| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2019 | 0 |
| Total Cost Reports Filed in 2019 | 1 | Total Births | 0 |
| Total Cost Reports Submitted | 0 | Total Deaths | 0 |
| Total Cost Reports Settled | 1 | Net Population Natural Change | 0 |
| Total Cost Reports Reopened | 0 | Total International Migration | 0 |
| Total Cost Reports Ammended | 0 | Total Domestic Migration | 0 |
| Total Cost Reports Audited | 0 | Total Residual | 0 |
| Net Population Change | 0 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 1,326,214 | Total Charges | 8,050,516 | ||
| Fixed Assets | 1,260,831 | Contract Allowance | 1,597,255 | ||
| Other Assets | 1,082,303 | Operating Revenue | 6,453,261 | ||
| Total Assets | 3,669,348 | Operating Expenses | 6,764,886 | ||
| Current Liabilities | 1,121,964 | Operating Margin | -311,625 | ||
| Long Term Liabilities | 242,298 | Other Income | 94,189 | ||
| Total Equity | 2,305,086 | Other Expense | -9,874 | ||
| Total Liabilities and Equity | 3,669,348 | Net Profit or Loss | -207,562 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $105,791 | Revenue per Bed | $379,604 | Revenue per Person | $6,453,261 |
| Net Margin per Discharge | ($5,109) | Net Margin per Bed | ($18,331) | Net Margin per Person | ($311,625) |
| Net Profit per Discharge | ($3,403) | Net Profit per Bed | ($12,210) | Net Profit per Person | ($207,562) |
| Net Fixed Assets per Discharge | $20,669 | Net Fixed Assets per Bed | $74,167 | Net Fixed Assets per Bed | $1,260,831 |
| Long Term Debt per Discharge | $3,972 | Long Term Debt per Bed | $14,253 | Long Term Debt per Person | $242,298 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 5.0 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,429 | Net Fixed Assets | 2,354 | Population Estimate | 1,151 |
| Total Revenue | 2,401 | Long Term Liabilities | 2,007 | Total Patient Discharges | 2,420 |
| Net Margin | 1,796 | Total Patient Beds | 2,311 | ||
| Net Profit or Loss | 2,568 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,341,000 | 281,844 | 4.7580 |
| 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 | 124,228 | 324,016 | 0.3834 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 35,071 | 13 | Nursing Administration | 833 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 43,539 |
| 04 | Employee Benefits | 282,984 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,788,760 | 16 | Medical Records and Medical Library | 73,792 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 2,214 |
| 07 | Operation of Plant | 158,887 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 75,936 | 19 | Non Physician Anesthetist | 51,778 |
| 10,11 | Dietary and Cafeteria | 101,443 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,615,237 |