| 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 | 3,804,034 | Total Charges | 14,440,036 | ||
| Fixed Assets | 435,100 | Contract Allowance | 8,021,791 | ||
| Other Assets | 0 | Operating Revenue | 6,418,245 | ||
| Total Assets | 4,239,134 | Operating Expenses | 8,342,129 | ||
| Current Liabilities | 5,114,587 | Operating Margin | -1,923,884 | ||
| Long Term Liabilities | -162,962 | Other Income | 1,331,203 | ||
| Total Equity | -712,491 | Other Expense | 0 | ||
| Total Liabilities and Equity | 4,239,134 | Net Profit or Loss | -592,681 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $22,679 | Revenue per Bed | $246,856 | Revenue per Person | $6,418,245 |
| Net Margin per Discharge | ($6,798) | Net Margin per Bed | ($73,996) | Net Margin per Person | ($1,923,884) |
| Net Profit per Discharge | ($2,094) | Net Profit per Bed | ($22,795) | Net Profit per Person | ($592,681) |
| Net Fixed Assets per Discharge | $1,537 | Net Fixed Assets per Bed | $16,735 | Net Fixed Assets per Bed | $435,100 |
| Long Term Debt per Discharge | ($576) | Long Term Debt per Bed | ($6,268) | Long Term Debt per Person | ($162,962) |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 7.5 % | ||||
| Length of Stay | 2 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,311 | Net Fixed Assets | 2,483 | Population Estimate | 1,151 |
| Total Revenue | 2,399 | Long Term Liabilities | 3,223 | Total Patient Discharges | 2,227 |
| Net Margin | 2,393 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 2,793 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,274,644 | 1,340,978 | 2.4420 |
| 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 | 0 | 0 | |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 762,639 | 13 | Nursing Administration | 0 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 626,822 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,826,620 | 16 | Medical Records and Medical Library | 145,346 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 89,060 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 123,269 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 27,081 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,600,837 |