American Hospital Directory - Ascension Saint Thomas DeKalb (440148)

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Financial data for hospital cost report period ending 06/30/2023 (HCRIS 776985 - 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.

Smithville, TN 37166

CMS Certification Number: 440148

Name and Address:	Ascension Saint Thomas DeKalb 520 West Main Street Smithville, TN 37166
Telephone Number:	(615) 215-5000
Hospital Website:	healthcare.ascension.org/locat...
CMS Certification Number:	440148

Type of Facility:	Short Term Acute Care
Type of Control:	Voluntary Nonprofit, Church
Total Staffed Beds:	18

Total Patient Revenue:	$68,072,152
Total Discharges:	388
Total Patient Days:	1,676
TPS Quality Score:	39.67
Patient Experience Rating:	Not Available

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This facility was acquired by Ascension Health on August 1, 2015.

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Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Magnetic Resonance Imaging (MRI); Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services: Physical Therapy

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Cardiology	12	1.83	$19,119	1.1642
Medicine	40	2.93	$25,324	1.2214
Neurology	12	2.33	$31,497	1.1359
Pulmonology	40	2.50	$23,565	1.3058
Urology	18	2.89	$26,362	1.0801
Total	130	2.71	$25,348	1.2103

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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
37166	166	645	$5,426,105	17.7%	21.4%
37095	20	73	$654,425	42.9%	23.5%
37059	14	51	$375,817	7.7%	41.2%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5491	Level 1 Intraocular Procedures	50	$7,268	$1,879
5025	Level 5 Type A ED Visits	190	$2,042	$284
5024	Level 4 Type A ED Visits	248	$1,685	$234
8011	Comprehensive Observation Services	31	$1,977	$275
5771	Cardiac Rehabilitation	87	$279	$40
5693	Level 3 Drug Administration	285	$183	$26
5593	Level 3 Nuclear Medicine and Related Services	35	$3,931	$1,163
5023	Level 3 Type A ED Visits	155	$1,273	$177
5572	Level 2 Imaging with Contrast	102	$6,232	$325
5524	Level 4 Imaging without Contrast	71	$3,069	$436
5521	Level 1 Imaging without Contrast	366	$391	$116
5523	Level 3 Imaging without Contrast	115	$4,204	$382
5311	Level 1 Lower GI Procedures	32	$4,576	$651
5312	Level 2 Lower GI Procedures	18	$4,725	$672
5522	Level 2 Imaging without Contrast	176	$2,124	$174
8005	CT and CTA without Contrast Composite	80	$8,649	$140
8006	CT and CTA with Contrast Composite	39	$10,242	$166
5571	Level 1 Imaging with Contrast	54	$3,942	$64
5301	Level 1 Upper GI Procedures	11	$3,437	$489
5241	Level 1 Blood Product Exchange and Related Services	17	$2,179	$310

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	18	1,676
Special Care	0	0
Nursery		0
Total Hospital	18	1,676

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