Hospital Profile -


Provider Information

SAN CARLOS APACHE HEALTHCARE Hospital POS Number 030077
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 12
Cost Report 749514 1/9/2023 for 101 Days Cost Report Status is Settled Total POS Beds 0

Key Performance Indicators (KPI)

Financial KPI's Operating KPI's
Current Ratio 0.0 Patient Occupancy Percent 39.9%
Days to Collect in AR 0.0 Days Avg Length of Stay (LOS) 3.6 Days
Avg AP Payment Days 0.0 Days Medicare LOS 4.8 Days
Days of Cash in Bank 0.0 Days Employee Avg Hourly Wages $16,170,440.00

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 $33,070,576 0.0%
Current Liabilities $0 Operating Margin ($33,070,576) 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 ($33,070,576) 0.0%

Cost to Charge - Worksheet B and C

Line Account Cost Charges Ratio
30 Adults and Pediatrics - General Routine Care $2,162,777 $483 4,477.7992
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 $1,059,616 $16,580 63.9093
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 $1,370,134 13 Nursing Administration $133,595
02,03 Captial Related - Movable Equipment $5,669 14 Central Services and Supply $1,044,915
04 Employee Benefits $1,012,388 15 Pharmacy $587,472
05 Administrative and General $7,226,695 16 Medical Records and Medical Library $689,892
06 Maintenance and Repairs $0 17 Social Services $41,364
07 Operation of Plant $1,672,578 18 Other General Service Expense $0
08,09 Laundry, Linen and Housekeeping $1,131,602 19 Non Physician Anesthetist $0
10,11 Dietary and Cafeteria $850,569 20,21,22,23 Education Programs $0
Total General Service Cost Centers $15,766,873

Hospital Profile -