| Cost Report Counts | Population | ||
| Total Hospital Count | 2 | Total Population on July 31, 2012 | 0 |
| Total Cost Reports Filed in 2012 | 2 | Total Births | 0 |
| Total Cost Reports Submitted | 1 | 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 | 4,760,843 | Total Charges | 14,216,841 | ||
| Fixed Assets | 0 | Contract Allowance | 6,767,606 | ||
| Other Assets | 1,803 | Operating Revenue | 7,449,235 | ||
| Total Assets | 4,762,646 | Operating Expenses | 9,074,253 | ||
| Current Liabilities | 5,895,082 | Operating Margin | -1,625,018 | ||
| Long Term Liabilities | 0 | Other Income | 1,641,868 | ||
| Total Equity | -1,132,436 | Other Expense | 0 | ||
| Total Liabilities and Equity | 4,762,646 | Net Profit or Loss | 16,850 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $29,099 | Revenue per Bed | $146,063 | Revenue per Person | $7,449,235 |
| Net Margin per Discharge | ($6,348) | Net Margin per Bed | ($31,863) | Net Margin per Person | ($1,625,018) |
| Net Profit per Discharge | $66 | Net Profit per Bed | $330 | Net Profit per Person | $16,850 |
| Net Fixed Assets per Discharge | $0 | Net Fixed Assets per Bed | $0 | Net Fixed Assets per Bed | $0 |
| 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 | 23.9 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,315 | Net Fixed Assets | 2,525 | Population Estimate | 1,151 |
| Total Revenue | 2,355 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,256 |
| Net Margin | 2,322 | Total Patient Beds | 1,300 | ||
| Net Profit or Loss | 1,796 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,928,594 | 829,900 | 3.5289 |
| 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 | 218 | 8,328 | 0.0262 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 2,018,459 | 13 | Nursing Administration | 64,863 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 487,783 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,475,089 | 16 | Medical Records and Medical Library | 158,213 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 452,563 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 132,542 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 205,301 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,994,813 |