| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2021 | 3,490 |
| Total Cost Reports Filed in 2021 | 1 | Total Births | 35 |
| Total Cost Reports Submitted | 0 | Total Deaths | 72 |
| Total Cost Reports Settled | 1 | Net Population Natural Change | -37 |
| Total Cost Reports Reopened | 0 | Total International Migration | 1 |
| Total Cost Reports Ammended | 0 | Total Domestic Migration | 46 |
| Total Cost Reports Audited | 0 | Total Residual | 0 |
| Net Population Change | 10 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 9,946,499 | Total Charges | 25,216,615 | ||
| Fixed Assets | 7,091,837 | Contract Allowance | 5,892,061 | ||
| Other Assets | 1,548,774 | Operating Revenue | 19,324,554 | ||
| Total Assets | 18,587,110 | Operating Expenses | 21,521,402 | ||
| Current Liabilities | 2,120,581 | Operating Margin | -2,196,848 | ||
| Long Term Liabilities | 0 | Other Income | 5,638,746 | ||
| Total Equity | 16,466,529 | Other Expense | 0 | ||
| Total Liabilities and Equity | 18,587,110 | Net Profit or Loss | 3,441,898 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $119,287 | Revenue per Bed | $1,207,785 | Revenue per Person | $5,536 |
| Net Margin per Discharge | ($13,561) | Net Margin per Bed | ($137,303) | Net Margin per Person | ($629) |
| Net Profit per Discharge | $21,246 | Net Profit per Bed | $215,119 | Net Profit per Person | $986 |
| Net Fixed Assets per Discharge | $43,777 | Net Fixed Assets per Bed | $443,240 | Net Fixed Assets per Bed | $2,031 |
| 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 | 218 | ||
| Occupancy Rate | 30.8 % | ||||
| Length of Stay | 10 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,176 | Net Fixed Assets | 1,955 | Population Estimate | 2,923 |
| Total Revenue | 1,997 | Long Term Liabilities | 2,161 | Total Patient Discharges | 2,182 |
| Net Margin | 2,140 | Total Patient Beds | 2,322 | ||
| Net Profit or Loss | 1,627 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,020,307 | 2,641,369 | 1.1435 |
| 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 | 468,205 | 443,474 | 1.0558 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 413,766 | 13 | Nursing Administration | 187,141 |
| 02,03 | Captial Related - Movable Equipment | 441,267 | 14 | Central Services and Supply | 15,632 |
| 04 | Employee Benefits | 1,705,830 | 15 | Pharmacy | 381,960 |
| 05 | Administrative and General | 2,694,496 | 16 | Medical Records and Medical Library | 224,731 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 108,248 |
| 07 | Operation of Plant | 893,491 | 18 | Other General Service Expense | 165,815 |
| 08,09 | Laundry, Linen and Housekeeping | 404,864 | 19 | Non Physician Anesthetist | 30,861 |
| 10,11 | Dietary and Cafeteria | 656,152 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 8,324,254 |