| 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 | 1,861,908 | Total Charges | 7,297,606 | ||
| Fixed Assets | 1,411,298 | Contract Allowance | 1,568,445 | ||
| Other Assets | 1,054,050 | Operating Revenue | 5,729,161 | ||
| Total Assets | 4,327,256 | Operating Expenses | 6,363,622 | ||
| Current Liabilities | 957,597 | Operating Margin | -634,461 | ||
| Long Term Liabilities | 657,862 | Other Income | 94,544 | ||
| Total Equity | 2,711,797 | Other Expense | 0 | ||
| Total Liabilities and Equity | 4,327,256 | Net Profit or Loss | -539,917 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $41,819 | Revenue per Bed | $318,287 | Revenue per Person | $5,729,161 |
| Net Margin per Discharge | ($4,631) | Net Margin per Bed | ($35,248) | Net Margin per Person | ($634,461) |
| Net Profit per Discharge | ($3,941) | Net Profit per Bed | ($29,995) | Net Profit per Person | ($539,917) |
| Net Fixed Assets per Discharge | $10,301 | Net Fixed Assets per Bed | $78,405 | Net Fixed Assets per Bed | $1,411,298 |
| Long Term Debt per Discharge | $4,802 | Long Term Debt per Bed | $36,548 | Long Term Debt per Person | $657,862 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 11.9 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,451 | Net Fixed Assets | 2,376 | Population Estimate | 1,151 |
| Total Revenue | 2,428 | Long Term Liabilities | 1,944 | Total Patient Discharges | 2,414 |
| Net Margin | 1,980 | Total Patient Beds | 2,376 | ||
| Net Profit or Loss | 2,782 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,962,242 | 559,455 | 3.5074 |
| 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 | 154,290 | 131,560 | 1.1728 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 19,525 | 13 | Nursing Administration | 100,161 |
| 02,03 | Captial Related - Movable Equipment | 2,704 | 14 | Central Services and Supply | 41,314 |
| 04 | Employee Benefits | 649,193 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,771,467 | 16 | Medical Records and Medical Library | 100,126 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 154,057 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 55,266 | 19 | Non Physician Anesthetist | 60,754 |
| 10,11 | Dietary and Cafeteria | 125,723 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,080,290 |