| 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 | 236,110 | Total Charges | 1,276,091 | ||
| Fixed Assets | 168,994 | Contract Allowance | 0 | ||
| Other Assets | 0 | Operating Revenue | 1,276,091 | ||
| Total Assets | 405,104 | Operating Expenses | 2,286,201 | ||
| Current Liabilities | 268,942 | Operating Margin | -1,010,110 | ||
| Long Term Liabilities | 607,401 | Other Income | 951,060 | ||
| Total Equity | -471,239 | Other Expense | 0 | ||
| Total Liabilities and Equity | 405,104 | Net Profit or Loss | -59,050 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $255,218 | Revenue per Bed | $255,218 | Revenue per Person | $1,276,091 |
| Net Margin per Discharge | ($202,022) | Net Margin per Bed | ($202,022) | Net Margin per Person | ($1,010,110) |
| Net Profit per Discharge | ($11,810) | Net Profit per Bed | ($11,810) | Net Profit per Person | ($59,050) |
| Net Fixed Assets per Discharge | $33,799 | Net Fixed Assets per Bed | $33,799 | Net Fixed Assets per Bed | $168,994 |
| Long Term Debt per Discharge | $121,480 | Long Term Debt per Bed | $121,480 | Long Term Debt per Person | $607,401 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 0.6 % | ||||
| Length of Stay | 2 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,485 | Net Fixed Assets | 2,458 | Population Estimate | 1,151 |
| Total Revenue | 2,486 | Long Term Liabilities | 1,911 | Total Patient Discharges | 2,495 |
| Net Margin | 1,976 | Total Patient Beds | 2,492 | ||
| Net Profit or Loss | 2,516 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 45,514 | 29,405 | 1.5478 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 1,529,089 | 952,786 | 1.6049 |
| 50 | Operating Room | 0 | 0 | |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 40,964 | 13 | Nursing Administration | 84,642 |
| 02,03 | Captial Related - Movable Equipment | 66,031 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 0 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 205,227 | 16 | Medical Records and Medical Library | 0 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 115,810 | 18 | Other General Service Expense | 37,367 |
| 08,09 | Laundry, Linen and Housekeeping | 56,913 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 236,879 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 843,833 |