Hospital Profile -


Provider Information

SAN CARLOS APACHE HEALTHCARE CORPORATION Hospital POS Number 031320
103 MEDICINE WAY ROAD Hospital Control Government - Federal
PERIDOT , AZ 85542 Hospital Type General Short Term
GRAHAM Medicare Utilization Full Util
Hospital Location is Rural
Total Cost Report Beds 8
Cost Report 765027 9/30/2023 for 264 Days Cost Report Status is Submitted Total POS Beds 0

Key Performance Indicators (KPI)

Financial KPI's Operating KPI's
Current Ratio 0.0 Patient Occupancy Percent 41.2%
Days to Collect in AR 0.0 Days Avg Length of Stay (LOS) 3.2 Days
Avg AP Payment Days 0.0 Days Medicare LOS 4.1 Days
Days of Cash in Bank 0.0 Days Employee Avg Hourly Wages $0.00

Financial Statements - Worksheet G

Balance Sheet Income Statement
Current Assets $0 Total Charges $0
Fixed Assets $0 Contract Allowance $0; 0.0%
Other Assets $0 Operating Revenue $0 0.0%
Total Assets $0 Operating Expenses $94,878,291 0.0%
Current Liabilities $0 Operating Margin ($94,878,291) 0.0%
Long Term Liabilities $0 Other Income $0 0.0%
Total Equity $0 Other Expense $0 0.0%
Total Liabilities and Equity $0 Net Profit or Loss ($94,878,291) 0.0%

Cost to Charge - Worksheet B and C

Line Account Cost Charges Ratio
30 Adults and Pediatrics - General Routine Care $5,217,499 $871 5,990.2400
31 Intensive Care Unit $0 $0
32 Coronary Care Unit $0 $0
43 Nursery $0 $0
44 Skilled Nursing Care $0 $0
50 Operating Room $2,038,708 $41,221 49.4580
51 Recovery Room $0 $0
52 Labor and Delivery Room $0 $0

General Service Cost - Worksheet A

Lines Description Amount Lines Description Amount
01 Capital Related - Building and Fixtures $4,032,538 13 Nursing Administration $343,532
02,03 Captial Related - Movable Equipment $12,028 14 Central Services and Supply $3,223,309
04 Employee Benefits $2,985,055 15 Pharmacy $1,666,400
05 Administrative and General $16,658,822 16 Medical Records and Medical Library $1,681,447
06 Maintenance and Repairs $0 17 Social Services $105,053
07 Operation of Plant $5,151,200 18 Other General Service Expense $0
08,09 Laundry, Linen and Housekeeping $3,056,959 19 Non Physician Anesthetist $0
10,11 Dietary and Cafeteria $2,108,334 20,21,22,23 Education Programs $0
Total General Service Cost Centers $41,024,677

Hospital Profile -