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  • Financial data for hospital cost report period ending 06/30/2023 (HCRIS 777155 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
  • Medicare OPPS claims data are not available.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Ascension Calumet Hospital

Chilton, WI  53014
CMS Certification Number: 521317

Identification and Characteristics

Name and Address: Ascension Calumet Hospital
614 Memorial Drive
Chilton, WI  53014
Telephone Number: (920) 849-2386
Hospital Website:
CMS Certification Number: 521317
   
Type of Facility: Critical Access
Type of Control: Voluntary Nonprofit, Church
Total Staffed Beds: 25
   
Total Patient Revenue: $67,283,033
Total Discharges: 171
Total Patient Days: 1,282
TPS Quality Score: 0.00
Patient Experience Rating: Not Available
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Notes

Facility information for years prior to CAH participation are available under Calumet Medical Center, Chilton (520115) since 11/01/2001.

This facility was acquired by Ascension Health from Regional Health Systems of Marian Health System on April 1, 2013.

Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Subprovider Units
Swing Beds - NF
Swing Beds - SNF

Joint Commission Accreditation

  • Current Status: 01/06/2024 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level IV Trauma Center
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Medicine 15 2.47 $10,443 1.1238
Total 38 2.34 $9,555 1.2715
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • 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
53014 58 157 $636,428 -4.9% 25.9%
53061 25 62 $237,500 -16.7% 21.0%
53042 21 53 $199,533 31.3% 8.3%

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 25 449
Special Care 0 0
Nursery 0
Total Hospital 25 1,282
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $67,283,033 99.0
Non-Patient Revenue $652,171 1.0
Total Revenue $67,935,204  
Net Income (or Loss) $2,310,869 3.4
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