| 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 | 3,440,767 | Total Charges | 22,470,084 | ||
| Fixed Assets | 6,179,244 | Contract Allowance | 6,990,990 | ||
| Other Assets | 2,629,345 | Operating Revenue | 15,479,094 | ||
| Total Assets | 12,249,356 | Operating Expenses | 15,175,599 | ||
| Current Liabilities | 1,344,400 | Operating Margin | 303,495 | ||
| Long Term Liabilities | 1,493,542 | Other Income | 461,709 | ||
| Total Equity | 9,411,414 | Other Expense | 0 | ||
| Total Liabilities and Equity | 12,249,356 | Net Profit or Loss | 765,204 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $36,767 | Revenue per Bed | $595,350 | Revenue per Person | $15,479,094 |
| Net Margin per Discharge | $721 | Net Margin per Bed | $11,673 | Net Margin per Person | $303,495 |
| Net Profit per Discharge | $1,818 | Net Profit per Bed | $29,431 | Net Profit per Person | $765,204 |
| Net Fixed Assets per Discharge | $14,678 | Net Fixed Assets per Bed | $237,663 | Net Fixed Assets per Bed | $6,179,244 |
| Long Term Debt per Discharge | $3,548 | Long Term Debt per Bed | $57,444 | Long Term Debt per Person | $1,493,542 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 32.7 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,104 | Net Fixed Assets | 1,975 | Population Estimate | 1,151 |
| Total Revenue | 1,988 | Long Term Liabilities | 1,804 | Total Patient Discharges | 2,071 |
| Net Margin | 876 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,452 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,569,779 | 1,769,880 | 2.0170 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 66,667 | 163,680 | 0.4073 |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 883,820 | 1,360,644 | 0.6496 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 128,218 | 187,900 | 0.6824 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 402,857 | 13 | Nursing Administration | 137,544 |
| 02,03 | Captial Related - Movable Equipment | 302,693 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 2,124,755 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,267,504 | 16 | Medical Records and Medical Library | 281,911 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 418,683 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 411,457 | 19 | Non Physician Anesthetist | 219,754 |
| 10,11 | Dietary and Cafeteria | 259,337 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,826,495 |