| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2021 | 3,829 |
| Total Cost Reports Filed in 2021 | 1 | Total Births | 49 |
| Total Cost Reports Submitted | 0 | Total Deaths | 58 |
| Total Cost Reports Settled | 1 | Net Population Natural Change | -9 |
| Total Cost Reports Reopened | 0 | Total International Migration | 2 |
| Total Cost Reports Ammended | 0 | Total Domestic Migration | -50 |
| Total Cost Reports Audited | 0 | Total Residual | -1 |
| Net Population Change | -58 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 4,279,658 | Total Charges | 16,236,279 | ||
| Fixed Assets | 4,715,697 | Contract Allowance | 3,611,871 | ||
| Other Assets | 1,784,739 | Operating Revenue | 12,624,408 | ||
| Total Assets | 10,780,094 | Operating Expenses | 13,128,800 | ||
| Current Liabilities | 1,951,749 | Operating Margin | -504,392 | ||
| Long Term Liabilities | 180,313 | Other Income | 5,735,499 | ||
| Total Equity | 8,648,032 | Other Expense | 0 | ||
| Total Liabilities and Equity | 10,780,094 | Net Profit or Loss | 5,231,107 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $106,987 | Revenue per Bed | $601,162 | Revenue per Person | $3,296 |
| Net Margin per Discharge | ($4,275) | Net Margin per Bed | ($24,019) | Net Margin per Person | ($132) |
| Net Profit per Discharge | $44,331 | Net Profit per Bed | $249,100 | Net Profit per Person | $1,366 |
| Net Fixed Assets per Discharge | $39,964 | Net Fixed Assets per Bed | $224,557 | Net Fixed Assets per Bed | $1,231 |
| Long Term Debt per Discharge | $1,528 | Long Term Debt per Bed | $8,586 | Long Term Debt per Person | $47 |
| Persons per Discharge | 0 | Persons per Bed | 182 | ||
| Occupancy Rate | 8.0 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,304 | Net Fixed Assets | 2,105 | Population Estimate | 2,899 |
| Total Revenue | 2,198 | Long Term Liabilities | 2,055 | Total Patient Discharges | 2,278 |
| Net Margin | 1,832 | Total Patient Beds | 2,147 | ||
| Net Profit or Loss | 1,386 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,245,388 | 811,302 | 2.7676 |
| 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 | 443,632 | 990,790 | 0.4478 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 216,342 | 13 | Nursing Administration | 275,777 |
| 02,03 | Captial Related - Movable Equipment | 398,447 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 715,786 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,834,867 | 16 | Medical Records and Medical Library | 248,919 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 412,065 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 117,160 | 19 | Non Physician Anesthetist | 276,480 |
| 10,11 | Dietary and Cafeteria | 154,397 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,650,240 |