| 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 | 0 | Net Population Natural Change | 0 |
| Total Cost Reports Reopened | 1 | 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 | 8,058,658 | Total Charges | 11,371,959 | ||
| Fixed Assets | 8,257,349 | Contract Allowance | 2,349,429 | ||
| Other Assets | 2,243,218 | Operating Revenue | 9,022,530 | ||
| Total Assets | 18,559,225 | Operating Expenses | 10,358,187 | ||
| Current Liabilities | 2,713,035 | Operating Margin | -1,335,657 | ||
| Long Term Liabilities | 8,765,267 | Other Income | 1,952,511 | ||
| Total Equity | 7,080,923 | Other Expense | 260,817 | ||
| Total Liabilities and Equity | 18,559,225 | Net Profit or Loss | 356,037 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $68,353 | Revenue per Bed | $347,020 | Revenue per Person | $9,022,530 |
| Net Margin per Discharge | ($10,119) | Net Margin per Bed | ($51,371) | Net Margin per Person | ($1,335,657) |
| Net Profit per Discharge | $2,697 | Net Profit per Bed | $13,694 | Net Profit per Person | $356,037 |
| Net Fixed Assets per Discharge | $62,556 | Net Fixed Assets per Bed | $317,590 | Net Fixed Assets per Bed | $8,257,349 |
| Long Term Debt per Discharge | $66,404 | Long Term Debt per Bed | $337,126 | Long Term Debt per Person | $8,765,267 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 8.8 % | ||||
| Length of Stay | 6 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,366 | Net Fixed Assets | 1,848 | Population Estimate | 1,151 |
| Total Revenue | 2,287 | Long Term Liabilities | 1,328 | Total Patient Discharges | 2,421 |
| Net Margin | 2,240 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,628 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,038,564 | 497,648 | 4.0964 |
| 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 | 314,233 | 817,365 | 0.3844 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 997,882 | 13 | Nursing Administration | 82,298 |
| 02,03 | Captial Related - Movable Equipment | 411,419 | 14 | Central Services and Supply | 39,438 |
| 04 | Employee Benefits | 1,276,348 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,390,237 | 16 | Medical Records and Medical Library | 119,929 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 244,466 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 142,565 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 146,387 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,850,969 |