• Financial data for hospital cost report period ending 12/31/2010 (HCRIS 272482).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2010 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2010.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
Keefe Memorial Hospital
Cheyenne Wells, CO  80810
Medicare Provider Number: 060043

Identification and Characteristics

Name and Address: Keefe Memorial Hospital
602 North 6th Street West
Cheyenne Wells, CO  80810
Telephone Number: (719) 767-5661
Hospital Website: www.keefememorial.com/getpage.php?n...
Medicare Provider ID: 060043
   
Type of Facility: Short Term Acute Care
Type of Control: Governmental, County
Total Staffed Beds: 11
   
Total Patient Revenue: $5,090,627
Total Discharges: 254
Total Patient Days: 852
     
 
N O T E S
 
     

Clinical Services

Emergency Services
Emergency Department
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Magnetic Resonance Imaging (MRI)
Single Photon Emission Computerized Tomography (SPECT)
Subprovider Units
Swing Beds - SNF

Inpatient Utilization Statistics by Medical Service

  Number
Medicare
Inpatients
Average
Length
of Stay
Average
Charges
Medicare
Case Mix
Index (CMI)
Cardiology 16 3.94 $9,127 0.8874
Medicine 48 3.67 $7,761 0.8737
Pulmonology 35 4.60 $10,118 0.9936
Total 122 4.33 $8,970 0.9418

Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2010 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
80810 73 319 $638,763 -16.1% 61.9%
80825 17 79 $175,407 -26.1% 60.7%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
0615 Level 4 Type A Emergency Visits 48 $325 $258
0333 Computed Tomography without Contrast followed by Contrast 47 $1,028 $1,819
0260 Level I Plain Film Except Teeth 277 $138 $243
0439 Level IV Drug Administration 98 $195 $154
0377 Level II Cardiac Imaging 15 $1,712 $3,029
0332 Computed Tomography without Contrast 53 $981 $1,735
0269 Level II Echocardiogram Without Contrast 22 $1,813 $1,436
0336 Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contr 23 $1,492 $579
0605 Level 2 Hospital Clinic Visits 103 $91 $123
0604 Level 1 Hospital Clinic Visits 107 $54 $73
0337 Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contr 12 $1,788 $693
0266 Level II Diagnostic and Screening Ultrasound 36 $426 $524
0614 Level 3 Type A Emergency Visits 24 $188 $149
0099 Electrocardiograms 123 $120 $56
0436 Level I Drug Administration 72 $143 $113
0438 Level III Drug Administration 38 $194 $154
0437 Level II Drug Administration 50 $77 $61
0100 Cardiac Stress Tests 15 $564 $447
0343 Level III Pathology 43 $195 $139
0609 Level 1 Type A Emergency Visits 29 $110 $87

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 11 655
Special Care 0 0
Nursery 0 0
Total Hospital 11 852

Financial Statistics

  $ %
Gross Patient Revenue $5,090,627 90.9
Non-Patient Revenue $507,416 9.1
Total Revenue $5,598,043  
Net Income (or Loss) $-221,824 -4.0