| 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 | 6,363,877 | Total Charges | 20,377,275 | ||
| Fixed Assets | 12,041,421 | Contract Allowance | 8,939,835 | ||
| Other Assets | 568,555 | Operating Revenue | 11,437,440 | ||
| Total Assets | 18,973,853 | Operating Expenses | 13,925,285 | ||
| Current Liabilities | 4,105,009 | Operating Margin | -2,487,845 | ||
| Long Term Liabilities | 11,220,105 | Other Income | 2,653,621 | ||
| Total Equity | 3,648,739 | Other Expense | 0 | ||
| Total Liabilities and Equity | 18,973,853 | Net Profit or Loss | 165,776 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $66,886 | Revenue per Bed | $953,120 | Revenue per Person | $11,437,440 |
| Net Margin per Discharge | ($14,549) | Net Margin per Bed | ($207,320) | Net Margin per Person | ($2,487,845) |
| Net Profit per Discharge | $969 | Net Profit per Bed | $13,815 | Net Profit per Person | $165,776 |
| Net Fixed Assets per Discharge | $70,418 | Net Fixed Assets per Bed | $1,003,452 | Net Fixed Assets per Bed | $12,041,421 |
| Long Term Debt per Discharge | $65,615 | Long Term Debt per Bed | $935,009 | Long Term Debt per Person | $11,220,105 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 18.0 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,156 | Net Fixed Assets | 1,676 | Population Estimate | 1,151 |
| Total Revenue | 2,175 | Long Term Liabilities | 1,249 | Total Patient Discharges | 2,370 |
| Net Margin | 2,497 | Total Patient Beds | 2,502 | ||
| Net Profit or Loss | 1,721 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,215,391 | 1,139,977 | 1.0662 |
| 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 | 1,403,184 | 1,719,305 | 0.8161 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 1,044,082 | 13 | Nursing Administration | 59,291 |
| 02,03 | Captial Related - Movable Equipment | 860,898 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 1,353,357 | 15 | Pharmacy | 136,993 |
| 05 | Administrative and General | 2,213,199 | 16 | Medical Records and Medical Library | 255,956 |
| 06 | Maintenance and Repairs | 360,234 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 0 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 187,548 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 31,421 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 6,502,979 |