| 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 | 4,130,000 | Total Charges | 15,168,869 | ||
| Fixed Assets | 4,290,000 | Contract Allowance | 3,848,910 | ||
| Other Assets | 1,701,000 | Operating Revenue | 11,319,959 | ||
| Total Assets | 10,121,000 | Operating Expenses | 10,748,436 | ||
| Current Liabilities | 364,000 | Operating Margin | 571,523 | ||
| Long Term Liabilities | 1,396,000 | Other Income | 533,977 | ||
| Total Equity | 8,361,000 | Other Expense | 0 | ||
| Total Liabilities and Equity | 10,121,000 | Net Profit or Loss | 1,105,500 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $67,784 | Revenue per Bed | $435,383 | Revenue per Person | $11,319,959 |
| Net Margin per Discharge | $3,422 | Net Margin per Bed | $21,982 | Net Margin per Person | $571,523 |
| Net Profit per Discharge | $6,620 | Net Profit per Bed | $42,519 | Net Profit per Person | $1,105,500 |
| Net Fixed Assets per Discharge | $25,689 | Net Fixed Assets per Bed | $165,000 | Net Fixed Assets per Bed | $4,290,000 |
| Long Term Debt per Discharge | $8,359 | Long Term Debt per Bed | $53,692 | Long Term Debt per Person | $1,396,000 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 8.2 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,283 | Net Fixed Assets | 2,101 | Population Estimate | 1,151 |
| Total Revenue | 2,184 | Long Term Liabilities | 1,819 | Total Patient Discharges | 2,374 |
| Net Margin | 818 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,331 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,861,519 | 376,165 | 4.9487 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 33,461 | 19,816 | 1.6886 |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 160,163 | 614,047 | 0.2608 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 67,828 | 37,462 | 1.8106 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 214,162 | 13 | Nursing Administration | 213,003 |
| 02,03 | Captial Related - Movable Equipment | 121,922 | 14 | Central Services and Supply | 10,474 |
| 04 | Employee Benefits | 858,667 | 15 | Pharmacy | 145,375 |
| 05 | Administrative and General | 3,138,549 | 16 | Medical Records and Medical Library | 92,593 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 42,120 |
| 07 | Operation of Plant | 286,444 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 119,103 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 159,444 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,401,856 |