| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2016 | 0 |
| Total Cost Reports Filed in 2016 | 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 | 5,719,240 | Total Charges | 21,563,886 | ||
| Fixed Assets | 6,789,462 | Contract Allowance | 9,925,320 | ||
| Other Assets | 4,244,715 | Operating Revenue | 11,638,566 | ||
| Total Assets | 16,753,417 | Operating Expenses | 12,294,916 | ||
| Current Liabilities | 915,977 | Operating Margin | -656,350 | ||
| Long Term Liabilities | 0 | Other Income | 468,374 | ||
| Total Equity | 15,837,440 | Other Expense | 0 | ||
| Total Liabilities and Equity | 16,753,417 | Net Profit or Loss | -187,976 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $37,423 | Revenue per Bed | $447,637 | Revenue per Person | $11,638,566 |
| Net Margin per Discharge | ($2,110) | Net Margin per Bed | ($25,244) | Net Margin per Person | ($656,350) |
| Net Profit per Discharge | ($604) | Net Profit per Bed | ($7,230) | Net Profit per Person | ($187,976) |
| Net Fixed Assets per Discharge | $21,831 | Net Fixed Assets per Bed | $261,133 | Net Fixed Assets per Bed | $6,789,462 |
| Long Term Debt per Discharge | $0 | Long Term Debt per Bed | $0 | Long Term Debt per Person | $0 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 24.5 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,182 | Net Fixed Assets | 1,954 | Population Estimate | 1,151 |
| Total Revenue | 2,182 | Long Term Liabilities | 2,171 | Total Patient Discharges | 2,069 |
| Net Margin | 1,917 | Total Patient Beds | 1,657 | ||
| Net Profit or Loss | 2,497 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,100,981 | 1,455,236 | 1.4437 |
| 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 | 375,522 | 249,521 | 1.5050 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 588,598 | 13 | Nursing Administration | 48,501 |
| 02,03 | Captial Related - Movable Equipment | 263,276 | 14 | Central Services and Supply | 56,499 |
| 04 | Employee Benefits | 903,120 | 15 | Pharmacy | 144,674 |
| 05 | Administrative and General | 1,952,831 | 16 | Medical Records and Medical Library | 113,081 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 46,421 |
| 07 | Operation of Plant | 466,805 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 86,783 | 19 | Non Physician Anesthetist | 120,000 |
| 10,11 | Dietary and Cafeteria | 194,305 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,984,894 |