| 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 | 7,289,732 | Total Charges | 29,050,132 | ||
| Fixed Assets | 6,982,768 | Contract Allowance | 10,972,073 | ||
| Other Assets | 3,783,712 | Operating Revenue | 18,078,059 | ||
| Total Assets | 18,056,212 | Operating Expenses | 18,976,126 | ||
| Current Liabilities | 1,591,890 | Operating Margin | -898,067 | ||
| Long Term Liabilities | 25,645 | Other Income | 1,390,339 | ||
| Total Equity | 16,438,677 | Other Expense | 0 | ||
| Total Liabilities and Equity | 18,056,212 | Net Profit or Loss | 492,272 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $14,794 | Revenue per Bed | $821,730 | Revenue per Person | $18,078,059 |
| Net Margin per Discharge | ($735) | Net Margin per Bed | ($40,821) | Net Margin per Person | ($898,067) |
| Net Profit per Discharge | $403 | Net Profit per Bed | $22,376 | Net Profit per Person | $492,272 |
| Net Fixed Assets per Discharge | $5,714 | Net Fixed Assets per Bed | $317,399 | Net Fixed Assets per Bed | $6,982,768 |
| Long Term Debt per Discharge | $21 | Long Term Debt per Bed | $1,166 | Long Term Debt per Person | $25,645 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 45.0 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,980 | Net Fixed Assets | 1,917 | Population Estimate | 1,151 |
| Total Revenue | 1,889 | Long Term Liabilities | 2,189 | Total Patient Discharges | 1,539 |
| Net Margin | 2,082 | Total Patient Beds | 2,180 | ||
| Net Profit or Loss | 1,555 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,934,944 | 1,473,985 | 1.9912 |
| 31 | Intensive Care Unit | 993,858 | 416,997 | 2.3834 |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 1,093,492 | 1,759,824 | 0.6214 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 1,166,425 | 13 | Nursing Administration | 578,340 |
| 02,03 | Captial Related - Movable Equipment | -80,704 | 14 | Central Services and Supply | 146,445 |
| 04 | Employee Benefits | 1,813,422 | 15 | Pharmacy | 822,839 |
| 05 | Administrative and General | 1,768,115 | 16 | Medical Records and Medical Library | 682,660 |
| 06 | Maintenance and Repairs | 1,028,769 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 0 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 437,514 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 296,180 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 8,660,005 |