with outstanding have received a K-12 scholarship. The Step Up For health, education, civic and social service Students program was created to help alleviate institutions that share our vision for a healthier the enormous educational challenges faced community. by children in low-income Florida families. The program allows the student to choose between a scholarship to help with private school tuition and fees or a transportation scholarship to attend an out-of-district public school.
Florida has made tremendous gains in student Did you know? achievement, but with only 48 percent of economically disadvantaged children reading HCA East Florida funded at grade level, more work must be done. The over 3,800 scholarships mission of Step Up For Students is to be a partner in the larger solution. In 2019 HCA through the Step Up For East Florida contributed $27 million to the Students Program in 2019. Step Up For Students program. Learn more at StepUpForStudents.org.
8 | Community Report | East Florida Division Did you know? HCA Hope Fund
Our colleagues’ first goal is to take care of our HCA East Florida awarded patients. HCA East Florida is also a family of co- 533 Hope Fund grants workers, and so we take care of each other. The totaling $636,300. These HCA Healthcare Hope Fund was formed more than a decade ago in the wake of devastating grants were funded by hurricanes so that colleagues around the country contributions made by who are in need —and those who want to help — have a single, reliable source to give and receive colleagues. assistance. Our HCA East Florida community awarded 533 Hope Fund grants to colleagues in 2019, for a total of $636,300. These grants were funded by contributions made by colleagues.
Our well-named Hope Fund ofers just that— hope. Its support helps colleagues who have sufered everything from home loss due to hurricane, tornado or fire to those dealing with unexpected catastrophic illness or accident. The fund also steps up to aid colleagues who are dealing with domestic violence, death of a loved one or other special situations. Since its inception, it has helped more than 22,000 families through contributions of more than $50 million in support to HCA Healthcare families.
Fueling the Economy
As a for-profit healthcare system we play a key role as an economic engine helping to support many cities throughout South Florida, various counties and even the state of Florida through our tax base.
Last year, HCA East Florida paid $136,413,705 in taxes, including property tax which helps maintain local schools, contributes in the development and renovations of our roads, supports police, fire and emergency medical services as well as provides other services vital to support and sustain a thriving economy.
Community Report | East Florida Division | 9 Cancer Care Powered by Sarah Cannon Ambulatory Surgery Centers
We are a premier provider of cancer services Our twelve Ambulatory Surgery Centers were incorporating the latest innovations in founded to provide our patients and physicians technology, research, psychosocial services with the finest quality of outpatient care, and survivorship programs in our care plans. delivered in a compassionate and efcient Our goal is simple: to ensure the best clinical manner. Our physicians are supported by a highly outcomes for our patients. skilled team of registered nurses and surgical technicians specially trained in surgical and Our Commission on Cancer (CoC) accredited recovery care. The standards of care required programs take a patient-centered, by Medicare and other regulatory bodies are multidisciplinary approach to care. Medical strictly adhered to. oncologists, surgical oncologists, radiation oncologists, pathologists and nurse navigators Our surgery centers are accredited by the are just a few of the key contributors to the Accreditation Association for Ambulatory patient experience. From the first diagnosis to Health Care. We have six centers in Miami - Dade the final treatment, we support our patients County, two in Broward County, three in Palm every step of the way. Beach County and one in St. Lucie County. HCA East Florida works with HCA Healthcare’s Sarah Cannon Cancer Institute. As part of this relationship, patients may have access to nurse Behavioral Health navigation and clinical trials. Sarah Cannon Our Services afliated facilities also benefit to access from Behavioral Health Services is one of the fastest national and internal experts on cancer care. growing service lines. HCA is actually one of the nation’s largest acute care psychiatric providers. In addition to Commission on Cancer We ofer comprehensive, efective inpatient accreditation, JFK Medical Center’s Breast and outpatient behavioral healthcare to help Institute is the only facility in HCA East Florida individuals and their loved ones build a path that is accredited by the National Accreditation to discovery and recovery. We provide a broad Program for Breast Centers. continuum of psychiatric services, including inpatient, partial inpatient and outpatient programs, so we can help individuals achieve their full potential and improve their overall Integrated Regional Labs quality of life.
The HCA East Florida Division additionally encompasses Integrated Regional Laboratories (IRL). IRL is a system of hospital-based laboratories and a sophisticated high-volume core laboratory supporting the clinical laboratory testing needs of more than 250 acute and rehab hospitals, surgery centers, large physician practices and commercial accounts across the United States and the Caribbean. Integrated Regional Labs is accredited by The College of American Pathologists.
10 | Community Report | East Florida Division Patient Transfer Center The mission of the One Step Patient Transfer Center is to facilitate timely patient transfers, ensuring all patients receive the right level of care when expertise and efciency are critical. In 2019, the One Step Patient Transfer Center managed 436,000 phone calls, 33,000 patient movements and 40,500 transports.
With a call to the One Step Patient Transfer Center, you will reach the right hospital and service for your patients’ needs for hospital- to-hospital transfers.
Calls are handled 24/7 by Registered Nurses and Emergency Medical Technicians (EMTs) knowledgeable on the Emergency Medical Treatment and Labor Act (EMTALA).
436,000 phone calls. Call schedules for every HCA facility in HCA East Florida are visible to the Transfer Center 33,000 patient movements. nurses and technicians, ensuring accurate service line availability in the HCA network of 40,500 transports. facilities.
Transfers for specialty service lines include but are not limited to:
• Cardiac • Stroke/neurology • Labor and delivery • Pediatrics • Burns Calls are handled 24/7 by • Trauma Registered Nurses and Transport arrangement for discharges to: EMTs knowledgeable on the Emergency Medical • Skilled nursing facilities Treatment and Labor Act • Long-term acute care • Rehabilitation facilities (EMTALA). • Assisted living
Community Report | East Florida Division | 11 g, p TAVRs than anyone in South Florida
Heart and Vascular Services Saving lives takes heart.
HCA East Florida has a reputation for excellence in heart care, and provides comprehensive 7 Heart Programs services across the care continuum.
In addition to open heart surgery, we ofer • Aventura Hospital and Medical Center treatment for advanced heart failure and • JFK Medical Center atrial fibrillation, the most common heart • Kendall Regional Medical Center arrhythmia condition. JFK Medical Center • Lawnwood Regional Medical Center is one of three facilities in South Florida that • Mercy Hospital hosts an Advanced Heart Failure program, • Northwest Medical Center with the ability to place Lef Ventricular Assist • Westside Regional Medical Center Devices in patients with the most complex heart failure. For patients who are unable, or choose not to undergo traditional open heart surgery, we ofer minimally invasive options to 10 surgical valve replacement. These options are Cardiac Catheterization Suites known as transcatheter aortic and mitral valve replacement (TAVR & TMVR). Over 104,000 Total Cardiac Patients Treated Complex Procedures Performed • Abdominal aortic aneurysm (AAA) repair Over 27,000 • Aortic surgery Cardiovascular Inpatients Treated
• Atrial fibrillation surgery
• Coronary artery bypass grafing (CABG) Over 2,100 Cardiovascular Surgeries • Lef atrial appendage closure device placement
• Lef ventricular assist device placement 590 • Minimally invasive cardiac and valve surgery Inpatient Thoracic Cases
• Transcather mitral valve repair (TMVR)
• Structural heart disease treatments
• Transcatheter aortic valve replacement (TAVR)- Did you know? most cases in the tri-county area Our cardiac catheterization • Thoracic surgery suites feature the latest imaging technology to assist in the detection and treatment of coronary artery blockages. 12 | Community Report | East Florida Divis ion
Emergency Services Urgent Care Services 21 ER locations In times of emergency, access to expert care As part of our commitment to provide throughout the region. is critical. HCA East Florida is committed convenient healthcare, HCA East Florida has to providing leading emergency care to the expanded our services to ofer five Urgent communities we serve. It takes coordination Care centers in the Treasure Coast. These between our EMS partners and our physicians, centers ofer healthcare services for non- nurses and staf to provide high-quality care, emergent medical problems that can develop 24/7. unexpectedly and require immediate attention, filling the gap between primary care physicians HCA East Florida provides Emergency Services and hospital emergency rooms. in 21 locations from Central to South Florida. We added new ERs in Doral and Indian River County in 2019. We are committed to providing † † access to highly skilled physicians and staf Conditions treated at our urgent care † † † with minimal wait. centers include:
• Minor infections • Average ER wait times at our facilities consistently fall below the national • Migraines average. • Sprains • Our emergency room experts ofer compassionate care • Cuts
• Patients can check frequently updated • Bruises average ER wait times on our billboards • Minor Burns and websites • Minor Illnesses • All of our emergency rooms are kid- friendly, with dedicated pediatric ERs at • Immunizations facilities across South Florida. • Physicals • Select facilities ofer senior-friendly ERs, which are specially designed to meet the • Occupational Health unique needs of aging adults. • Worker’s Compensation Services • Physicians at our ofsite ERs are board-certified in emergency medicine and are committed to providing patients with a Our facilities ofer on-site X-rays, lab testing, high level of personalized care. IVs and a procedure room for more complex needs such as suturing and splinting.
Patients in our centers can expect to receive care from a team of highly qualified caregivers, including board-certified physicians. Should an urgent care patient require a higher level Emergency Services † of care, access to a full spectrum of hospital services is available. Community Report | East Florida Division | 13
◊ Trauma Centers Orthopedic and Spine Care
Timely access to trauma centers ensures those Our network of hospitals ofers patients experiencing traumatic injury have the best access to a full spectrum of orthopedic and chance at recovery. spine services for accurate diagnosis and treatment. From conservative measures and HCA East Florida launched its first trauma pain management to minimally invasive or program in 2009. That means access to specially complex procedures, our hospitals ofer an trained trauma surgeons, orthopedic surgeons, integrated model of care to help patients get neurosurgeons, anesthesiologists, radiologists back to their everyday activities as quickly and and emergency medicine specialists is available safely as possible. around the clock. In 2019, HCA East Florida treated 8,770 trauma patients. Our trauma HCA East Florida’s orthopedic programs span centers span from Fort Pierce to Miami and from joint replacement and sports medicine to include: orthopedic oncology. We leverage progressive technology to advance our clinical programs and ofer minimally invasive robotic surgery to • Treasure Coast Trauma at Lawnwood promote faster recovery. Regional Medical Center is designated as a Level II Trauma Center by the Florida Department of Health and verified by the American College of Surgeons. Neurosciences and Stroke Care
• South Florida Trauma at Kendall Regional Our neuroscience services encompass Medical Center is a Level I Adult and comprehensive collaborative care coupled Pediatric Trauma Center Certified by the with advanced technology and research to Florida Department of Health and verified ofer amazing new possibilities. Diagnosis as a Level I Adult Trauma Center by the and treatment for a variety of neurological American College of Surgeons. conditions ranging from epilepsy and brain tumors to strokes is available. The following • The Trauma Center at Aventura Hospital facilities are recognized as Comprehensive and Medical Center is designated as a Stroke Centers by the Agency for Healthcare Level II Trauma Center by the Florida Administration: Department of Health.
• Our trauma programs partner with one • Aventura Hospital and Medical Center of the state’s premier medical schools to establish the University of South Florida/ • JFK Medical Center HCA Trauma Network. This partnership enables HCA East Florida trauma programs to meet goals for research, quality, safety • Kendall Regional Medical Center and better outcomes for patients. Florida residents benefit from centralized, statewide • Lawnwood Regional Medical Center data collection for trauma research and coordination of services not readily accessible in underserved areas of the state. • Westside Regional Medical Center
14 | Community Report | East Florida Division Pediatric Care Women’s Health
While all of our facilities are kid-friendly, HCA We are committed to supporting women at East Florida ofers dedicated pediatric inpatient every stage of their healthcare journey. Our care at hospitals ofer a full spectrum of services, from maternity care and mammography to treatment for menopause and pelvic health • Kendall Regional Medical Center conditions. Our facilities also use advanced technology to treat gynecologic conditions • Lawnwood Regional Medical Center using a minimally invasive approach.
Women depend on our facilities to provide • Northwest Medical Center exceptional care, and grow their families. Eight of our facilities ofer maternity services and • Palms West Hospital have a Level I, II or III neonatal intensive care unit. Hospitals ofering maternity services • Plantation General Hospital include:
• JFK Medical Center
We understand the impact specially trained • Kendall Regional Medical Center professionals and a friendly environment have on the healing process. Our goal is to make kids • Lawnwood Regional Medical Center and their parents feel comfortable, safe and most of all, better. • Mercy Hospital
Our pediatricians and pediatric specialists on • Northwest Medical Center staf expertly treat most pediatric conditions. Kendall Regional Medical Center’s Burn • Palms West Hospital Center provides specialized care for children • Plantation General Hospital and infants. Palms West Hospital’s pediatric cancer program is accredited by the Children’s • St. Lucie Medical Center Oncology Group.
11,758 little arrivals in 2019
Community Report | East Florida Division | 15 Hand Washing Initiative SPOTing Sepsis Early
Hand hygiene remains one of the critical factors Each year, sepsis afects more than 1.7 million in reducing infections at our facilities. HCA East people worldwide. According to the latest Florida utilizes Hand Hygiene technology that report from the Centers for Disease Control and tracks compliance of nursing staf members with Prevention (CDC), 2,469 Floridians lost their lives defined targets. Our staf and soap dispensers to sepsis in 2019. The condition is more deadly are outfitted with devices that capture when a than breast cancer, prostate cancer, and AIDS staf member washes his or her hands. combined.
HCA Healthcare is committed to early detection of sepsis, as it is the ninth leading cause of death Patient Safety in all hospitals and the third leading cause of death in all intensive care units. Our facilities Our clinicians and physicians have developed and partner clinical markers like vital signs and labs implemented two screening processes to quickly with artificial intelligence to identify sepsis identify and treat some of our most common approximately 18 hours earlier than expert diagnoses: stroke and sepsis. With early-warning clinicians. This technology, known as Sepsis systems in place for these two serious conditions, Predication and Optimization of Therapy (SPOT) our staf members are better prepared to can detect the first signs of sepsis and help save recognize and respond to these warning signs, lives. both in our emergency departments and among our inpatients. HCA Healthcare uses SPOT to continually Leading the way analyze and monitor patients in HCA Healthcare We also have a Radiation Right Program to hospitals. Changes in a patient’s data that cause in Quality consider the right exam, right site and right dose. concern for sepsis prompts the clinical team to We consider alternative exams to achieve desired begin evaluating the patient for sepsis and allows test results and minimize exposure to radiation. timely treatment to begin. We verify that patients receive the right test or procedure using the Joint Commission Universal Protocol. We also follow nationally accepted guidelines to assure that we always give the lowest efective dose of radiation possible.
Radiation Right Program
Exposing patients and our colleagues to as little radiation as possible is a safety priority. We consider alternative exams to achieve the Did you know? desired test result. We verify that patients receive the right test or procedure using the Joint The SPOT Sepsis program has Commission Universal Protocol. We also follow national accepted guidelines to assure that we saved over 5,500 lives. always give the lowest efective dose of radiation possible.
16 | Community Report | East Florida Division • A new hospital to be built on the campus • Mercy Hospital received $42 million for of Nova Southeastern University (NSU) enhancements to patient rooms, remodeling in Davie, Florida. The hospital represents and upgrading the facility. HCA’s single largest investment at $318.6 million. HCA East Florida already operates • Highlands Regional Medical Center received a free standing emergency room facility at $10 million to develop a new orthopedic the NSU campus. program including renovations, upgraded technology and equipment. • JFK Medical Center received $105.9 million to add a three-story bed tower, complete • Lawnwood Medical Center received $93.5 floor renovations of many units, and an million for a new patient tower and surgical Our Hospitals expansion and upgrading of parking. upgrades and expansion. • JFK Medical Center North Campus received • University Hospital received $15.8 million for Over $768 million $30.8 million toward emergency room and a new rehabilitation suite behavioral health services expansions. in capital investment. • Palms West received $16 million for an ED expansion and renovation • Westside Regional Medical Center received In 2019, HCA East Florida continued $76.8 million to significantly expand its its major capital investment projects capacity with a new tower featuring private including $768 million in new facilities, rooms. expansions and improvements on existing campuses. • Kendall Regional Medical Center received $133.8 million for a two-story tower addition, ICU beds, pediatric units and parking Here are a few of our highlights. facilities upgrade, helipad, new kitchen, lab, materials management, and central sterile renovations plus four new OR’s.
• Aventura Hospital and Medical Center received $69.6 million to build a new patient tower and parking garage afer recently expanding its emergency department.
• Northwest received $70.3 million for a new women’s tower, renovated Labor and Delivery Suites, and a new parking garage
Community Report | East Florida Division | 17 HCA East Florida at a glance
19,044 7 Total Employees Free Standing ERs
12 14 Surgery Centers Hospitals
7,148 1 Total Physicians Regional Laboratory
9 34 Behavioral Health Programs Graduate Medical Education Programs 2019 Hospital Statistics 4,280 21 Licensed Beds Total ER Locations
18 | Community Report | East Florida Division Our patients Economic impact Taxes
1,278,805 $2,907,062,000 $136,413,705 Total Patients Treated Total Economic Impact Total Taxes
256,512 Total Medicaid Patients Treated $51,010,000 $200,036 Physician Specialty Coverage in the ED Unemployment Tax
8,770 Total Trauma Patients $1,538,509,000 $38,491,673 Salaries, Wages & Benefits Federal Tax 11,758 Total Babies Birthed in 2019 $490,098,000 $13,021,928 Capital Investment State Tax 790,476 Annual ER Visits
$325,524,000 $45,121,902 333,667 Charity & Uncompensated Care Indigent Care Tax Annual Admissions
178,909 $6,371,014 $22,048,145 Total Uninsured Patients Treated Minority & Woman Owned Business Support Property Tax
23% Medicaid Market Share $365,506,654 $17,394,471 Local Vendor Support Sales Tax
Community Report | East Florida Division | 19 At a glance Highlights
79,065 Total Patients Treated
Extensive Women’s and Children’s Services
BROWARD COUNTY HOSPITALS 70,544 Plantation Emergency Room Visits
General Hospital 24/7 Dedicated Pediatric ER
401 NW 42nd Avenue Plantation, FL 33317 954-587-5010 1,225 Active Staf Physicians PlantationGeneral.com
Advanced Level III NICU for the most delicate babies in need
912 Total Employees
Private postpartum suites and deluxe Mother-Baby suites
264 Licensed Beds
Certified as a Primary Stroke Center by The Joint Commission
20 | Community Report | East Florida Division Economic impact Taxes Our services
$120,932,000 $2,911,234 • Bariatric Services Total Economic Impact Total Taxes • Cardiology • Emergency Medicine, Adult and Pediatric $4,650,334 $8,174 • Intensive Care Unit, Adult and Pediatric Physician Specialty Coverage in the ED Unemployment Tax • Lactation Services • Maternity/High-Risk Maternity $70,450,000 $46,978 • Minimally Invasive Robotic-Assisted Surgery Salaries, Wages & Benefits Federal Tax • Neonatal Intensive Care (Level III) • Nutrition Counseling $2,190,581 $13,440 • Obstetric Emergency Care Capital Investment State Tax • Orthopedics, Adult and Pediatric • Outpatient Imaging Services $27,362,393 $1,689,954 • Outpatient Surgical Services Charity & Uncompensated Care Indigent Care Tax • Pediatrics • Primary Stroke Center Certified by The Joint Commission $187,371 $443,631 Minority & Woman Owned Business Support Property Tax • Radiology • Rehabilitation Services • Women’s Services $13,368,174 $709,057 Local Vendor Support Sales Tax
Community Report | East Florida Division | 21 At a glance Highlights
85,564 Total Patients Treated
Level III Neonatal Intensive Care Unit with 24/7 Neonatology coverage making Northwest the only Level III NICU in northern Broward County BROWARD COUNTY HOSPITALS 62,443 Northwest Emergency Room Visits Medical Center Expanded ER and Pediatric ER 2801 North State Road 7 Margate, FL 33063 954-974-0400 738 Active Staf Physicians NorthwestMed.com New 324 visitor/patient parking garage
1,259 Total Employees Named top 5% of hospitals for gynecologic surgery by Healthgrades
289 Licensed Beds $75 million tower project complete with expanded maternity suites, state of the art ICU and 34 private medical / surgical beds
22 | Community Report | East Florida Division Economic impact Taxes Our services
• Bariatric Center of Excellence $175,903,000 $9,657,114 Total Economic Impact Total Taxes • Cardiovascular/Open Heart Services
• Diagnostic Imaging $1,876,000 $9,333 Physician Specialty Coverage in the ED Unemployment Tax • Electrophysiology Lab
• Emergency Medicine, Adult and Pediatric $100,534,000 $2,685,369 Salaries, Wages & Benefits Federal Tax • Maternity (OB Hospitalist)
• Minimally Invasive Surgery $22,289,000 $768,259 • Neonatal Intensive Care Unit (Level III) Capital Investment State Tax
• Neurology/Neurosurgery $20,264,379 $3,319,314 • Orthopedic Surgery Charity & Uncompensated Care Indigent Care Tax • Pain Management Center
$360,473 $1,532,872 • Pediatric ED Minority & Woman Owned Business Support Property Tax • Physical Rehabilitation Center
$21,284,149 $1,341,967 • Primary Stroke Center Local Vendor Support Sales Tax • Robotic Surgery
• Sleep Disorders Center
• Spine Surgery
• Women’s Services
Community Report | East Florida Division | 23 At a glance Highlights
49,933 Total Patients Treated
American College of Radiology BROWARD COUNTY HOSPITALS Accredited in Mammography 37,557 University Hospital Emergency Room Visits & Medical Center
7201 N. University Drive Certified as a Primary Stroke Center Tamarac, FL 33321 by The Joint Commission 954-721-2200 486 Active Staf Physicians UHMChealth.com
Florida Department of Health 772 Designated Level II Trauma Center Total Employees
Received Baker Act Receiving Facility 317 Re-Certification Licensed Beds
24 | Community Report | East Florida Division Economic impact Taxes Our services
• Behavioral Health Inpatient, Adult Geriatric, $95,980,000 $3,236,051 Child and Adolescent Total Economic Impact Total Taxes • Behavioral Health Outpatient Partial Hospitalization Program and Intensive Outpatient Program $908,000 $5,910 • Cancer Services Physician Specialty Coverage in the ED Unemployment Tax • Emergency Medicine (Adult, Senior, and Kid-
Friendly) $59,961,000 $65,559 Salaries, Wages & Benefits Federal Tax • Interventional Radiology • Joint Replacement Program $6,133,439 $18,756 • Kidney Dialysis Capital Investment State Tax • Neurology/Neurosurgery
• Orthopedic and Spine Institute $12,734,569 $1,496,915 • Orthopedic Surgery Charity & Uncompensated Care Indigent Care Tax • Primary Stroke Center, Joint Commission
Certified $255,032 $921,609 • Rehabilitative Services Minority & Woman Owned Business Support Property Tax • Robotic-Assisted Joint Replacement Surgery
• Robotic-Assisted Surgery
$13,005,779 $727,302 • Vascular Care Local Vendor Support Sales Tax • Women’s Imaging
• Wound-Treatment Center
Community Report | East Florida Division | 25 At a glance Highlights
78,656 Total Patients Treated
Biplane Neuro Interventional Suite
BROWARD COUNTY HOSPITALS 57,456 New State-of-The-Art Cath Lab Westside Regional Emergency Room Visits Medical Center
8201 W. Broward Boulevard Hospitalists and Intensivists in-house Plantation, FL 33324 24/7 ensuring our patients get the 709 best hospital care possible 954-473-6600 Active Staf Physicians WestsideRegional.com
Residents -- Teaching Facility Graduate Medical Education (GME) 1,236 Program Total Employees
Clinical Care Coordinators and Nurse Navigators for Oncology, Stroke, Valve, Sepsis, Orthopedics, Spine and 250 Colorectal Care Licensed Beds
3 Intensive Care Units (ICUs): Cardiovascular ICU, Neurosurgical ICU and a standard ICU 26 | Community Report | East Florida Division Economic impact Taxes Our services
$189,387,000 $11,643,588 • Atrial Fibrillation Care Total Economic Impact Total Taxes • Breast MRI/Digital Mammography • Cancer Services with Dedicated Inpatient Unit $1,044,000 $10,783 • Cardiac Catheterization and Angioplasty Physician Specialty Coverage in the ED Unemployment Tax • Comprehensive Stroke Center Certified by AHCA and Thrombectomy Capable Stroke Center Certified by The Joint Commission $100,690,000 $4,400,595 • Electrophysiology Salaries, Wages & Benefits Federal Tax • Emergency Medicine (Adult and Kid-Friendly) $38,057,260 $1,258,969 • General Surgery Capital Investment State Tax • Joint Commission Certified Minimally Invasive Colorectal Surgery Program
• Kidney Dialysis, Inpatient $15,797,152 $3,254,486 • Minimally Invasive and Surgical Vascular Care Charity & Uncompensated Care Indigent Care Tax • Minimally Invasive Robotic-Assisted Surgery $292,396 $1,313,334 • Neurosurgery, Neurointerventional Minority & Woman Owned Property Tax Radiology & Neurosurgical ICU Business Support • Open Heart Surgery & Cardiovascular ICU $22,155,697 $1,347,249 • Orthopedic and Spine Institute Local Vendor Support Sales Tax • Percutaneous Coronary Intervention • Structural Heart (TAVR and Mitra Clip)
• Total Joint Program
Community Report | East Florida Division | 27 At a glance Highlights
119,051 Total Patients Treated
Designated as a Statutory Teaching Hospital with 148 residents and fellows
MIAMI-DADE COUNTY HOSPITALS 61,307 Aventura Hospital Emergency Room Visits & Medical Center
20900 Biscayne Boulevard Aventura, FL 33180 Received the Gold Plus Stroke Award 704 from the American Heart Association 305-682-7000 Active Staf Physicians AventuraHospital.com
2,023 Total Employees Florida Department of Health Designated Level II Trauma Center
407 Licensed Beds
Comprehensive Cancer Center’s Ultrasound program received accreditation from the American College of Radiology
28 | Community Report | East Florida Division Economic impact Taxes Our services
• Behavioral Health Services $309,068,000 $14,334,106 (Inpatient and Outpatient) Total Economic Impact Total Taxes • Cardiac Catheterization and Angioplasty • Comprehensive Cancer Services $2,804,000 $19,695 • Comprehensive Stroke Center Physician Specialty Coverage in the ED Unemployment Tax • Diagnostic Testing and Laboratory Services • Digital Mammography $172,212,000 $3,192,476 • Electrophysiology Salaries, Wages & Benefits Federal Tax • Emergency Medicine (Adult and Kid-Friendly) • Heart and Vascular Care $33,231,901 $913,336 • Hyperbaric Medicine Capital Investment State Tax • Kidney Dialysis • Neurology/Neurosurgery $30,281,808 $4,798,499 • Neuro-Interventional Radiology Charity & Uncompensated Care Indigent Care Tax • Open Heart Procedures • Orthopedic and Spine Institute $412,941 $3,454,393 • Outpatient Diabetes Program Minority & Woman Owned Business Support Property Tax • Physical, Occupational and Speech Therapy • Robotic-Assisted Surgery • Sleep Center $56,204,675 $1,940,555 • South Florida Valve Institute Local Vendor Support Sales Tax • Structural Heart Procedures • Transcatheter Aortic Valve Replacement (TAVR) • Trauma Center (Level ll) • Urology • Women’s Services • Wound Care
Community Report | East Florida Division | 29 At a glance Highlights
118,141 Total Patients Treated
American College of Surgeons Verified Level 1 Trauma Center
MIAMI-DADE COUNTY HOSPITALS 86,056 Kendall Regional Emergency Room Visits One of only two adult and pediatric Medical Center trauma centers in Miami-Dade County
11750 Bird Road Miami, FL 33175 767 305-223-3000 Active Staf Physicians KendallMed.com American Burn Association Verified Burn Center
2,091 Total Employees Comprehensive Stroke Center Pediatric Intensive Care Unit and Level III NICU
417 Licensed Beds Graduate Medical Education Programs: Anesthesia, Emergency Medicine, Internal Medicine, General Surgery, Surgical Critical Care, Transitional Year and Podiatry
30 | Community Report | East Florida Division Economic impact Taxes Our services
$374,723,000 $19,370,258 • Behavioral Health (Adult) Total Economic Impact Total Taxes • Breast Diagnostic Services
• Burn & Reconstructive Care Services (Adult and $7,835,247 $26,849 Pediatric) Physician Specialty Coverage in the ED Unemployment Tax • Cardiac and Vascular Care
• Chest Pain Center with Percutaneous Coronary $180,539,000 $6,645,621 Intervention-Accredited Salaries, Wages & Benefits Federal Tax • Comprehensive Stroke Center
• Critical Care Intensivist Program
$78,368,197 $1,901,249 • Emergency Services Capital Investment State Tax - Dedicated Pediatric Emergency Room - Ofsite Emergency Departments - Doral $41,570,476 $6,507,055 ER and Town and Country ER Charity & Uncompensated Care Indigent Care Tax • Joint Replacement
• Level I Trauma Center $706,000 $1,883,141 Minority & Woman Owned Business Support Property Tax • Maternity Services • Neonatal ICU (Level II and III) $47,041,014 $2,406,343 • Neurology and Neurosurgery Local Vendor Support Sales Tax • Orthopedic and Spine Surgery
• Outpatient Physical Therapy
• Pediatric Orthopedic and General Surgery
• Pediatric Services (Inpatient and Outpatient)
• Robotic and Minimally Invasive Surgery
• Urology
Community Report | East Florida Division | 31 At a glance Highlights
106,158 Total Patients Treated
American College of Surgeons Commissions on Cancer Accredited
MIAMI-DADE COUNTY HOSPITALS 49,430 Mercy Emergency Room Visits Hyperbaric and Wound Care Center Hospital designated as the Divers Alert Network (DAN) Regional Coordinators 3663 South Miami Avenue for Florida and the Caribbean Miami, FL 33317 1,225 305-854-4400 Active Staf Physicians MercyMiami.com
EMS accessible by land, air and sea
1,451 Total Employees
Designated by The Joint Commission as a Primary Stroke Center
488 Licensed Beds
Miami-Dade’s only acute care Catholic Hospital
32 | Community Report | East Florida Division Economic impact Taxes Our services
$210,475,000 $9,143,456 • Behavioral Health (Inpatient and Outpatient) Total Economic Impact Total Taxes • Cardiac Catheterization and Angioplasty • Comprehensive Cancer Services $3,719,141 $13,403 • Critical Care Units Physician Specialty Coverage in the ED Unemployment Tax • Diagnostic Services • Electrophysiology $117,006,805 $4,095,216 • Emergency Medicine (Adult and Kid-Friendly, Senior-Friendly) Salaries, Wages & Benefits Indigent Care Tax • Gastrointestinal Services $34,282,683 $3,267,462 • General Surgery Capital Investment Property Tax • Heart and Vascular Care • Hyperbaric Medicine $24,360,560 $1,767,230 • Infusion Center • Kidney Dialysis Charity & Uncompensated Care Sales Tax • Level II NICU $570,000 • Maternity Minority & Woman Owned Business Support • Minimally Invasive Laparoscopic and Robotic Surgery • Neonatal Intensive Care, (Level II) $21,963,446 • Neurological Services Local Vendor Support • Orthopedic and Spine Institute • Primary Stroke
• Rehabilitation Services (Inpatient and Outpatient) • Sleep Disorders Center • Women’s Services • Wound Care
Community Report | East Florida Division | 33 At a glance Highlights
155,038 Total Patients Treated
Healthgrades 5-star recipient for Treatment of Heart Failure for 18 consecutive years (2003-2020)
PALM BEACH HOSPITALS 95,139 Emergency Room Visits JFK Largest Cardiovascular Services Program in Palm Beach County and Medical Center first to perform TAVR, TMVR and LACC Procedures 5301 South Congress Avenue Atlantis, FL 33317 925 561-965-7300 Active Staf Physicians Busiest ER in Palm Beach County, JFKMC.com ofering four locations (Atlantis, West Palm Beach, Boynton Beach and Palm Beach Gardens)
2,251 Total Employees Graduate Medical Education Residency Programs in Internal Medicine, General Surgery, Cardiovascular Disease Fellowship, Pediatric Surgery and Hospice and Palliative Care Fellowship 558 Licensed Beds Two of-site Emergency Rooms in Boynton Beach and Palm Beach Gardens, providing the same level of emergency care as our main hospital
34 | Community Report | East Florida Division Economic impact Taxes Our services
$378,023,000 $17,365,469 • Bariatric Center Total Economic Impact Total Taxes • Behavioral Health Services (Adult) • Breast Center $6,818,487 $23,589 • Cardiovascular Services Physician Specialty Coverage in the ED Unemployment Tax - Catheterization - Electrophysiology $198,197,000 $3,433,483 - TAVR Salaries, Wages & Benefits Federal Tax - TMVR: Mitral Clip - LVAD (Lef Ventricular Assist Device) $57,545,199 $982,287 - LAOO (Lef Atrial Appendage Occlusion) Capital Investment State Tax - Advanced Heart Failure - Open Heart Procedures $53,090,910 $6,656,510 - Cardiac Rehabilitation Charity & Uncompensated Care Indigent Care Tax - Chest Pain Center with Percutaneous Coronary Intervention-Accredited $1,273,401 $3,277,542 • Comprehensive Cancer Services Minority & Woman Owned Business Support Property Tax • Comprehensive Stroke Center • Emergency Medicine (Adult and Kids) including Two Of-Site Emergency Rooms in Boynton $45,006,303 $2,987,305 Beach & Palm Beach Gardens Local Vendor Support Sales Tax • Maternity Care • Neuroscience Institute • Orthopedic and Spine Institute
• Rehabilitation Center • Robotic-Assisted Surgery • Sleep Disorders Center • Wound Management & Limb Preservation
Community Report | East Florida Division | 35 At a glance Highlights
49,677 Total Patients Treated
Skilled, caring and friendly staf focused on providing a superior experience
PALM BEACH HOSPITALS 30,062 JFK Emergency Room Visits Medical Center North Campus Distinguished provider of full spectrum of surgical services using leading edge technology to yield 2201 45th Street 925 superior outcomes, less pain and West Palm Beach, FL 33407 Active Staf Physicians improved recovery times 561-842-6141 JFKNorth.com
725 $27 million expansion, which includes Total Employees 14 additional ER beds and 36 additional behavioral health beds
245 Licensed Beds Largest provider of behavioral health services in Palm Beach County ofering a full continuum of prevention, treatment and support to address mental health and wellness
36 | Community Report | East Florida Division Economic impact Taxes Our services
$99,774,000 $2,797,166 • Advanced Primary Stroke Center Total Economic Impact Total Taxes • Behavioral Health Services (Child, Adolescent, Adult and Geriatric)
$880,552 $6,000 • Diagnostic Imaging Physician Specialty Coverage in the ED Unemployment Tax • Digestive Services $58,058,000 $119,928 • Emergency Medicine (Adult, Kid-Friendly and Salaries, Wages & Benefits Federal Tax Senior-Friendly)
• General Surgery
$6,801,607 $34,310 • Interventional Radiology Capital Investment State Tax • Kidney Dialysis
$21,207,287 $1,086,022 • Laboratory Services Charity & Uncompensated Care Indigent Care Tax • Orthopedics
$321,000 $782,098 • Outpatient Rehabilitation Property Tax Minority & Woman Owned Business Support • Pain Management Center
• Pulmonary Rehabilitation $10,028,879 $760,623 Local Vendor Support Sales Tax • Vascular Care
• Wound Care
Community Report | East Florida Division | 37 At a glance Highlights
94,482 Total Patients Treated
Recipient of 2019 Patient Safety Excellence Award. Healthgrades ranked Palms West Hospital in the top 10% in the nation for patient safety - PALM BEACH HOSPITALS 55,584 two years in a row (2019, 2018) Palms West Emergency Room Visits Hospital Healthgrades 5-Star recipient for 13001 Southern Boulevard Coronary Interventional Procedures three years in row (2019, 2018, 2017) Loxahatchtee, FL 33470 723 561-798-3300 Active Staf Physicians PalmsWestHospital.com
Children’s Oncology Group 1,219 (COG) accreditation Total Employees
204 2019 HCA Healthcare Unit of Licensed Beds Distinction, Surgical Services, #1 in the company
38 | Community Report | East Florida Division Economic impact Taxes Our services
• Breast Diagnostic Center with Digital $155,354,000 $8,988,954 Mammography and Tomosynthesis (3-D) Total Economic Impact Total Taxes • Bone Density • Cardiac Catheterization $4,700,476 $10,562 • Critical Care Physician Specialty Coverage in the ED Unemployment Tax • Dialysis (inpatient) • Emergency Medicine (Adult and Pediatric) • Endoscopy $93,462,000 $3,209,067 • Gastroenterology Salaries, Wages & Benefits Federal Tax • Hand Surgery • Outpatient Imaging $7,253,283 $918,083 • Interventional Radiology Capital Investment State Tax • Lactation Services • Minimally Invasive Surgery • MRI $17,413,709 $2,615,579 • Neurology Charity & Uncompensated Care Indigent Care Tax • Neurosurgery • Orthopedic and Spine Center $921,558 $1,056,649 • Outpatient Rehabilitation and Aquatics Center (Adult and Pediatric) Minority & Woman Owned Business Support Property Tax • Pediatric Emergency Room • Pediatric Intensive Care $23,534,898 $1,176,522 • Podiatry Local Vendor Support Sales Tax • Primary Stroke Center (ACHA Designated) • Respiratory Therapy • Robotic-Assisted Surgery • The New Life Center – Obstetrics and Birthing Suites with a Level II NICU • Urology • Vascular Surgery • Wound Care (inpatient)
Community Report | East Florida Division | 39 At a glance Highlights
100,331 Total Patients Treated
The first and only hospital in the Treasure Coast to ofer a Comprehensive Stroke program. Home to the Treasure Coast’s only TREASURE COAST HOSPITALS 79,400 Trauma Center (Level II). Lawnwood Regional Emergency Room Visits Medical Center For patients with a heart valve 1700 S. 23rd Street disorder, Lawnwood ofers a new Fort Pierce, FL 34950 treatment option performed with a 366 minimally invasive valve repair device. 772-461-4000 Active Staf Physicians To meet the needs of a growing number of people sufering from LawnwoodMed.com arrhythmias, Lawnwood ofers electrophysiology (EP) services.
1,662 Total Employees Lawnwood is expanding access to high- quality emergency care to surrounding communities with the opening of a new Vero Beach freestanding ER that includes 12 beds, a trauma bay along with a pediatric room and features the latest technology 392 Licensed Beds
Lawnwood ofers extensive services for children including a pediatric ER, Level III NICU, Pediatric Intensive Care Unit and new Adolescent Behavioral Health Program. 40 | Community Report | East Florida Division Economic impact Taxes Our services
$278,915,000 $13,758,827 • Behavioral Health (Adolescent and Adult) • Birthing Center-Obstetrics Total Economic Impact Total Taxes • Cardiology - Cardiac and Vascular Rehabilitation $11,670,000 $15,002 - Cardiac Catheterization Physician Specialty Coverage in the ED Unemployment Tax - Cardiopulmonary - Cardiovascular Surgery $150,810,000 $4,576,387 - Electrophysiology (EP) Testing Salaries, Wages & Benefits Federal Tax • Comprehensive Stroke • Emergency Medicine (Adult and Pediatric) • General Surgery $23,818,017 $1,309,261 • Hand Surgery Capital Investment State Tax • Interventional Radiology • Minimally Invasive Transcatheter Mitral Valve $38,742,748 $4,832,100 Replacement Procedure Charity & Uncompensated Care Indigent Care Tax • MRI • Neonatal Intensive Care Unit (Level III) $385,910 $1,458,984 • Neurology Minority & Woman Owned Business Support Property Tax • Neurosurgery • Obstetrics $40,116,079 $1,567,093 • Orthopedic Surgery Local Vendor Support Sales Tax • Pediatric ER, ICU and Specialty Services • Radiology/Diagnostic Imaging • Therapy-Occupational, Physical, Respiratory, Speech (Adult and Pediatric) • Trauma Center (Level II) • Urology • Vascular • Vero Beach Freestanding Emergency Department
Community Report | East Florida Division | 41 At a glance Highlights
63,479 Total Patients Treated
24/7 emergency services provider
TREASURE COAST HOSPITALS 28,145 Emergency Room Visits Proud to specialize in surgical Raulerson services, providing the community of Okeechobee with convenient Hospital healthcare close to home
1796 Highway 441 N. Okeechobee, FL 34972 180 863-763-2151 Active Staf Physicians Now ofering 3-D Mammography, RaulersonHospital.com Robotic Surgery, and Vascular Surgery
24/7 access to board certified 478 neurologists through telemedicine Total Employees technology
Fully accredited by The Joint Commission 100 Licensed Beds
Accredited by the American College of Radiology for Nuclear Medicine, Ultrasound, CT, MRI, and Mammography 42 | Community Report | East Florida Division Economic impact Taxes Our services
$54,159,000 $3,936,020 • Emergency Medicine (Adult and Kid-Friendly) Total Economic Impact Total Taxes • Surgical Services
$184,000 $4,145 • Cardiopulmonary Services Physician Specialty Coverage in the ED Unemployment Tax • Outpatient Services
$36,512,000 $1,708,310 • Intensive Care Unit Salaries, Wages & Benefits Federal Tax
• Laboratory $3,336,378 $488,731 • Occupational Health Services Capital Investment State Tax
• Physical, Occupational and Speech Therapy $5,486,729 $1,010,916 (Adult and Pediatric) Charity & Uncompensated Care Indigent Care Tax • Primary Stroke Center Certified by AHCA
$96,388 $325,998 • Radiology and Diagnostic Imaging Minority & Woman Owned Business Support Property Tax • Wound Care
$4,704,323 $397,920 Local Vendor Support Sales Tax
Community Report | East Florida Division | 43 At a glance Highlights
90,804 Total Patients Treated
Our team at St. Lucie Medical Center continues to earn recognition for our expertise in delivering high- quality care. In addition to receiving Blue TREASURE COAST HOSPITALS Distinction honors for spine surgery 58,086 and maternity care from Blue Cross Emergency Room Visits and Blue Shield, St. Lucie is also named St. Lucie America’s 100 Best Hospitals for Medical Center orthopedic surgery by Healthgrades.
1800 SE Tifany Avenue Port St. Lucie, FL 34952 378 The expansion of St. Lucie Medical 772-335-4000 Active Staf Physicians Center’s robotic program enables StLucieMed.com surgeons to have the latest technology to perform highly complex surgery with increased precision and efectiveness.
1,195 Total Employees The 35-bed Orthopedic and Spine Institute ofers the latest in orthopedic equipment ensuring patients have access to high-quality care.
229 Licensed Beds The Emergency Room at the main hospital and the Emergency Room at Darwin Square are designed with consideration for special populations such as pediatric and geriatric patients.
44 | Community Report | East Florida Division Economic impact Taxes Our services
$166,225,000 $12,035,677 • Adult and Pediatric Emergency Care Total Economic Impact Total Taxes • Birthing Center-Obstetrics • Breast Care Center $2,128,797 $16,121 • Cancer Care • Cardiac Catheterization Lab Physician Specialty Coverage in the ED Unemployment Tax • Cardiac Intervention • Cardiopulmonary $100,120,000 $5,086,991 • Cooled radiofrequency ablation pain relief Salaries, Wages & Benefits Federal Tax for knee, shoulder, hip and spine • ER at Darwin Square $10,772,600 $1,455,340 • Gastroenterology State Tax Capital Investment • Hyperbaric Oxygen Therapy • Inpatient and Outpatient Behavioral Health $13,717,000 $3,006,291 • Inpatient and Outpatient Therapy Charity & Uncompensated Care Indigent Care Tax • Interventional Radiology • Minimally Invasive and Robotic Surgery $452,000 $1,174,692 • Neonatology Minority & Woman Owned Business Support Property Tax • OB Emergency Room • Orthopedic and Spine Institute $27,449,562 $1,279,622 • Pediatrics Local Vendor Support Sales Tax • Podiatry • Primary Stroke Certified • Radiology/Diagnostic Imaging • Robotic Orthopedic Surgery • Senior-Friendly ER • Urology • Women’s Services • Wound Care
Community Report | East Florida Division | 45 At a glance Highlights
36,425 Total Patients Treated
The Emergency Room at Highlands Regional Medical Center ofers the area’s only dedicated Senior ER featuring dedicated parking, hearing TREASURE COAST HOSPITALS amplifiers, optical devices, special 19,267 attention to discharge planning and Emergency Room Visits one-on-one help with scheduling Highlands Regional follow-up appointments. Medical Center
3600 Highlands Avenue Sebring, FL 33870 216 863-385-6101 Active Staf Physicians HighlandsRegional.com The Orthopedic Institute at Highlands Regional Medical Center consists of board-certified Orthopedic Surgeons, registered nurses, an orthopedic nurse navigator, physician and occupational 357 therapists that all come together to ensure that the patient is our number Total Employees one priority.
126 Specializes in surgical services close to Licensed Beds home including robotic and minimally invasive procedures, which can result in shorter hospital stays and a faster recovery.
46 | Community Report | East Florida Division Economic impact Taxes Our services
$49,250,000 $1,994,196 • Breast Care Total Economic Impact Total Taxes • Cardiovascular Diagnosis and Imaging • Cath Lab $1,791,000 $3,961 • Colorectal Surgery Physician Specialty Coverage in the ED Unemployment Tax • Emergency Medicine (Adult & Pediatric) • Eye Surgery $31,247,000 $51,112 • Gastroenterology Services Salaries, Wages & Benefits Federal Tax • Gynecological Surgery • Heart Care $3,507,995 $14,623 • Joint Replacement Capital Investment State Tax • Minimally Invasive Robotic-Assisted Surgery • Occupational Therapy & Rehabilitation $3,442,150 $753,045 • Orthopedic Surgery & Treatment Charity & Uncompensated Care Indigent Care Tax • Outpatient Imaging Services • Outpatient Surgical Services $50,799 $663,962 • Physical Therapy Minority & Woman Owned Business Support Property Tax • Plastic Surgery • Speech Therapy $7,266,652 $499,888 • Urological Services & Surgery Local Vendor Support Sales Tax • Vascular Surgery • Weight Loss & Bariatric Surgery • Women’s Health
• Wound Care
Community Report | East Florida Division | 47 Bayview Rehabilitation Center 3663 South Miami Avenue • Miami, FL 33133 | 305-285-2775
Case Mix † 23.0% † Orthopedic Physical 8.0% ☆ Rehabilitation Stroke ☀ ‡ Neuro 13.0% To help ensure the best possible ◊ Amputation ☆ recovery afer an injury or illness 15.0% ⌂ Cardiac ◄ We ofer a multi-disciplinary approach to ► Multi-Trauma 8.0% rehabilitative therapy. One important key to success in rehabilitation is a team approach. ☼ Spinal ‡ 3.0% With a personalized and patient-focused model, ╥ Brain 11.0% ◊ our expert team of professionals works together ╥ 8.0% to bring special expertise to the patient. ◄ Fractures 9.0% 5.0% ⌂ Our highly trained professionals develop an ☀ Other ► interdisciplinary treatment plan to meet the ☼ patient’s individualized physical, cognitive and emotional needs. Our commitment to excellence Patient Outcomes* BVR Regional National is reflected in the talented staf who work with our patients throughout their recovery. Average Age 67.3 71.1 70.8
Average Length of Stay 14.3 13.9 14.0
Discharged to Long Term Care Facility 4.2% 12.6% 14.9%
Discharged to Home / Community 83.3% 75.3% 73.2%
☆3.9% ►0% 0.2%★ Payer Mix* 29.8% ☼ 31.6% ◊ 12.5% ◄ 20.2% ☀ ‡0% ☼ Medicare ◊ Medicare ☆ Commercial ‡ Self-Pay ◄ Medicaid ☀ Healthcare ► Workers ★ Other MCO Exchange Comp
48 | Community Report | East Florida Division Lawnwood Physical Rehabilitation Center 1860 N. Lawnwood Circle Ft. Pierce, FL 34950 | 772-467-3908
Case Mix † 16.3% † Orthopedic 10.1% ☆ Stroke
‡ Neuro 25.3% ☆ ◊ Amputation
⌂ Cardiac 15.9% ► Multi-Trauma ╥ ☼ Spinal ╥ Brain 9.2% 6.1% ‡ ☼ 2.8% 2.3% ► 12.0% ⌂ ◊
LRMC Regional National Patient Outcomes* Average Age 68 71.4 71
Average Length of Stay 14.5 14.2 14.5
Discharged to Long Term Care Facility 10.7% 13.3% 15.7%
Discharged to Home / Community 73.6% 74% 71.7%
Payer Mix* ★0.8% 0.2%► 56.2%39.8% ☼ 15.9%9.7% 44.4% ◊ ☆ 11.5% 2.6%‡ ◄19%
☼ Medicare ◊ Medicare ☆ Commercial ‡ Self-Pay ◄ Medicaid ★ Workers ► Other Medicare MCO Commercial Charity Medicaid Comp
Community Report | East Florida Division | 49