| 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 | 4,937,837 | Total Charges | 14,981,339 | ||
| Fixed Assets | 4,068,167 | Contract Allowance | 1,790,740 | ||
| Other Assets | 5,472,737 | Operating Revenue | 13,190,599 | ||
| Total Assets | 14,478,741 | Operating Expenses | 13,078,625 | ||
| Current Liabilities | 1,188,799 | Operating Margin | 111,974 | ||
| Long Term Liabilities | 0 | Other Income | 1,360,241 | ||
| Total Equity | 13,289,942 | Other Expense | 0 | ||
| Total Liabilities and Equity | 14,478,741 | Net Profit or Loss | 1,472,215 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $85,101 | Revenue per Bed | $775,918 | Revenue per Person | $13,190,599 |
| Net Margin per Discharge | $722 | Net Margin per Bed | $6,587 | Net Margin per Person | $111,974 |
| Net Profit per Discharge | $9,498 | Net Profit per Bed | $86,601 | Net Profit per Person | $1,472,215 |
| Net Fixed Assets per Discharge | $26,246 | Net Fixed Assets per Bed | $239,304 | Net Fixed Assets per Bed | $4,068,167 |
| Long Term Debt per Discharge | $0 | Long Term Debt per Bed | $0 | Long Term Debt per Person | $0 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 34.4 % | ||||
| Length of Stay | 13 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,294 | Net Fixed Assets | 2,122 | Population Estimate | 1,151 |
| Total Revenue | 2,084 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,392 |
| Net Margin | 927 | Total Patient Beds | 2,394 | ||
| Net Profit or Loss | 1,236 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,470,300 | 960,055 | 2.5731 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 10,873 | 12,466 | 0.8722 |
| 44 | Skilled Nursing Care | 3,924,959 | 3,177,099 | 1.2354 |
| 50 | Operating Room | 0 | 0 | |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 43,760 | 18,900 | 2.3153 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 602,659 | 13 | Nursing Administration | 96,953 |
| 02,03 | Captial Related - Movable Equipment | 210,500 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 1,797,104 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,295,844 | 16 | Medical Records and Medical Library | 181,904 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 63,362 |
| 07 | Operation of Plant | 597,394 | 18 | Other General Service Expense | 103,800 |
| 08,09 | Laundry, Linen and Housekeeping | 339,396 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 553,106 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 5,842,022 |