| 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 | 3,121,692 | Total Charges | 15,611,229 | ||
| Fixed Assets | 4,266,976 | Contract Allowance | 5,022,850 | ||
| Other Assets | 633,017 | Operating Revenue | 10,588,379 | ||
| Total Assets | 8,021,685 | Operating Expenses | 12,101,636 | ||
| Current Liabilities | 494,921 | Operating Margin | -1,513,257 | ||
| Long Term Liabilities | 500,000 | Other Income | 1,012,296 | ||
| Total Equity | 7,026,764 | Other Expense | 0 | ||
| Total Liabilities and Equity | 8,021,685 | Net Profit or Loss | -500,961 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $62,653 | Revenue per Bed | $661,774 | Revenue per Person | $10,588,379 |
| Net Margin per Discharge | ($8,954) | Net Margin per Bed | ($94,579) | Net Margin per Person | ($1,513,257) |
| Net Profit per Discharge | ($2,964) | Net Profit per Bed | ($31,310) | Net Profit per Person | ($500,961) |
| Net Fixed Assets per Discharge | $25,248 | Net Fixed Assets per Bed | $266,686 | Net Fixed Assets per Bed | $4,266,976 |
| Long Term Debt per Discharge | $2,959 | Long Term Debt per Bed | $31,250 | Long Term Debt per Person | $500,000 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 21.8 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,268 | Net Fixed Assets | 2,106 | Population Estimate | 1,151 |
| Total Revenue | 2,220 | Long Term Liabilities | 1,986 | Total Patient Discharges | 2,372 |
| Net Margin | 2,291 | Total Patient Beds | 2,420 | ||
| Net Profit or Loss | 2,771 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,442,328 | 1,590,109 | 0.9071 |
| 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 | 86,297 | 241,262 | 0.3577 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 164,594 | 13 | Nursing Administration | 153,671 |
| 02,03 | Captial Related - Movable Equipment | 170,354 | 14 | Central Services and Supply | 22,746 |
| 04 | Employee Benefits | 998,515 | 15 | Pharmacy | 48,882 |
| 05 | Administrative and General | 1,569,912 | 16 | Medical Records and Medical Library | 133,642 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 55,568 |
| 07 | Operation of Plant | 584,946 | 18 | Other General Service Expense | 87,459 |
| 08,09 | Laundry, Linen and Housekeeping | 403,114 | 19 | Non Physician Anesthetist | 13,624 |
| 10,11 | Dietary and Cafeteria | 490,461 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,897,488 |