American Hospital Directory - Faith Community Hospital (450241)

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Financial data for hospital cost report period ending 05/31/2023 (HCRIS 784934 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
Medicare OPPS claims data are for calendar year ending 12/31/2023 (Final rule OPPS).
Data from other sources and their effective periods are identified within report headers.
Errata: Please notify us by email of any corrections or updates.

Jacksboro, TX 76458

CMS Certification Number: 450241

Name and Address:	Faith Community Hospital 215 Chisholm Trail Jacksboro, TX 76458
Telephone Number:	(940) 567-6633
Hospital Website:	www.fchtexas.com/
CMS Certification Number:	450241

Type of Facility:	Short Term Acute Care
Type of Control:	Governmental Hospital District
Total Staffed Beds:	13

Total Patient Revenue:	$68,566,018
Total Discharges:	192
Total Patient Days:	1,270
TPS Quality Score:	0.00
Patient Experience Rating:	Not Available

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Cardiovascular Services: Cardiac Rehab
Emergency Services: Emergency Department
Orthopedic Services: Spine Surgery
Other Services: Obstetrics
Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Magnetic Resonance Imaging (MRI)

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Medicine	31	2.65	$16,481	1.2696
Orthopedic Surgery	32	3.38	$352,106	3.9944
Pulmonology	19	3.53	$15,205	1.1277
Total	100	3.03	$125,325	2.1477

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Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
76458	58	189	$2,156,143	-13.4%	27.8%
76230	16	50	$1,331,357	33.3%	3.2%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
8011	Comprehensive Observation Services	55	$1,069	$1,251
5024	Level 4 Type A ED Visits	313	$812	$955
5521	Level 1 Imaging without Contrast	748	$187	$50
5693	Level 3 Drug Administration	258	$157	$166
5025	Level 5 Type A ED Visits	94	$1,082	$1,272
5522	Level 2 Imaging without Contrast	415	$678	$182
5023	Level 3 Type A ED Visits	139	$541	$636
5523	Level 3 Imaging without Contrast	120	$1,717	$461
5041	Critical Care	35	$999	$1,176
5572	Level 2 Imaging with Contrast	63	$2,967	$797
5771	Cardiac Rehabilitation	27	$115	$45
5691	Level 1 Drug Administration	153	$82	$85
8006	CT and CTA with Contrast Composite	32	$7,382	$1,983
8005	CT and CTA without Contrast Composite	60	$3,978	$1,069
5733	Level 3 Minor Procedures	80	$251	$213
5524	Level 4 Imaging without Contrast	13	$1,557	$615
5571	Level 1 Imaging with Contrast	30	$3,219	$865
5722	Level 2 Diagnostic Tests and Related Services	15	$1,147	$510
5012	Clinic Visits and Related Services	20	$201	$79
5022	Level 2 Type A ED Visits	12	$324	$382

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	13	560
Special Care	0	0
Nursery		190
Total Hospital	13	1,270

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