| 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 | 3,803,608 | Total Charges | 22,486,322 | ||
| Fixed Assets | 2,135,312 | Contract Allowance | 10,709,042 | ||
| Other Assets | 0 | Operating Revenue | 11,777,280 | ||
| Total Assets | 5,938,920 | Operating Expenses | 15,117,083 | ||
| Current Liabilities | 1,078,038 | Operating Margin | -3,339,803 | ||
| Long Term Liabilities | 0 | Other Income | 3,638,907 | ||
| Total Equity | 4,860,882 | Other Expense | 0 | ||
| Total Liabilities and Equity | 5,938,920 | Net Profit or Loss | 299,104 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $18,874 | Revenue per Bed | $736,080 | Revenue per Person | $11,777,280 |
| Net Margin per Discharge | ($5,352) | Net Margin per Bed | ($208,738) | Net Margin per Person | ($3,339,803) |
| Net Profit per Discharge | $479 | Net Profit per Bed | $18,694 | Net Profit per Person | $299,104 |
| Net Fixed Assets per Discharge | $3,422 | Net Fixed Assets per Bed | $133,457 | Net Fixed Assets per Bed | $2,135,312 |
| 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 | 57.7 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,171 | Net Fixed Assets | 2,299 | Population Estimate | 1,151 |
| Total Revenue | 2,176 | Long Term Liabilities | 2,171 | Total Patient Discharges | 1,741 |
| Net Margin | 2,518 | Total Patient Beds | 2,385 | ||
| Net Profit or Loss | 1,527 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,042,456 | 1,357,892 | 2.2406 |
| 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 | 402,246 | 449,477 | 0.8949 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 148,067 | 13 | Nursing Administration | 181,066 |
| 02,03 | Captial Related - Movable Equipment | 107,842 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 1,097,836 | 15 | Pharmacy | 323,616 |
| 05 | Administrative and General | 2,198,063 | 16 | Medical Records and Medical Library | 324,020 |
| 06 | Maintenance and Repairs | 660,602 | 17 | Social Services | 50,621 |
| 07 | Operation of Plant | 0 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 334,546 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 286,766 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,713,045 |