| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2012 | 0 |
| Total Cost Reports Filed in 2012 | 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 | 2,630,773 | Total Charges | 12,459,342 | ||
| Fixed Assets | 10,858,456 | Contract Allowance | 3,495,919 | ||
| Other Assets | 1,972,057 | Operating Revenue | 8,963,423 | ||
| Total Assets | 15,461,286 | Operating Expenses | 10,226,276 | ||
| Current Liabilities | 1,122,015 | Operating Margin | -1,262,853 | ||
| Long Term Liabilities | 14,580,683 | Other Income | 653,302 | ||
| Total Equity | -241,412 | Other Expense | 352,140 | ||
| Total Liabilities and Equity | 15,461,286 | Net Profit or Loss | -961,691 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $50,356 | Revenue per Bed | $746,952 | Revenue per Person | $8,963,423 |
| Net Margin per Discharge | ($7,095) | Net Margin per Bed | ($105,238) | Net Margin per Person | ($1,262,853) |
| Net Profit per Discharge | ($5,403) | Net Profit per Bed | ($80,141) | Net Profit per Person | ($961,691) |
| Net Fixed Assets per Discharge | $61,003 | Net Fixed Assets per Bed | $904,871 | Net Fixed Assets per Bed | $10,858,456 |
| Long Term Debt per Discharge | $81,914 | Long Term Debt per Bed | $1,215,057 | Long Term Debt per Person | $14,580,683 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 15.7 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,351 | Net Fixed Assets | 1,731 | Population Estimate | 1,151 |
| Total Revenue | 2,292 | Long Term Liabilities | 1,136 | Total Patient Discharges | 2,357 |
| Net Margin | 2,212 | Total Patient Beds | 2,502 | ||
| Net Profit or Loss | 2,894 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,421,603 | 435,535 | 3.2640 |
| 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 | 402,064 | 661,484 | 0.6078 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 0 | 13 | Nursing Administration | 163,891 |
| 02,03 | Captial Related - Movable Equipment | 1,490,380 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 56,237 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,203,022 | 16 | Medical Records and Medical Library | 54,237 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 476,703 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 139,912 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 95,219 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,679,601 |