| 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 | 399,852 | Total Charges | 1,509,876 | ||
| Fixed Assets | 324,640 | Contract Allowance | -302,898 | ||
| Other Assets | 816,877 | Operating Revenue | 1,812,774 | ||
| Total Assets | 1,541,369 | Operating Expenses | 2,006,922 | ||
| Current Liabilities | 207,589 | Operating Margin | -194,148 | ||
| Long Term Liabilities | 0 | Other Income | 102,661 | ||
| Total Equity | 1,333,780 | Other Expense | 0 | ||
| Total Liabilities and Equity | 1,541,369 | Net Profit or Loss | -91,487 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $75,532 | Revenue per Bed | $86,323 | Revenue per Person | $1,812,774 |
| Net Margin per Discharge | ($8,090) | Net Margin per Bed | ($9,245) | Net Margin per Person | ($194,148) |
| Net Profit per Discharge | ($3,812) | Net Profit per Bed | ($4,357) | Net Profit per Person | ($91,487) |
| Net Fixed Assets per Discharge | $13,527 | Net Fixed Assets per Bed | $15,459 | Net Fixed Assets per Bed | $324,640 |
| 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 | 13.8 % | ||||
| Length of Stay | 42 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,534 | Net Fixed Assets | 2,494 | Population Estimate | 1,151 |
| Total Revenue | 2,531 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,532 |
| Net Margin | 1,802 | Total Patient Beds | 2,260 | ||
| Net Profit or Loss | 2,625 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 982,345 | 295,534 | 3.3240 |
| 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 | 47,341 | 38,692 | 1.2235 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 83,159 | 13 | Nursing Administration | 52,879 |
| 02,03 | Captial Related - Movable Equipment | 110,576 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 8,929 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 441,179 | 16 | Medical Records and Medical Library | 6,279 |
| 06 | Maintenance and Repairs | 4,518 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 67,572 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 35,252 | 19 | Non Physician Anesthetist | 9,900 |
| 10,11 | Dietary and Cafeteria | 47,940 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 868,183 |