|
|
|
Total Facilities |
- |
- |
Case Mix Index |
- |
- |
Beds & Revenue
Total Acute Beds |
### |
### |
Total Other Beds |
### |
### |
Total Complex Beds |
### |
### |
Acute Revenue |
### |
### |
Other Revenue |
### |
### |
Complex Revenue |
### |
### |
Inpatient Statistics by Payor
Medicare Days |
### |
### |
Medicare Discharges |
### |
### |
Medicare ALOS |
### |
### |
Medicare ADC |
### |
### |
Medicaid Days |
### |
### |
Medicaid Discharges |
### |
### |
Medicaid ALOS |
### |
### |
Medicaid ADC |
### |
### |
Other Days |
### |
### |
Other Discharges |
### |
### |
Other ALOS |
### |
### |
Other ADC |
### |
### |
Total Days |
### |
### |
Total Discharges |
### |
### |
Total ALOS |
### |
### |
Total ADC |
### |
### |
Gross Patient Revenue
Medicare |
### |
### |
Medicaid |
### |
### |
Other |
### |
### |
Total |
### |
### |
Balance Sheet
Assets |
Current Assets |
### |
### |
Fixed Assets |
### |
### |
Other Assets |
### |
### |
Total Assets |
### |
### |
Liabilities and Fund Balances |
Current Liabilities |
### |
### |
Long-Term Liabilities |
### |
### |
Total Liabilities |
### |
### |
Total Fund Balances |
### |
### |
Total Liabilities & Fund Balances |
### |
### |
Income Statement
Inpatient Revenue |
### |
### |
Outpatient Revenue |
### |
### |
Total Patient Revenue |
### |
### |
Contractual Allowance (Discounts) |
### |
### |
Net Patient Revenues |
### |
### |
Total Operating Expense1 |
### |
### |
Operating Income |
### |
### |
Other Income (Contribuations, Bequests, etc.) |
### |
### |
Income from Investments |
### |
### |
Governmental Appropriations |
### |
### |
Miscellaneous Non-Patient Revenue |
### |
### |
Total Non-Patient Revenue |
### |
### |
Total Other Expenses |
### |
### |
Net Income or (Loss) |
### |
### |
1Depreciation Expense (included above) |
### |
### |
Uncompensated Care
Bad Debt Expense |
### |
### |
Medicaid Revenue |
### |
### |
Medicaid Estimated Cost |
### |
### |
State Children's Health Insurance Program (SCHIP) Revenue |
### |
### |
State Children's Health Insurance Program (SCHIP) Estimated Cost |
### |
### |
State and local indigent care programs Revenue |
### |
### |
State and local indigent care programs Estimated Cost |
### |
### |
TOTAL Governmental Programs Revenue |
### |
### |
TOTAL Governmental Programs Estimated Cost |
### |
### |
|
|
|
Other uncompensated care Revenue |
### |
### |
Other uncompensated care Estimated Cost |
### |
### |
Restricted grants Revenue |
### |
### |
Unrestricted grants Revenue |
### |
### |