| 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 | 1,195,034 | Total Charges | 4,997,619 | ||
| Fixed Assets | 255,484 | Contract Allowance | -837,411 | ||
| Other Assets | 264,529 | Operating Revenue | 5,835,030 | ||
| Total Assets | 1,715,047 | Operating Expenses | 6,742,608 | ||
| Current Liabilities | 1,831,687 | Operating Margin | -907,578 | ||
| Long Term Liabilities | 3,993 | Other Income | 1,085,234 | ||
| Total Equity | -120,633 | Other Expense | 0 | ||
| Total Liabilities and Equity | 1,715,047 | Net Profit or Loss | 177,656 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $63,424 | Revenue per Bed | $265,229 | Revenue per Person | $5,835,030 |
| Net Margin per Discharge | ($9,865) | Net Margin per Bed | ($41,254) | Net Margin per Person | ($907,578) |
| Net Profit per Discharge | $1,931 | Net Profit per Bed | $8,075 | Net Profit per Person | $177,656 |
| Net Fixed Assets per Discharge | $2,777 | Net Fixed Assets per Bed | $11,613 | Net Fixed Assets per Bed | $255,484 |
| Long Term Debt per Discharge | $43 | Long Term Debt per Bed | $182 | Long Term Debt per Person | $3,993 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 17.0 % | ||||
| Length of Stay | 14 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,476 | Net Fixed Assets | 2,471 | Population Estimate | 1,151 |
| Total Revenue | 2,416 | Long Term Liabilities | 2,161 | Total Patient Discharges | 2,399 |
| Net Margin | 1,989 | Total Patient Beds | 2,130 | ||
| Net Profit or Loss | 1,582 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,317,996 | 623,183 | 3.7196 |
| 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 | 137,414 | 153,767 | 0.8937 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 111,563 | 13 | Nursing Administration | 94,178 |
| 02,03 | Captial Related - Movable Equipment | 277,415 | 14 | Central Services and Supply | 35,759 |
| 04 | Employee Benefits | 841,906 | 15 | Pharmacy | 19,458 |
| 05 | Administrative and General | 1,079,226 | 16 | Medical Records and Medical Library | 126,260 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 57,855 |
| 07 | Operation of Plant | 466,962 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 110,426 | 19 | Non Physician Anesthetist | 43,684 |
| 10,11 | Dietary and Cafeteria | 163,297 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,427,989 |