| 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 | 3,089,027 | Total Charges | 14,112,453 | ||
| Fixed Assets | 4,798,517 | Contract Allowance | 2,352,982 | ||
| Other Assets | 2,283,194 | Operating Revenue | 11,759,471 | ||
| Total Assets | 10,170,738 | Operating Expenses | 12,770,709 | ||
| Current Liabilities | 2,402,664 | Operating Margin | -1,011,238 | ||
| Long Term Liabilities | 2,480,000 | Other Income | 857,930 | ||
| Total Equity | 5,288,074 | Other Expense | 0 | ||
| Total Liabilities and Equity | 10,170,738 | Net Profit or Loss | -153,308 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $98,819 | Revenue per Bed | $489,978 | Revenue per Person | $11,759,471 |
| Net Margin per Discharge | ($8,498) | Net Margin per Bed | ($42,135) | Net Margin per Person | ($1,011,238) |
| Net Profit per Discharge | ($1,288) | Net Profit per Bed | ($6,388) | Net Profit per Person | ($153,308) |
| Net Fixed Assets per Discharge | $40,324 | Net Fixed Assets per Bed | $199,938 | Net Fixed Assets per Bed | $4,798,517 |
| Long Term Debt per Discharge | $20,840 | Long Term Debt per Bed | $103,333 | Long Term Debt per Person | $2,480,000 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 33.1 % | ||||
| Length of Stay | 23 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,317 | Net Fixed Assets | 2,064 | Population Estimate | 1,151 |
| Total Revenue | 2,156 | Long Term Liabilities | 1,697 | Total Patient Discharges | 2,430 |
| Net Margin | 2,123 | Total Patient Beds | 2,113 | ||
| Net Profit or Loss | 2,650 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,770,613 | 1,188,403 | 1.4899 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 4,722,551 | 4,208,658 | 1.1221 |
| 50 | Operating Room | 80,446 | 84,773 | 0.9490 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 431,614 | 13 | Nursing Administration | 133,408 |
| 02,03 | Captial Related - Movable Equipment | 634,595 | 14 | Central Services and Supply | 110,675 |
| 04 | Employee Benefits | 197,446 | 15 | Pharmacy | 36,986 |
| 05 | Administrative and General | 1,552,201 | 16 | Medical Records and Medical Library | 70,093 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 101,070 |
| 07 | Operation of Plant | 479,544 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 311,283 | 19 | Non Physician Anesthetist | 7,303 |
| 10,11 | Dietary and Cafeteria | 707,254 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,773,472 |