Identification and Characteristics
- Last updated 05/10/2024 / Definitions
Name and Address: | Fort Memorial Hospital 611 Sherman Avenue East Fort Atkinson, WI 53538 |
Telephone Number: | (920) 568-5000 |
Hospital Website: | www.forthealthcare.com |
CMS Certification Number: | 520071 |
Type of Facility: | Short Term Acute Care |
Type of Control: | Voluntary Nonprofit, Other |
Total Staffed Beds: | 49 |
Total Patient Revenue: | $434,946,844 |
Total Discharges: | 1,278 |
Total Patient Days: | 4,520 |
TPS Quality Score: | 30.00 |
Patient Experience Rating: |
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Notes
This map is for general reference and should not be used in seeking medical care.
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Clinical Services
- Cardiovascular Services
- Cardiac Rehab
- Emergency Services
- Emergency Department
- Orthopedic Services
- Arthroscopy
- Joint Replacement
- Other Services
- Obstetrics
- Radiology / Nuclear Medicine / Imaging
- Computed Tomography (CT)
- Computed Tomography-Angiography (CTA)
- Digital Mammography
- Magnetic Resonance Imaging (MRI)
- Single Photon Emission Computerized Tomography (SPECT)
- Rehabilitation Services
- Physical Therapy
- Speech Therapy
- Special Care
- Intensive Care Unit (ICU)
- Surgery
- Inpatient Surgery
- Wound Care
- Hyperbaric Oxygen
- Wound Care
Joint Commission Accreditation
- Accreditation status licensed from The Joint Commission
- Last updated 04/01/2024 / Definitions and Terms of Use
- Current Status: 12/08/2022 - Accreditation with Full Standards Compliance
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Inpatient Utilization Statistics by Medical Service
Number Medicare Inpatients | Average Length of Stay | Average Charges | Medicare Case Mix Index (CMI) | |
---|---|---|---|---|
Cardiology | 50 | 2.86 | $30,864 | 1.2329 |
Medicine | 124 | 3.51 | $32,229 | 1.5505 |
Neurology | 18 | 2.67 | $32,384 | 1.4520 |
Orthopedic Surgery | 31 | 4.10 | $46,574 | 2.5330 |
Pulmonology | 79 | 3.25 | $31,882 | 1.3021 |
Surgery | 52 | 5.56 | $53,561 | 2.7679 |
Urology | 33 | 3.42 | $27,405 | 1.2104 |
Total | 407 | 3.62 | $35,144 | 1.6494 |
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Inpatient Origin for Top 3 Zip Codes
- Medicare Hospital Market Service Area File for calendar year ending 12/31/2022 / Definitions
ZIP Code of Residence | Discharges | Days of Care | Charges | Discharges Inc/(Dec) | Market Share |
---|---|---|---|---|---|
53538 | 231 | 850 | $8,205,626 | 20.9% | 40.5% |
53549 | 105 | 346 | $3,311,372 | 12.9% | 32.4% |
53190 | 96 | 307 | $3,027,643 | 10.3% | 24.2% |
Outpatient Utilization Statistics by APC
APC Number |
APC Description | Number Patient Claims |
Average Charge |
Average Cost |
---|---|---|---|---|
5115 | Level 5 Musculoskeletal Procedures | 85 | $11,804 | $2,793 |
8011 | Comprehensive Observation Services | 367 | $1,084 | $328 |
5054 | Level 4 Skin Procedures | 312 | $2,229 | $729 |
5012 | Clinic Visits and Related Services | 8,098 | $188 | $61 |
5114 | Level 4 Musculoskeletal Procedures | 88 | $13,854 | $3,278 |
5024 | Level 4 Type A ED Visits | 1,139 | $843 | $255 |
5312 | Level 2 Lower GI Procedures | 314 | $4,922 | $1,075 |
5693 | Level 3 Drug Administration | 1,258 | $366 | $100 |
5025 | Level 5 Type A ED Visits | 622 | $1,051 | $318 |
5113 | Level 3 Musculoskeletal Procedures | 104 | $9,111 | $2,156 |
5491 | Level 1 Intraocular Procedures | 139 | $8,922 | $2,111 |
5051 | Level 1 Skin Procedures | 1,345 | $580 | $178 |
5593 | Level 3 Nuclear Medicine and Related Services | 165 | $5,042 | $742 |
5771 | Cardiac Rehabilitation | 302 | $190 | $62 |
5572 | Level 2 Imaging with Contrast | 557 | $4,226 | $622 |
5023 | Level 3 Type A ED Visits | 893 | $521 | $158 |
5522 | Level 2 Imaging without Contrast | 1,636 | $1,313 | $193 |
5441 | Level 1 Nerve Injections | 672 | $431 | $110 |
5524 | Level 4 Imaging without Contrast | 385 | $4,315 | $942 |
5431 | Level 1 Nerve Procedures | 101 | $7,092 | $1,678 |
Beds and Patient Days by Unit
Available Beds | Inpatient Days | |
---|---|---|
HOSPITAL (including swing beds) |
||
Routine Services | 45 | 3,477 |
Special Care | 4 | 423 |
Nursery | 620 | |
Total Hospital | 49 | 4,520 |
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Financial Statistics
$ | % | |
---|---|---|
Gross Patient Revenue | $434,946,844 | 95.8 |
Non-Patient Revenue | $19,185,730 | 4.2 |
Total Revenue | $454,132,574 | |
Net Income (or Loss) | $16,315,226 | 3.6 |