| 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 | 1,017,561 | Total Charges | 4,898,247 | ||
| Fixed Assets | 703,572 | Contract Allowance | 1,202,388 | ||
| Other Assets | 9,500 | Operating Revenue | 3,695,859 | ||
| Total Assets | 1,730,633 | Operating Expenses | 3,829,889 | ||
| Current Liabilities | 608,819 | Operating Margin | -134,030 | ||
| Long Term Liabilities | 289,297 | Other Income | 178,037 | ||
| Total Equity | 832,517 | Other Expense | 0 | ||
| Total Liabilities and Equity | 1,730,633 | Net Profit or Loss | 44,007 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $18,856 | Revenue per Bed | $230,991 | Revenue per Person | $3,695,859 |
| Net Margin per Discharge | ($684) | Net Margin per Bed | ($8,377) | Net Margin per Person | ($134,030) |
| Net Profit per Discharge | $225 | Net Profit per Bed | $2,750 | Net Profit per Person | $44,007 |
| Net Fixed Assets per Discharge | $3,590 | Net Fixed Assets per Bed | $43,973 | Net Fixed Assets per Bed | $703,572 |
| Long Term Debt per Discharge | $1,476 | Long Term Debt per Bed | $18,081 | Long Term Debt per Person | $289,297 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 13.5 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,497 | Net Fixed Assets | 2,455 | Population Estimate | 1,151 |
| Total Revenue | 2,499 | Long Term Liabilities | 2,063 | Total Patient Discharges | 2,333 |
| Net Margin | 1,782 | Total Patient Beds | 2,420 | ||
| Net Profit or Loss | 1,779 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,529,694 | 507,919 | 3.0117 |
| 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 | 71,710 | 13 | Nursing Administration | 19,898 |
| 02,03 | Captial Related - Movable Equipment | 216,467 | 14 | Central Services and Supply | 46,161 |
| 04 | Employee Benefits | 0 | 15 | Pharmacy | 15,557 |
| 05 | Administrative and General | 879,483 | 16 | Medical Records and Medical Library | 106,856 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 185,696 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 97,607 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 95,754 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 1,735,189 |