| 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 | 3,841,007 | Total Charges | 4,827,871 | ||
| Fixed Assets | 13,887,848 | Contract Allowance | 1,258,591 | ||
| Other Assets | 500,000 | Operating Revenue | 3,569,280 | ||
| Total Assets | 18,228,855 | Operating Expenses | 6,988,871 | ||
| Current Liabilities | 311,136 | Operating Margin | -3,419,591 | ||
| Long Term Liabilities | 1,413,602 | Other Income | 16,179,830 | ||
| Total Equity | 16,504,117 | Other Expense | 0 | ||
| Total Liabilities and Equity | 18,228,855 | Net Profit or Loss | 12,760,239 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $16,916 | Revenue per Bed | $324,480 | Revenue per Person | $3,569,280 |
| Net Margin per Discharge | ($16,207) | Net Margin per Bed | ($310,872) | Net Margin per Person | ($3,419,591) |
| Net Profit per Discharge | $60,475 | Net Profit per Bed | $1,160,022 | Net Profit per Person | $12,760,239 |
| Net Fixed Assets per Discharge | $65,819 | Net Fixed Assets per Bed | $1,262,532 | Net Fixed Assets per Bed | $13,887,848 |
| Long Term Debt per Discharge | $6,700 | Long Term Debt per Bed | $128,509 | Long Term Debt per Person | $1,413,602 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 16.4 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,498 | Net Fixed Assets | 1,595 | Population Estimate | 1,151 |
| Total Revenue | 2,503 | Long Term Liabilities | 1,815 | Total Patient Discharges | 2,314 |
| Net Margin | 2,647 | Total Patient Beds | 2,511 | ||
| Net Profit or Loss | 528 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,001,259 | 360,000 | 2.7813 |
| 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 | 371,581 | 13 | Nursing Administration | 67,319 |
| 02,03 | Captial Related - Movable Equipment | 380,982 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 0 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 862,062 | 16 | Medical Records and Medical Library | 85,568 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 254,662 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 15,531 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 66,307 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,104,012 |