| P H S INDIAN HOSP AT BELCOURT-QUENTIN N BURDICK | Hospital POS Number | 350063 |
| MAIN STREET | Hospital Control | Government - Federal |
| BELCOURT , ND 58316 | Hospital Type | General Short Term |
| ROLETTE | Medicare Utilization | Full Util |
| Hospital Location is Rural | ||
| Total Cost Report Beds 27 | ||
| Cost Report 777761 9/30/2023 for 365 Days | Cost Report Status is Submitted | Total POS Beds 0 |
| Financial KPI's | Operating KPI's | ||||
| Current Ratio | 0.0 | Patient Occupancy Percent | 19.5% | ||
| Days to Collect in AR | 0.0 Days | Avg Length of Stay (LOS) | 5.0 Days | ||
| Avg AP Payment Days | 0.0 Days | Medicare LOS | 5.9 Days | ||
| Days of Cash in Bank | 0.0 Days | Employee Avg Hourly Wages | $35,092.62 | ||
| 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 | $90,470,793 | 0.0% | |
| Current Liabilities | $0 | Operating Margin | ($90,470,793) | 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 | ($90,470,793) | 0.0% | |
| Line | Account | Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | $6,942,864 | $1,924 | 3,608.5572 |
| 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 | $1,458,239 | $26,985 | 54.0389 |
| 51 | Recovery Room | $0 | $0 | |
| 52 | Labor and Delivery Room | $238,950 | $26,985 | 8.8549 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | $848,722 | 13 | Nursing Administration | $2,259,095 |
| 02,03 | Captial Related - Movable Equipment | $449,209 | 14 | Central Services and Supply | $1,044,235 |
| 04 | Employee Benefits | $4,138,849 | 15 | Pharmacy | $1,073,420 |
| 05 | Administrative and General | $17,225,586 | 16 | Medical Records and Medical Library | $2,500,080 |
| 06 | Maintenance and Repairs | $0 | 17 | Social Services | $0 |
| 07 | Operation of Plant | $3,735,706 | 18 | Other General Service Expense | $0 |
| 08,09 | Laundry, Linen and Housekeeping | $1,133,758 | 19 | Non Physician Anesthetist | $0 |
| 10,11 | Dietary and Cafeteria | $705,068 | 20,21,22,23 | Education Programs | $0 |
| Total General Service Cost Centers | $35,113,728 |