| 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 | 1,731,981 | Total Charges | 15,446,235 | ||
| Fixed Assets | 2,129,000 | Contract Allowance | 9,263,577 | ||
| Other Assets | 359,494 | Operating Revenue | 6,182,658 | ||
| Total Assets | 4,220,475 | Operating Expenses | 7,569,976 | ||
| Current Liabilities | 1,225,610 | Operating Margin | -1,387,318 | ||
| Long Term Liabilities | 301,327 | Other Income | 1,972,574 | ||
| Total Equity | 2,693,538 | Other Expense | 0 | ||
| Total Liabilities and Equity | 4,220,475 | Net Profit or Loss | 585,256 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $20,139 | Revenue per Bed | $237,795 | Revenue per Person | $6,182,658 |
| Net Margin per Discharge | ($4,519) | Net Margin per Bed | ($53,358) | Net Margin per Person | ($1,387,318) |
| Net Profit per Discharge | $1,906 | Net Profit per Bed | $22,510 | Net Profit per Person | $585,256 |
| Net Fixed Assets per Discharge | $6,935 | Net Fixed Assets per Bed | $81,885 | Net Fixed Assets per Bed | $2,129,000 |
| Long Term Debt per Discharge | $982 | Long Term Debt per Bed | $11,590 | Long Term Debt per Person | $301,327 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 9.5 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,275 | Net Fixed Assets | 2,303 | Population Estimate | 1,151 |
| Total Revenue | 2,409 | Long Term Liabilities | 2,055 | Total Patient Discharges | 2,205 |
| Net Margin | 2,257 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,530 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,983,962 | 654,625 | 3.0307 |
| 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 | 14,579 | 13 | Nursing Administration | 136,269 |
| 02,03 | Captial Related - Movable Equipment | 332,188 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 499,385 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,261,017 | 16 | Medical Records and Medical Library | 72,266 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 299,092 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 112,974 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 93,254 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,821,024 |