| 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 | 3,486,958 | Total Charges | 25,154,906 | ||
| Fixed Assets | 232,238 | Contract Allowance | 10,591,568 | ||
| Other Assets | 200 | Operating Revenue | 14,563,338 | ||
| Total Assets | 3,719,396 | Operating Expenses | 15,271,703 | ||
| Current Liabilities | 3,486,955 | Operating Margin | -708,365 | ||
| Long Term Liabilities | 0 | Other Income | 940,623 | ||
| Total Equity | 232,441 | Other Expense | 0 | ||
| Total Liabilities and Equity | 3,719,396 | Net Profit or Loss | 232,258 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $35,607 | Revenue per Bed | $560,128 | Revenue per Person | $14,563,338 |
| Net Margin per Discharge | ($1,732) | Net Margin per Bed | ($27,245) | Net Margin per Person | ($708,365) |
| Net Profit per Discharge | $568 | Net Profit per Bed | $8,933 | Net Profit per Person | $232,258 |
| Net Fixed Assets per Discharge | $568 | Net Fixed Assets per Bed | $8,932 | Net Fixed Assets per Bed | $232,238 |
| 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 | 65.0 % | ||||
| Length of Stay | 15 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,055 | Net Fixed Assets | 2,499 | Population Estimate | 1,151 |
| Total Revenue | 2,022 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,086 |
| Net Margin | 2,018 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,699 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,885,548 | 2,831,848 | 1.3721 |
| 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 | 371,562 | 249,913 | 1.4868 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 1,735,979 | 13 | Nursing Administration | 247,327 |
| 02,03 | Captial Related - Movable Equipment | 255,599 | 14 | Central Services and Supply | 300 |
| 04 | Employee Benefits | 685,466 | 15 | Pharmacy | 183,847 |
| 05 | Administrative and General | 2,297,713 | 16 | Medical Records and Medical Library | 104,080 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 991,728 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 375,887 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 292,038 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 7,169,964 |