| 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 | 3,332,434 | Total Charges | 13,013,130 | ||
| Fixed Assets | 4,257,865 | Contract Allowance | 3,462,356 | ||
| Other Assets | 1,280,815 | Operating Revenue | 9,550,774 | ||
| Total Assets | 8,871,114 | Operating Expenses | 10,574,172 | ||
| Current Liabilities | 1,495,914 | Operating Margin | -1,023,398 | ||
| Long Term Liabilities | 1,058,399 | Other Income | 661,833 | ||
| Total Equity | 6,316,801 | Other Expense | 0 | ||
| Total Liabilities and Equity | 8,871,114 | Net Profit or Loss | -361,565 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $53,959 | Revenue per Bed | $415,251 | Revenue per Person | $9,550,774 |
| Net Margin per Discharge | ($5,782) | Net Margin per Bed | ($44,496) | Net Margin per Person | ($1,023,398) |
| Net Profit per Discharge | ($2,043) | Net Profit per Bed | ($15,720) | Net Profit per Person | ($361,565) |
| Net Fixed Assets per Discharge | $24,056 | Net Fixed Assets per Bed | $185,125 | Net Fixed Assets per Bed | $4,257,865 |
| Long Term Debt per Discharge | $5,980 | Long Term Debt per Bed | $46,017 | Long Term Debt per Person | $1,058,399 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 12.3 % | ||||
| Length of Stay | 6 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,336 | Net Fixed Assets | 2,107 | Population Estimate | 1,151 |
| Total Revenue | 2,268 | Long Term Liabilities | 1,876 | Total Patient Discharges | 2,361 |
| Net Margin | 2,130 | Total Patient Beds | 2,140 | ||
| Net Profit or Loss | 2,724 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,706,058 | 703,825 | 2.4240 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 24,630 | 22,472 | 1.0960 |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 453,184 | 556,954 | 0.8137 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 39,681 | 58,964 | 0.6730 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 217,912 | 13 | Nursing Administration | 187,189 |
| 02,03 | Captial Related - Movable Equipment | 654,104 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 125,989 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,632,999 | 16 | Medical Records and Medical Library | 362,150 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 358,145 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 162,178 | 19 | Non Physician Anesthetist | 67,936 |
| 10,11 | Dietary and Cafeteria | 154,030 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,922,632 |