Medicare cost report · CMS certification number 520115

CALUMET MEDICAL CENTER ASSN INC.

CHILTON, Wisconsin · short-term acute care hospital

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Figures for October 1, 2000 to November 1, 2001 — a reporting period of 396 days, on form CMS-2552-96, settled.

Finances, as filed

From this hospital’s Medicare cost report for the year ended November 1, 2001.

Figure	As filed	Where it comes from
Total patient revenue	$18,802,995	CMS-2552-96 worksheet G300000 line 100 column 100
Contractual allowances	$6,603,727	CMS-2552-96 worksheet G300000 line 200 column 100
Net patient revenue	$12,199,268	CMS-2552-96 worksheet G300000 line 300 column 100
Total operating expenses	$12,342,429	CMS-2552-96 worksheet G300000 line 400 column 100
Income from service to patients	−$143,161	CMS-2552-96 worksheet G300000 line 500 column 100
Total facility beds	53	CMS-2552-96 worksheet S300001 line 1200 column 100

Cost report filed under CMS certification number 520115 for October 1, 2000 to November 1, 2001, settled. The public file it was read from.

Community benefit, as filed

Executive and director compensation, as filed

The full report for CALUMET MEDICAL CENTER ASSN INC.

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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An invoice from VELARIONAI LLC for $295, sent to your billing address; the report arrives the moment it is paid. The report is a document you can keep, file or send on; no refunds. W-9 (VELARIONAI LLC).

Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: short-term acute care hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

16thpercentile of 25 hospitals in WI, same facility class, 50 to 99 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2001, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

Middle half between $8,966,820 and $81,333,332, median $26,058,200, across 5,800 hospitals that filed for 2001, in every state and of every size.

12thpercentile of 25 hospitals in WI, same facility class, 50 to 99 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2001, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

Middle half between $10,131,253 and $80,568,558, median $28,044,255, across 5,903 hospitals that filed for 2001, in every state and of every size.

16thpercentile of 25 hospitals in WI, same facility class, 50 to 99 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2001, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

Middle half between 37 and 175, median 81, across 5,933 hospitals that filed for 2001, in every state and of every size.

Peers and history

Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in Wisconsin beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.

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One email a day naming what moved on CALUMET MEDICAL CENTER ASSN INC.: the field, the value before, the value after, and the date of the file that first showed it.

The filing alert follows cost reports: one named person, one hospital, invoiced once a year. The certification number arrives filled in because you are on this hospital's own record.

On May 4, 2005, a cost report was filed for fiscal year 2001. That is one line of the filing alert.

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Take these figures as a spreadsheet The citable document with peers and history

Other public records in Wisconsin

Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 520115 on form CMS-2552-96, publication year 2001, file HOSPFY2001.ZIP.

How this page was built: the CMS Medicare cost report, file HOSPFY2001.ZIP, read May 4, 2005.

This page covers the Medicare cost report filed by CALUMET MEDICAL CENTER ASSN INC. in CHILTON, WI. The latest cost report is for fiscal year 2001, with 53 total facility beds, net patient revenue of $12,199,268, and total operating expenses of $12,342,429. The CMS certification number is 520115, and the hospital is not listed on the 340B register.