St Agnes Hospital Hospice Hope

St. Agnes Hospital Hospice Hope, located in Fond du Lac, WI, provides compassionate and personalized end-of-life care, focusing on comfort, peace, and quality of life. Our dedicated team partners closely with patients and families, offering comprehensive services including pain and symptom management, emotional and spiritual support, and assistance with daily tasks. With a people-centered approach, we prioritize individual needs and preferences, ensuring patients can embrace their remaining days with dignity and spend meaningful time with loved ones. Hospice Home of Hope opened in 2000 to provide 20 rooms for individuals seeking end-of-life care. We are committed to providing high-quality, compassionate care wherever you call home.

Identifiers

Hospital Name St Agnes Hospital Hospice Hope
Facility ID 520088

Location

Address 430 E DIVISION ST
City/Town Fond du Lac
State WI
ZIP Code 54935
County/Parish FOND DU LAC

Health System

Health System Ascension
Health System Website Domain ascension.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 84
Health System Total Beds 17222
Health System Hospital Locations Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details SSM Health
Emergency Services Yes

Shane Smith

President, Fond du Lac Market

Stepping into a new role as president for SSM Health's Fond du Lac market, assuming leadership responsibilities for St. Agnes Hospital. Joined in January 2024 as Vice President of Medical Group Operations for the Fond du Lac Regional Clinic. Brings over 20 years of healthcare experience as a system leader and administrator, including previous experience with Mayo Clinic Health System and ThedaCare in Neenah, Wisconsin.

Dr. Brent Meier

Clinical Vice President and Market Physician Leader, Northern Region; Vice President of Medical Affairs, St. Agnes Hospital

Will oversee SSM Health's northern region as Clinical Vice President and Market Physician Leader and will serve as Vice President of Medical Affairs for SSM Health's St. Agnes Hospital in Fond du Lac. Joined SSM Health in December 2022. Served as Vice President of Surgical & Acute Care Programs. Held previous leadership positions with ThedaCare in Neenah, Wisconsin.

Bill Boyd

Vice President of Operations, St. Agnes Hospital

New Vice President of Operations for St. Agnes Hospital in Fond du Lac. Oversees hospital operations, ensures quality service delivery, and supports growth and development. Also oversees multiple service lines for SSM Health Wisconsin. Most recently served as chief operating officer and senior advisor for Value Capture, LLC. Prior to that, an operational leader with ThedaCare in areas including laboratory, nursing, and oncology services. Earned a bachelor's degree in medical technology from the University of Wisconsin-Stevens Point and a master's degree in public administration with healthcare emphasis from the University of Wisconsin-Oshkosh.

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 151

Staffing & Personnel

FTE Employees on Payroll 2274.24
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 6039
Inpatient Days (Title XIX) 1885
Total Inpatient Days 27487
Bed Count 77
Available Bed Days 28105
Discharges (Title V) NA
Discharges (Title XVIII) 1257
Discharges (Title XIX) 227
Total Discharges 5815

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 5411
Inpatient Days (Title XIX; Adults & Peds) 1089
Total Inpatient Days (Adults & Peds) 23299
Bed Count (Adults & Peds) 65
Available Bed Days (Adults & Peds) 23725
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1257
Discharges (Title XIX; Adults & Peds) 227
Total Discharges (Adults & Peds) 5815

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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. Hospital does a good job at treating conditions like heart attacks so that patients don't have to come back to the hospital. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
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 64%

Mortality Group Indicators

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

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 174

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -20.9
Readmission Score Hospital Return Days for Heart Failure Patients -4
Readmission Score Hospital Return Days for Pneumonia Patients 12.8
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.1
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 11.9
Readmission Score Rate of Readmission for CABG 11.3
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.3
Readmission Group Hospital Return Days for Heart Attack Patients Fewer Days Than Average per 100 Discharges
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 No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
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 No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
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) 0.818
CAUTI SIR (Standardized Infection Ratio) 1.066
SSI SIR (Standardized Infection Ratio) 0.972
CDI SIR (Standardized Infection Ratio) 0.420
MRSA SIR (Standardized Infection Ratio) 0.774

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,936
Bad Debt Expense $8,242
Uncompensated Care Cost $4,405
Total Uncompensated Care $24,904

Operating Expenses ($ thousands)

Total Salaries $101,530
Overhead Expenses (Non-Salary) $182,745
Depreciation Expense $19,576
Total Operating Costs $222,772

Charges ($ thousands)

Inpatient Charges $254,354
Outpatient Charges $504,235
Total Patient Charges $758,589

Wage-Related Details ($ thousands)

Core Wage Costs $28,307
Wage Costs (RHC/FQHC)
Adjusted Salaries $101,530
Contract Labor (Patient Care) $3,050
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $8
Short-Term Investments
Notes Receivable
Accounts Receivable $85,963
Allowance for Doubtful Accounts $-44,951
Inventory $3,742
Prepaid Expenses
Other Current Assets
Total Current Assets $47,353

Balance Sheet – Fixed Assets ($ thousands)

Land Value $13,966
Land Improvements Value $3,859
Building Value $211,919
Leasehold Improvements $1,356
Fixed Equipment Value
Major Movable Equipment $61,033
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $205,314

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $21,703
Other Assets
Total Other Assets $21,703
Total Assets $274,369

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-118,434
Salaries & Wages Payable $9,728
Payroll Taxes Payable $15
Short-Term Debt
Deferred Revenue
Other Current Liabilities $4,516
Total Current Liabilities $-104,175

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $118,942
Unsecured Loans
Other Long-Term Liabilities $-361,706
Total Long-Term Liabilities $-242,764
Total Liabilities $-346,939

Balance Sheet – Equity ($ thousands)

General Fund Balance $621,308
Total Fund Balances $621,308
Total Liabilities & Equity $274,369

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $11,554
DRG (Post-Oct 1) $3,645
Outlier Payments
DSH Adjustment $378
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $276,988
Outpatient Revenue $607,810
Total Patient Revenue $884,798
Contractual Allowances & Discounts $608,855
Net Patient Revenue $275,943
Total Operating Expenses $284,276
Net Service Income $-8,333
Other Income $369
Total Income $-7,965
Other Expenses $10,041
Net Income $-18,005

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $7,573
Medicaid Charges $98,454
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No