| 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 | 0 | 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 | 1 | Total Residual | 0 |
| Net Population Change | 0 | ||
| Balance Sheet | Income Statement | ||||
| Current Assets | 9,658,945 | Total Charges | 28,277,207 | ||
| Fixed Assets | 648,404 | Contract Allowance | 16,684,925 | ||
| Other Assets | 186,198 | Operating Revenue | 11,592,282 | ||
| Total Assets | 10,493,547 | Operating Expenses | 12,225,238 | ||
| Current Liabilities | 3,578,082 | Operating Margin | -632,956 | ||
| Long Term Liabilities | 1,190,007 | Other Income | 2,185,802 | ||
| Total Equity | 5,725,458 | Other Expense | 0 | ||
| Total Liabilities and Equity | 10,493,547 | Net Profit or Loss | 1,552,846 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $12,739 | Revenue per Bed | $373,945 | Revenue per Person | $11,592,282 |
| Net Margin per Discharge | ($696) | Net Margin per Bed | ($20,418) | Net Margin per Person | ($632,956) |
| Net Profit per Discharge | $1,706 | Net Profit per Bed | $50,092 | Net Profit per Person | $1,552,846 |
| Net Fixed Assets per Discharge | $713 | Net Fixed Assets per Bed | $20,916 | Net Fixed Assets per Bed | $648,404 |
| Long Term Debt per Discharge | $1,308 | Long Term Debt per Bed | $38,387 | Long Term Debt per Person | $1,190,007 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 38.8 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,000 | Net Fixed Assets | 2,460 | Population Estimate | 1,151 |
| Total Revenue | 2,170 | Long Term Liabilities | 1,852 | Total Patient Discharges | 1,685 |
| Net Margin | 1,979 | Total Patient Beds | 1,669 | ||
| Net Profit or Loss | 1,217 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,710,555 | 7,191,670 | 0.3769 |
| 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 | 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 | 142,159 | 13 | Nursing Administration | 147,455 |
| 02,03 | Captial Related - Movable Equipment | 744,333 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 7,144 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 2,562,474 | 16 | Medical Records and Medical Library | 165,462 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 396,014 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 338,906 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 285,320 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,789,267 |