• Financial data for hospital cost report period ending 12/31/2019 (HCRIS 672989 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2020 (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.
Community Memorial Hospital
Hicksville, OH  43526
CMS Certification Number: 361301

Identification and Characteristics

Name and Address: Community Memorial Hospital
208 North Columbus
Hicksville, OH  43526
Telephone Number: (419) 542-6692
Hospital Website:
CMS Certification Number: 361301
   
Type of Facility: Critical Access
Type of Control: Governmental, Other
Total Staffed Beds: 25
   
Total Patient Revenue: $55,035,028
Total Discharges: 493
Total Patient Days: 1,545
TPS Quality Score: 0.00
Patient Experience Rating: Not Available
Profile Compare
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N O T E S
Facility information for years prior to CAH participation is available under Provider ID 360140.
 
     
Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Other Services
Obstetrics
Subprovider Units
Swing Beds - NF
Swing Beds - SNF
Surgery
Inpatient Surgery

Joint Commission Accreditation

  • Current Status: 03/06/2021 - Accreditation with Full Standards Compliance
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 14 2.71 $13,961 0.7634
Medicine 41 3.00 $14,006 0.9023
Orthopedic Surgery 29 2.90 $38,847 2.3218
Orthopedics 11 2.82 $11,078 0.8192
Pulmonology 35 2.29 $13,231 0.9391
Urology 15 2.67 $11,514 0.8918
Total 158 2.76 $18,371 1.1889
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2020 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
43526 62 167 $1,122,189 -26.2% 34.3%
43517 29 78 $550,231 -23.7% 22.7%
45813 25 76 $394,831 -16.7% 21.7%

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 25 1,124
Special Care 0 0
Nursery 135
Total Hospital 25 1,545
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $55,035,028 97.7
Non-Patient Revenue $1,267,254 2.3
Total Revenue $56,302,282  
Net Income (or Loss) $-6,853,885 -12.2
 
 
 
 
 
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