| 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 | 4,001,850 | Total Charges | 34,494,495 | ||
| Fixed Assets | 2,352,950 | Contract Allowance | 17,479,598 | ||
| Other Assets | 5,855,533 | Operating Revenue | 17,014,897 | ||
| Total Assets | 12,210,333 | Operating Expenses | 17,936,995 | ||
| Current Liabilities | 2,311,575 | Operating Margin | -922,098 | ||
| Long Term Liabilities | 3,059,945 | Other Income | 2,274,118 | ||
| Total Equity | 6,838,813 | Other Expense | 0 | ||
| Total Liabilities and Equity | 12,210,333 | Net Profit or Loss | 1,352,020 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $8,324 | Revenue per Bed | $378,109 | Revenue per Person | $17,014,897 |
| Net Margin per Discharge | ($451) | Net Margin per Bed | ($20,491) | Net Margin per Person | ($922,098) |
| Net Profit per Discharge | $661 | Net Profit per Bed | $30,045 | Net Profit per Person | $1,352,020 |
| Net Fixed Assets per Discharge | $1,151 | Net Fixed Assets per Bed | $52,288 | Net Fixed Assets per Bed | $2,352,950 |
| Long Term Debt per Discharge | $1,497 | Long Term Debt per Bed | $67,999 | Long Term Debt per Person | $3,059,945 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 36.3 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,882 | Net Fixed Assets | 2,284 | Population Estimate | 1,151 |
| Total Revenue | 1,929 | Long Term Liabilities | 1,642 | Total Patient Discharges | 1,257 |
| Net Margin | 2,091 | Total Patient Beds | 1,413 | ||
| Net Profit or Loss | 1,260 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,818,195 | 1,492,428 | 1.8883 |
| 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 | 293,457 | 1,211,756 | 0.2422 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 240,723 | 13 | Nursing Administration | 486,434 |
| 02,03 | Captial Related - Movable Equipment | 370,754 | 14 | Central Services and Supply | 67,718 |
| 04 | Employee Benefits | 877,649 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 2,224,772 | 16 | Medical Records and Medical Library | 191,406 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 430,892 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 210,201 | 19 | Non Physician Anesthetist | 79,242 |
| 10,11 | Dietary and Cafeteria | 238,855 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,418,646 |