| 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 | 2,482,273 | Total Charges | 16,820,083 | ||
| Fixed Assets | 2,816,976 | Contract Allowance | 5,498,985 | ||
| Other Assets | 15,716,684 | Operating Revenue | 11,321,098 | ||
| Total Assets | 21,015,933 | Operating Expenses | 11,911,101 | ||
| Current Liabilities | 8,761 | Operating Margin | -590,003 | ||
| Long Term Liabilities | 0 | Other Income | 599,472 | ||
| Total Equity | 21,007,172 | Other Expense | 0 | ||
| Total Liabilities and Equity | 21,015,933 | Net Profit or Loss | 9,469 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $33,006 | Revenue per Bed | $435,427 | Revenue per Person | $11,321,098 |
| Net Margin per Discharge | ($1,720) | Net Margin per Bed | ($22,692) | Net Margin per Person | ($590,003) |
| Net Profit per Discharge | $28 | Net Profit per Bed | $364 | Net Profit per Person | $9,469 |
| Net Fixed Assets per Discharge | $8,213 | Net Fixed Assets per Bed | $108,345 | Net Fixed Assets per Bed | $2,816,976 |
| 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 | 35.5 % | ||||
| Length of Stay | 9 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,244 | Net Fixed Assets | 2,228 | Population Estimate | 1,151 |
| Total Revenue | 2,183 | Long Term Liabilities | 2,213 | Total Patient Discharges | 2,158 |
| Net Margin | 1,960 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,802 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 3,153,123 | 1,852,598 | 1.7020 |
| 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 | 855,551 | 1,222,248 | 0.7000 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 271,813 | 13 | Nursing Administration | 199,711 |
| 02,03 | Captial Related - Movable Equipment | 515,771 | 14 | Central Services and Supply | 66,718 |
| 04 | Employee Benefits | 1,170,854 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 2,395,531 | 16 | Medical Records and Medical Library | 372,753 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 54,510 |
| 07 | Operation of Plant | 373,647 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 180,522 | 19 | Non Physician Anesthetist | 254,527 |
| 10,11 | Dietary and Cafeteria | 144,544 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 6,000,901 |