| 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 | 2,169,969 | Total Charges | 2,398,358 | ||
| Fixed Assets | 3,174,906 | Contract Allowance | -961,731 | ||
| Other Assets | 1,887 | Operating Revenue | 3,360,089 | ||
| Total Assets | 5,346,762 | Operating Expenses | 4,345,054 | ||
| Current Liabilities | 301,850 | Operating Margin | -984,965 | ||
| Long Term Liabilities | 313,957 | Other Income | 1,135,374 | ||
| Total Equity | 4,730,955 | Other Expense | 0 | ||
| Total Liabilities and Equity | 5,346,762 | Net Profit or Loss | 150,409 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $101,821 | Revenue per Bed | $258,468 | Revenue per Person | $3,360,089 |
| Net Margin per Discharge | ($29,847) | Net Margin per Bed | ($75,767) | Net Margin per Person | ($984,965) |
| Net Profit per Discharge | $4,558 | Net Profit per Bed | $11,570 | Net Profit per Person | $150,409 |
| Net Fixed Assets per Discharge | $96,209 | Net Fixed Assets per Bed | $244,224 | Net Fixed Assets per Bed | $3,174,906 |
| Long Term Debt per Discharge | $9,514 | Long Term Debt per Bed | $24,151 | Long Term Debt per Person | $313,957 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 13.5 % | ||||
| Length of Stay | 18 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,529 | Net Fixed Assets | 2,194 | Population Estimate | 1,151 |
| Total Revenue | 2,509 | Long Term Liabilities | 2,051 | Total Patient Discharges | 2,525 |
| Net Margin | 2,112 | Total Patient Beds | 2,488 | ||
| Net Profit or Loss | 1,727 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,578,173 | 304,325 | 5.1858 |
| 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 | 0 | 0 | |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 174,982 | 13 | Nursing Administration | 73,225 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 25,912 |
| 04 | Employee Benefits | 490,207 | 15 | Pharmacy | 10,534 |
| 05 | Administrative and General | 873,181 | 16 | Medical Records and Medical Library | 97,391 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 111,178 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 45,705 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 111,399 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,013,714 |