| 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 | 8,869,980 | Total Charges | 44,887,242 | ||
| Fixed Assets | 8,024,747 | Contract Allowance | 23,523,795 | ||
| Other Assets | 5,478,514 | Operating Revenue | 21,363,447 | ||
| Total Assets | 22,373,241 | Operating Expenses | 21,962,580 | ||
| Current Liabilities | 2,207,961 | Operating Margin | -599,133 | ||
| Long Term Liabilities | 4,823,091 | Other Income | 609,759 | ||
| Total Equity | 15,342,189 | Other Expense | 0 | ||
| Total Liabilities and Equity | 22,373,241 | Net Profit or Loss | 10,626 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $19,910 | Revenue per Bed | $928,846 | Revenue per Person | $21,363,447 |
| Net Margin per Discharge | ($558) | Net Margin per Bed | ($26,049) | Net Margin per Person | ($599,133) |
| Net Profit per Discharge | $10 | Net Profit per Bed | $462 | Net Profit per Person | $10,626 |
| Net Fixed Assets per Discharge | $7,479 | Net Fixed Assets per Bed | $348,902 | Net Fixed Assets per Bed | $8,024,747 |
| Long Term Debt per Discharge | $4,495 | Long Term Debt per Bed | $209,700 | Long Term Debt per Person | $4,823,091 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 51.9 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,745 | Net Fixed Assets | 1,861 | Population Estimate | 1,151 |
| Total Revenue | 1,773 | Long Term Liabilities | 1,514 | Total Patient Discharges | 1,607 |
| Net Margin | 1,964 | Total Patient Beds | 2,140 | ||
| Net Profit or Loss | 1,801 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,762,330 | 2,474,930 | 1.1161 |
| 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 | 1,140,110 | 2,195,029 | 0.5194 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 883,815 | 13 | Nursing Administration | 329,135 |
| 02,03 | Captial Related - Movable Equipment | 814,494 | 14 | Central Services and Supply | 36,594 |
| 04 | Employee Benefits | 2,923,911 | 15 | Pharmacy | 194,542 |
| 05 | Administrative and General | 2,016,353 | 16 | Medical Records and Medical Library | 310,335 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 557,751 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 323,334 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 239,159 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 8,629,423 |