| 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 | 1 | 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 | 2,202,847 | Total Charges | 7,472,111 | ||
| Fixed Assets | 5,558,755 | Contract Allowance | 0 | ||
| Other Assets | 1,877,147 | Operating Revenue | 7,472,111 | ||
| Total Assets | 9,638,749 | Operating Expenses | 7,765,674 | ||
| Current Liabilities | 1,008,498 | Operating Margin | -293,563 | ||
| Long Term Liabilities | 2,645,196 | Other Income | 123,017 | ||
| Total Equity | 5,985,055 | Other Expense | 0 | ||
| Total Liabilities and Equity | 9,638,749 | Net Profit or Loss | -170,546 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $23,205 | Revenue per Bed | $287,389 | Revenue per Person | $7,472,111 |
| Net Margin per Discharge | ($912) | Net Margin per Bed | ($11,291) | Net Margin per Person | ($293,563) |
| Net Profit per Discharge | ($530) | Net Profit per Bed | ($6,559) | Net Profit per Person | ($170,546) |
| Net Fixed Assets per Discharge | $17,263 | Net Fixed Assets per Bed | $213,798 | Net Fixed Assets per Bed | $5,558,755 |
| Long Term Debt per Discharge | $8,215 | Long Term Debt per Bed | $101,738 | Long Term Debt per Person | $2,645,196 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 12.9 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,446 | Net Fixed Assets | 2,017 | Population Estimate | 1,151 |
| Total Revenue | 2,353 | Long Term Liabilities | 1,677 | Total Patient Discharges | 2,185 |
| Net Margin | 1,838 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 2,657 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,973,215 | 1,138,021 | 1.7339 |
| 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 | 101,317 | 309,177 | 0.3277 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 255,966 | 13 | Nursing Administration | 175,830 |
| 02,03 | Captial Related - Movable Equipment | 338,126 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 457,531 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 904,012 | 16 | Medical Records and Medical Library | 128,943 |
| 06 | Maintenance and Repairs | 133,320 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 75,626 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 75,678 | 19 | Non Physician Anesthetist | 37,300 |
| 10,11 | Dietary and Cafeteria | 79,631 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,661,963 |