| 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 | 6,377,788 | Total Charges | 19,662,587 | ||
| Fixed Assets | 1,605,655 | Contract Allowance | 6,334,893 | ||
| Other Assets | 401,976 | Operating Revenue | 13,327,694 | ||
| Total Assets | 8,385,419 | Operating Expenses | 11,029,567 | ||
| Current Liabilities | 617,706 | Operating Margin | 2,298,127 | ||
| Long Term Liabilities | 0 | Other Income | 419,215 | ||
| Total Equity | 7,767,713 | Other Expense | 3,566,511 | ||
| Total Liabilities and Equity | 8,385,419 | Net Profit or Loss | -849,169 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $27,651 | Revenue per Bed | $1,110,641 | Revenue per Person | $13,327,694 |
| Net Margin per Discharge | $4,768 | Net Margin per Bed | $191,511 | Net Margin per Person | $2,298,127 |
| Net Profit per Discharge | ($1,762) | Net Profit per Bed | ($70,764) | Net Profit per Person | ($849,169) |
| Net Fixed Assets per Discharge | $3,331 | Net Fixed Assets per Bed | $133,805 | Net Fixed Assets per Bed | $1,605,655 |
| 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 | 64.6 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,169 | Net Fixed Assets | 2,352 | Population Estimate | 1,151 |
| Total Revenue | 2,080 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,006 |
| Net Margin | 608 | Total Patient Beds | 2,502 | ||
| Net Profit or Loss | 2,867 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,052,888 | 2,054,444 | 0.9992 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 2,191,931 | 1,981,048 | 1.1065 |
| 50 | Operating Room | 90,222 | 277,058 | 0.3256 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 44,905 | 13 | Nursing Administration | 59,158 |
| 02,03 | Captial Related - Movable Equipment | 161,730 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 2,110,707 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,300,917 | 16 | Medical Records and Medical Library | 83,664 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 18,859 |
| 07 | Operation of Plant | 372,795 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 208,765 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 389,509 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,751,009 |