| 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 | 9,555,390 | Total Charges | 20,211,988 | ||
| Fixed Assets | 6,615,666 | Contract Allowance | 5,847,524 | ||
| Other Assets | 6,920,999 | Operating Revenue | 14,364,464 | ||
| Total Assets | 23,092,055 | Operating Expenses | 13,411,894 | ||
| Current Liabilities | 1,010,073 | Operating Margin | 952,570 | ||
| Long Term Liabilities | 0 | Other Income | 334,626 | ||
| Total Equity | 22,081,982 | Other Expense | 0 | ||
| Total Liabilities and Equity | 23,092,055 | Net Profit or Loss | 1,287,196 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $33,878 | Revenue per Bed | $552,479 | Revenue per Person | $14,364,464 |
| Net Margin per Discharge | $2,247 | Net Margin per Bed | $36,637 | Net Margin per Person | $952,570 |
| Net Profit per Discharge | $3,036 | Net Profit per Bed | $49,508 | Net Profit per Person | $1,287,196 |
| Net Fixed Assets per Discharge | $15,603 | Net Fixed Assets per Bed | $254,449 | Net Fixed Assets per Bed | $6,615,666 |
| 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 | 23.1 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,160 | Net Fixed Assets | 1,946 | Population Estimate | 1,151 |
| Total Revenue | 2,031 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,064 |
| Net Margin | 767 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,277 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,447,696 | 1,527,748 | 1.6022 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 45,611 | 99,769 | 0.4572 |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 565,697 | 1,112,571 | 0.5085 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 127,600 | 177,093 | 0.7205 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 268,755 | 13 | Nursing Administration | 48,755 |
| 02,03 | Captial Related - Movable Equipment | 496,949 | 14 | Central Services and Supply | 55,159 |
| 04 | Employee Benefits | 1,008,617 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,286,746 | 16 | Medical Records and Medical Library | 308,580 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 321,948 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 163,584 | 19 | Non Physician Anesthetist | 323,018 |
| 10,11 | Dietary and Cafeteria | 187,123 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,469,234 |