| 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 | 4,338,957 | Total Charges | 19,670,602 | ||
| Fixed Assets | 3,243,882 | Contract Allowance | 6,531,460 | ||
| Other Assets | 29,490 | Operating Revenue | 13,139,142 | ||
| Total Assets | 7,612,329 | Operating Expenses | 14,766,454 | ||
| Current Liabilities | 1,335,779 | Operating Margin | -1,627,312 | ||
| Long Term Liabilities | 2,535,251 | Other Income | 1,742,854 | ||
| Total Equity | 3,741,299 | Other Expense | 0 | ||
| Total Liabilities and Equity | 7,612,329 | Net Profit or Loss | 115,542 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $20,183 | Revenue per Bed | $505,352 | Revenue per Person | $13,139,142 |
| Net Margin per Discharge | ($2,500) | Net Margin per Bed | ($62,589) | Net Margin per Person | ($1,627,312) |
| Net Profit per Discharge | $177 | Net Profit per Bed | $4,444 | Net Profit per Person | $115,542 |
| Net Fixed Assets per Discharge | $4,983 | Net Fixed Assets per Bed | $124,765 | Net Fixed Assets per Bed | $3,243,882 |
| Long Term Debt per Discharge | $3,894 | Long Term Debt per Bed | $97,510 | Long Term Debt per Person | $2,535,251 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 50.7 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,168 | Net Fixed Assets | 2,189 | Population Estimate | 1,151 |
| Total Revenue | 2,085 | Long Term Liabilities | 1,690 | Total Patient Discharges | 1,856 |
| Net Margin | 2,323 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,741 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,757,858 | 1,153,372 | 2.3911 |
| 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 | 91,159 | 166,250 | 0.5483 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 307,466 | 13 | Nursing Administration | 168,643 |
| 02,03 | Captial Related - Movable Equipment | 226,130 | 14 | Central Services and Supply | 176,632 |
| 04 | Employee Benefits | 1,148,796 | 15 | Pharmacy | 454,726 |
| 05 | Administrative and General | 1,697,549 | 16 | Medical Records and Medical Library | 270,912 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 105,570 |
| 07 | Operation of Plant | 610,146 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 358,292 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 256,685 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,781,547 |