| 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 | 10,428,380 | Total Charges | 28,561,641 | ||
| Fixed Assets | 6,684,743 | Contract Allowance | 11,402,361 | ||
| Other Assets | 2,337,018 | Operating Revenue | 17,159,280 | ||
| Total Assets | 19,450,141 | Operating Expenses | 16,923,790 | ||
| Current Liabilities | 1,763,161 | Operating Margin | 235,490 | ||
| Long Term Liabilities | 339,017 | Other Income | 642,766 | ||
| Total Equity | 17,347,963 | Other Expense | 0 | ||
| Total Liabilities and Equity | 19,450,141 | Net Profit or Loss | 878,256 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $74,283 | Revenue per Bed | $746,056 | Revenue per Person | $17,159,280 |
| Net Margin per Discharge | $1,019 | Net Margin per Bed | $10,239 | Net Margin per Person | $235,490 |
| Net Profit per Discharge | $3,802 | Net Profit per Bed | $38,185 | Net Profit per Person | $878,256 |
| Net Fixed Assets per Discharge | $28,938 | Net Fixed Assets per Bed | $290,641 | Net Fixed Assets per Bed | $6,684,743 |
| Long Term Debt per Discharge | $1,468 | Long Term Debt per Bed | $14,740 | Long Term Debt per Person | $339,017 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 17.4 % | ||||
| Length of Stay | 6 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,990 | Net Fixed Assets | 1,939 | Population Estimate | 1,151 |
| Total Revenue | 1,923 | Long Term Liabilities | 2,040 | Total Patient Discharges | 2,289 |
| Net Margin | 892 | Total Patient Beds | 2,140 | ||
| Net Profit or Loss | 1,412 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,608,898 | 622,363 | 4.1919 |
| 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 | 1,519,364 | 2,539,596 | 0.5983 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 589,317 | 13 | Nursing Administration | 245,885 |
| 02,03 | Captial Related - Movable Equipment | 253,803 | 14 | Central Services and Supply | 2,359 |
| 04 | Employee Benefits | 1,168,638 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 4,309,988 | 16 | Medical Records and Medical Library | 112,221 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 33,443 |
| 07 | Operation of Plant | 565,784 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 216,439 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 242,520 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 7,740,397 |