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  • Financial data for hospital cost report period ending 06/30/2023 (HCRIS 756576 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Proposed 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.

Facility information for years prior to CAH participation are available under Provider ID 520115.

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

This map is for general reference and should not be used in seeking medical care.

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 39 2.33 $9,415 1.2553
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
53014 61 229 $710,525 -27.4% 29.8%
53061 30 127 $410,901 -18.9% 18.9%
53042 16 37 $164,129 33.3% 7.1%

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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