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  • Financial data for hospital cost report period ending 12/31/2022 (HCRIS 744230 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Proposed rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2022 (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.

SSM Health St. Agnes Hospital - Fond du Lac

Fond du Lac, WI  54935
CMS Certification Number: 520088

Identification and Characteristics

Name and Address: SSM Health St. Agnes Hospital - Fond du Lac
430 East Division Street
Fond du Lac, WI  54935
Telephone Number: (920) 929-2300
Hospital Website:
CMS Certification Number: 520088
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Church
Total Staffed Beds: 82
   
Total Patient Revenue: $884,797,572
Total Discharges: 5,815
Total Patient Days: 27,487
TPS Quality Score: 31.25
Patient Experience Rating: ****.
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Notes



This facility was acquired by SSM Health on January 4, 2018.

Source: Press Release, 1/4/2018.


Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Cardiac Surgery
Carotid Stenting
Coronary Interventions
Vascular Intervention
Emergency Services
Emergency Department
Neurosciences
Sleep Studies
Oncology Services
Chemotherapy
Radiation Therapy
Orthopedic Services
Arthroscopy
Joint Replacement
Spine Surgery
Other Services
Hemodialysis
Home Health
Hospice
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)
Subprovider Units
Rehabilitation
Surgery
Inpatient Surgery
Robotic Surgery
Wound Care
Wound Care

Joint Commission Accreditation

  • Current Status: 02/18/2023 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • Type: Level III 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)
Cardiology 170 3.80 $34,415 1.3089
Cardiovascular Surgery 168 3.99 $112,754 3.8175
Medicine 312 4.82 $36,958 1.4163
Neurology 108 4.81 $35,656 1.3350
Oncology 21 7.43 $49,723 1.7370
Orthopedic Surgery 65 5.25 $60,226 2.8994
Orthopedics 59 4.51 $28,903 1.0346
Psychiatry 69 4.81 $18,827 1.2060
Pulmonology 131 4.75 $37,923 1.5164
Surgery 85 7.09 $65,277 3.2198
Urology 126 4.43 $33,802 1.4368
Vascular Surgery 21 4.10 $76,982 2.5836
Total 1,344 4.75 $48,565 1.8975
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2022 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
54935 1,202 6,280 $60,415,254 -3.2% 80.7%
54937 617 3,343 $32,277,562 3.5% 79.2%
53963 118 490 $7,093,764 12.4% 31.3%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5213 Level 3 Electrophysiologic Procedures 44 $46,025 $8,851
5193 Level 3 Endovascular Procedures 92 $14,411 $3,278
5115 Level 5 Musculoskeletal Procedures 70 $13,122 $3,855
5012 Clinic Visits and Related Services 5,324 $159 $161
5491 Level 1 Intraocular Procedures 366 $4,693 $1,379
5623 Level 3 Radiation Therapy 111 $3,899 $538
8011 Comprehensive Observation Services 237 $1,644 $437
5693 Level 3 Drug Administration 1,919 $312 $70
5312 Level 2 Lower GI Procedures 343 $3,204 $637
5114 Level 4 Musculoskeletal Procedures 52 $6,730 $1,977
5024 Level 4 Type A ED Visits 811 $1,430 $380
5023 Level 3 Type A ED Visits 1,207 $908 $241
5593 Level 3 Nuclear Medicine and Related Services 206 $4,064 $543
5572 Level 2 Imaging with Contrast 722 $3,244 $138
5302 Level 2 Upper GI Procedures 156 $2,267 $451
5522 Level 2 Imaging without Contrast 2,249 $1,123 $79
5194 Level 4 Endovascular Procedures 15 $20,226 $4,726
5192 Level 2 Endovascular Procedures 49 $12,781 $3,058
5443 Level 3 Nerve Injections 211 $4,210 $1,237
5223 Level 3 Pacemaker and Similar Procedures 21 $11,342 $2,297

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 65 23,299
Special Care 12 3,336
Nursery 852
Total Hospital 82 28,317
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $884,797,572 100.0
Non-Patient Revenue $368,527 0.0
Total Revenue $885,166,099  
Net Income (or Loss) $-18,005,287 -2.0
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