| 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 | 2,257,261 | Total Charges | 14,707,430 | ||
| Fixed Assets | 136,173 | Contract Allowance | 7,144,118 | ||
| Other Assets | 0 | Operating Revenue | 7,563,312 | ||
| Total Assets | 2,393,434 | Operating Expenses | 7,051,397 | ||
| Current Liabilities | 425,521 | Operating Margin | 511,915 | ||
| Long Term Liabilities | 0 | Other Income | -637,974 | ||
| Total Equity | 1,967,913 | Other Expense | 0 | ||
| Total Liabilities and Equity | 2,393,434 | Net Profit or Loss | -126,059 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $204,414 | Revenue per Bed | $290,897 | Revenue per Person | $7,563,312 |
| Net Margin per Discharge | $13,836 | Net Margin per Bed | $19,689 | Net Margin per Person | $511,915 |
| Net Profit per Discharge | ($3,407) | Net Profit per Bed | ($4,848) | Net Profit per Person | ($126,059) |
| Net Fixed Assets per Discharge | $3,680 | Net Fixed Assets per Bed | $5,237 | Net Fixed Assets per Bed | $136,173 |
| 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 | 1.1 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,303 | Net Fixed Assets | 2,512 | Population Estimate | 1,151 |
| Total Revenue | 2,347 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,522 |
| Net Margin | 827 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 2,639 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,292,015 | 117,600 | 10.9865 |
| 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 | 273,726 | 13 | Nursing Administration | 144,087 |
| 02,03 | Captial Related - Movable Equipment | 35,291 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 377,330 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 585,974 | 16 | Medical Records and Medical Library | 1,348 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 68,304 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 28,487 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 59,231 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 1,573,778 |