SSM Health Waupun Memorial Hospital

SSM Health Waupun Memorial Hospital, located in Waupun, Wisconsin, at 620 W Brown St, is a community-focused hospital that provides modern healthcare with compassionate, patient-centered care. Recent renovations have created a welcoming and tranquil environment, complete with outdoor spaces and gardens to promote healing. The hospital offers a wide array of services, including behavioral health, critical care, hospice care, and surgical services. SSM Health Waupun Memorial Hospital has been recognized for providing an outstanding patient experience. As part of the SSM Health system, we are committed to serving the Midwest with integrated, high-quality healthcare.

Identifiers

Hospital Name SSM Health Waupun Memorial Hospital
Facility ID 521327

Location

Address 620 W BROWN ST
City/Town Waupun
State WI
ZIP Code 53963
County/Parish FOND DU LAC

Health System

Health System SSM Health
Health System Website Domain ssmhealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 20
Health System Total Beds 4372
Health System Hospital Locations Illinois, Missouri, Oklahoma and Wisconsin

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details SSM Health
Emergency Services Yes

DeAnn Thurmer

President, SSM Health Ripon Community and Waupun Memorial Hospitals

Seasoned hospital leader with over 35 years of experience. Instrumental in leading the mergers of Ripon Medical Center and Waupun Memorial Hospital with Agnesian HealthCare and then overseeing their becoming part of the SSM Health family. A DAISY Lifetime Achievement Award-winning registered nurse. Has served as an exceptional health care executive since 1995, leading and mentoring teams in Ripon and Waupun. Also oversees operations at SSM Health St. Clare Hospital – Baraboo.

Nicole Gill

Hospital VP, Clinical Administrator

NA

Robert Nagle, DO

Chief of Staff

NA

BreAnna Nagle, MD

Past Chief of Staff

NA

Jan Harmsen

SSM Health Waupun Market Council President, Director, Chair Waupun Memorial Hospital

NA

Dr. Brent Meier

Clinical Vice President and Market Physician Leader for SSM Health's northern region, Vice President of Medical Affairs for St. Agnes Hospital, Ripon Community and Waupun Memorial hospitals

Oversees SSM Health's northern region as Clinical Vice President and Market Physician Leader. Serves as Vice President of Medical Affairs for SSM Health's St. Agnes Hospital in Fond du Lac and Ripon Community and Waupun Memorial hospitals. Since joining SSM Health in December 2022, he has served as Vice President of Surgical & Acute Care Programs. Held previous leadership positions with ThedaCare in Neenah, Wisconsin.

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 15

Staffing & Personnel

FTE Employees on Payroll 194.14
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 656
Inpatient Days (Title XIX) 578
Total Inpatient Days 2853
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 169
Discharges (Title XIX) 165
Total Discharges 755

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 656
Inpatient Days (Title XIX; Adults & Peds) 513
Total Inpatient Days (Adults & Peds) 2519
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 169
Discharges (Title XIX; Adults & Peds) 165
Total Discharges (Adults & Peds) 755

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. Patients were very positive about the quiet atmosphere of the hospital. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 78%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 145

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -14.2
Readmission Score Hospital Return Days for Pneumonia Patients 17.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.2
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $164
Bad Debt Expense $2,684
Uncompensated Care Cost $992
Total Uncompensated Care $992

Operating Expenses ($ thousands)

Total Salaries $18,238
Overhead Expenses (Non-Salary) $29,923
Depreciation Expense $2,739
Total Operating Costs $40,367

Charges ($ thousands)

Inpatient Charges $19,644
Outpatient Charges $112,703
Total Patient Charges $132,348

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable $14,713
Allowance for Doubtful Accounts $-9,781
Inventory $12
Prepaid Expenses $2
Other Current Assets $150
Total Current Assets $5,239

Balance Sheet – Fixed Assets ($ thousands)

Land Value $190
Land Improvements Value $764
Building Value $38,995
Leasehold Improvements $49
Fixed Equipment Value
Major Movable Equipment $8,277
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $32,643

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $45,796
Total Other Assets $45,796
Total Assets $83,678

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-1,132
Salaries & Wages Payable $1,714
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $1,125
Total Current Liabilities $1,707

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $1,707

Balance Sheet – Equity ($ thousands)

General Fund Balance $81,971
Total Fund Balances $81,971
Total Liabilities & Equity $83,678

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $26,025
Outpatient Revenue $118,175
Total Patient Revenue $144,200
Contractual Allowances & Discounts $87,952
Net Patient Revenue $56,248
Total Operating Expenses $48,161
Net Service Income $8,087
Other Income $522
Total Income $8,609
Other Expenses $0
Net Income $8,609

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,531
Medicaid Charges $14,841
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No