| 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 | 11,699,836 | Total Charges | 12,452,503 | ||
| Fixed Assets | 4,234,736 | Contract Allowance | 2,504,531 | ||
| Other Assets | 4,021,059 | Operating Revenue | 9,947,972 | ||
| Total Assets | 19,955,631 | Operating Expenses | 10,062,739 | ||
| Current Liabilities | 1,727,208 | Operating Margin | -114,767 | ||
| Long Term Liabilities | 0 | Other Income | 1,147,165 | ||
| Total Equity | 18,228,423 | Other Expense | 178,723 | ||
| Total Liabilities and Equity | 19,955,631 | Net Profit or Loss | 853,675 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $103,625 | Revenue per Bed | $382,614 | Revenue per Person | $9,947,972 |
| Net Margin per Discharge | ($1,195) | Net Margin per Bed | ($4,414) | Net Margin per Person | ($114,767) |
| Net Profit per Discharge | $8,892 | Net Profit per Bed | $32,834 | Net Profit per Person | $853,675 |
| Net Fixed Assets per Discharge | $44,112 | Net Fixed Assets per Bed | $162,874 | Net Fixed Assets per Bed | $4,234,736 |
| Long Term Debt per Discharge | $0 | Long Term Debt per Bed | $0 | Long Term Debt per Person | $0 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 7.9 % | ||||
| Length of Stay | 8 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,352 | Net Fixed Assets | 2,112 | Population Estimate | 1,151 |
| Total Revenue | 2,250 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,462 |
| Net Margin | 1,780 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,419 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,162,106 | 407,117 | 5.3108 |
| 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 | 550,388 | 1,326,174 | 0.4150 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 425,570 | 13 | Nursing Administration | 148,547 |
| 02,03 | Captial Related - Movable Equipment | 416,486 | 14 | Central Services and Supply | 77,224 |
| 04 | Employee Benefits | 769,145 | 15 | Pharmacy | 181,439 |
| 05 | Administrative and General | 1,148,117 | 16 | Medical Records and Medical Library | 241,032 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 361,985 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 208,311 | 19 | Non Physician Anesthetist | 187,205 |
| 10,11 | Dietary and Cafeteria | 208,813 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,373,874 |