| Cost Report Counts | Population | ||
| Total Hospital Count | 1 | Total Population on July 31, 2013 | 0 |
| Total Cost Reports Filed in 2013 | 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 | 3,080,340 | Total Charges | 15,268,479 | ||
| Fixed Assets | 5,473,717 | Contract Allowance | 4,822,187 | ||
| Other Assets | 1,079,970 | Operating Revenue | 10,446,292 | ||
| Total Assets | 9,634,027 | Operating Expenses | 10,517,357 | ||
| Current Liabilities | 20,766 | Operating Margin | -71,065 | ||
| Long Term Liabilities | 78,702 | Other Income | 218,755 | ||
| Total Equity | 9,534,559 | Other Expense | 0 | ||
| Total Liabilities and Equity | 9,634,027 | Net Profit or Loss | 147,690 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $89,285 | Revenue per Bed | $401,780 | Revenue per Person | $10,446,292 |
| Net Margin per Discharge | ($607) | Net Margin per Bed | ($2,733) | Net Margin per Person | ($71,065) |
| Net Profit per Discharge | $1,262 | Net Profit per Bed | $5,680 | Net Profit per Person | $147,690 |
| Net Fixed Assets per Discharge | $46,784 | Net Fixed Assets per Bed | $210,528 | Net Fixed Assets per Bed | $5,473,717 |
| Long Term Debt per Discharge | $673 | Long Term Debt per Bed | $3,027 | Long Term Debt per Person | $78,702 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 5.7 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,284 | Net Fixed Assets | 2,048 | Population Estimate | 1,151 |
| Total Revenue | 2,224 | Long Term Liabilities | 2,147 | Total Patient Discharges | 2,437 |
| Net Margin | 1,626 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,665 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,609,265 | 304,080 | 5.2922 |
| 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 | 198,800 | 590,887 | 0.3364 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 209,718 | 13 | Nursing Administration | 216,754 |
| 02,03 | Captial Related - Movable Equipment | 182,275 | 14 | Central Services and Supply | 13,027 |
| 04 | Employee Benefits | 875,299 | 15 | Pharmacy | 138,463 |
| 05 | Administrative and General | 2,698,041 | 16 | Medical Records and Medical Library | 86,396 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 41,406 |
| 07 | Operation of Plant | 330,989 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 114,849 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 152,386 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,059,603 |