| 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 | 0 | Net Population Natural Change | 0 |
| Total Cost Reports Reopened | 1 | 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 | 2,448,807 | Total Charges | 18,591,061 | ||
| Fixed Assets | 6,359,493 | Contract Allowance | 9,051,284 | ||
| Other Assets | 525,397 | Operating Revenue | 9,539,777 | ||
| Total Assets | 9,333,697 | Operating Expenses | 11,273,921 | ||
| Current Liabilities | 2,005,030 | Operating Margin | -1,734,144 | ||
| Long Term Liabilities | 2,986,031 | Other Income | 1,475,764 | ||
| Total Equity | 4,342,636 | Other Expense | 0 | ||
| Total Liabilities and Equity | 9,333,697 | Net Profit or Loss | -258,380 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $16,620 | Revenue per Bed | $366,915 | Revenue per Person | $9,539,777 |
| Net Margin per Discharge | ($3,021) | Net Margin per Bed | ($66,698) | Net Margin per Person | ($1,734,144) |
| Net Profit per Discharge | ($450) | Net Profit per Bed | ($9,938) | Net Profit per Person | ($258,380) |
| Net Fixed Assets per Discharge | $11,079 | Net Fixed Assets per Bed | $244,596 | Net Fixed Assets per Bed | $6,359,493 |
| Long Term Debt per Discharge | $5,202 | Long Term Debt per Bed | $114,847 | Long Term Debt per Person | $2,986,031 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 28.8 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,191 | Net Fixed Assets | 1,960 | Population Estimate | 1,151 |
| Total Revenue | 2,269 | Long Term Liabilities | 1,649 | Total Patient Discharges | 1,925 |
| Net Margin | 2,350 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 2,695 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,460,024 | 1,459,598 | 1.6854 |
| 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 | 852,163 | 1,549,831 | 0.5498 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 555,767 | 13 | Nursing Administration | 90,602 |
| 02,03 | Captial Related - Movable Equipment | 236,372 | 14 | Central Services and Supply | 61,558 |
| 04 | Employee Benefits | 1,410,135 | 15 | Pharmacy | 266,626 |
| 05 | Administrative and General | 1,439,093 | 16 | Medical Records and Medical Library | 139,846 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 99,879 |
| 07 | Operation of Plant | 372,147 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 214,638 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 223,202 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,109,865 |