| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2021 | 2,650 |
| Total Cost Reports Filed in 2021 | 1 | Total Births | 30 |
| Total Cost Reports Submitted | 0 | Total Deaths | 38 |
| Total Cost Reports Settled | 1 | Net Population Natural Change | -8 |
| Total Cost Reports Reopened | 0 | Total International Migration | 0 |
| Total Cost Reports Ammended | 0 | Total Domestic Migration | 79 |
| Total Cost Reports Audited | 0 | Total Residual | -4 |
| Net Population Change | 67 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 8,244,678 | Total Charges | 15,475,731 | ||
| Fixed Assets | 4,029,919 | Contract Allowance | 3,879,174 | ||
| Other Assets | 522,469 | Operating Revenue | 11,596,557 | ||
| Total Assets | 12,797,066 | Operating Expenses | 12,396,996 | ||
| Current Liabilities | 2,906,206 | Operating Margin | -800,439 | ||
| Long Term Liabilities | 4,829,180 | Other Income | 3,956,630 | ||
| Total Equity | 5,061,680 | Other Expense | 0 | ||
| Total Liabilities and Equity | 12,797,066 | Net Profit or Loss | 3,156,191 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $483,190 | Revenue per Bed | $773,104 | Revenue per Person | $4,374 |
| Net Margin per Discharge | ($33,352) | Net Margin per Bed | ($53,363) | Net Margin per Person | ($302) |
| Net Profit per Discharge | $131,508 | Net Profit per Bed | $210,413 | Net Profit per Person | $1,191 |
| Net Fixed Assets per Discharge | $167,913 | Net Fixed Assets per Bed | $268,661 | Net Fixed Assets per Bed | $1,520 |
| Long Term Debt per Discharge | $201,216 | Long Term Debt per Bed | $321,945 | Long Term Debt per Person | $1,822 |
| Persons per Discharge | 0 | Persons per Bed | 177 | ||
| Occupancy Rate | 8.8 % | ||||
| Length of Stay | 19 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,320 | Net Fixed Assets | 2,160 | Population Estimate | 2,986 |
| Total Revenue | 2,234 | Long Term Liabilities | 1,544 | Total Patient Discharges | 2,459 |
| Net Margin | 1,885 | Total Patient Beds | 2,369 | ||
| Net Profit or Loss | 1,667 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,074,777 | 293,752 | 7.0630 |
| 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 | 436,680 | 418,581 | 1.0432 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 186,208 | 13 | Nursing Administration | 528,970 |
| 02,03 | Captial Related - Movable Equipment | 509,550 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 817,916 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,922,176 | 16 | Medical Records and Medical Library | 169,097 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 37,500 |
| 07 | Operation of Plant | 329,698 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 250,038 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 159,728 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,910,881 |