| 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 | 1,334,703 | Total Charges | 4,077,682 | ||
| Fixed Assets | 1,470,290 | Contract Allowance | 137,922 | ||
| Other Assets | 0 | Operating Revenue | 3,939,760 | ||
| Total Assets | 2,804,993 | Operating Expenses | 4,409,648 | ||
| Current Liabilities | 1,756,710 | Operating Margin | -469,888 | ||
| Long Term Liabilities | 88,749 | Other Income | 765,066 | ||
| Total Equity | 959,534 | Other Expense | 0 | ||
| Total Liabilities and Equity | 2,804,993 | Net Profit or Loss | 295,178 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $46,902 | Revenue per Bed | $393,976 | Revenue per Person | $3,939,760 |
| Net Margin per Discharge | ($5,594) | Net Margin per Bed | ($46,989) | Net Margin per Person | ($469,888) |
| Net Profit per Discharge | $3,514 | Net Profit per Bed | $29,518 | Net Profit per Person | $295,178 |
| Net Fixed Assets per Discharge | $17,503 | Net Fixed Assets per Bed | $147,029 | Net Fixed Assets per Bed | $1,470,290 |
| Long Term Debt per Discharge | $1,057 | Long Term Debt per Bed | $8,875 | Long Term Debt per Person | $88,749 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 27.7 % | ||||
| Length of Stay | 11 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,514 | Net Fixed Assets | 2,369 | Population Estimate | 1,151 |
| Total Revenue | 2,496 | Long Term Liabilities | 2,143 | Total Patient Discharges | 2,476 |
| Net Margin | 1,915 | Total Patient Beds | 2,522 | ||
| Net Profit or Loss | 1,665 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 832,005 | 330,280 | 2.5191 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 1,780,211 | 1,810,104 | 0.9835 |
| 50 | Operating Room | 0 | 0 | |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 116,413 | 13 | Nursing Administration | 106,502 |
| 02,03 | Captial Related - Movable Equipment | 153,961 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 404,136 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 562,466 | 16 | Medical Records and Medical Library | 81,621 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 62,901 |
| 07 | Operation of Plant | 260,719 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 127,697 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 364,344 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,240,760 |