| 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 | 3,978,000 | Total Charges | 42,665,903 | ||
| Fixed Assets | 2,294,000 | Contract Allowance | 23,862,257 | ||
| Other Assets | 0 | Operating Revenue | 18,803,646 | ||
| Total Assets | 6,272,000 | Operating Expenses | 20,153,147 | ||
| Current Liabilities | -3,566,000 | Operating Margin | -1,349,501 | ||
| Long Term Liabilities | 0 | Other Income | 2,529,738 | ||
| Total Equity | 9,838,000 | Other Expense | 0 | ||
| Total Liabilities and Equity | 6,272,000 | Net Profit or Loss | 1,180,237 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $24,905 | Revenue per Bed | $989,666 | Revenue per Person | $18,803,646 |
| Net Margin per Discharge | ($1,787) | Net Margin per Bed | ($71,026) | Net Margin per Person | ($1,349,501) |
| Net Profit per Discharge | $1,563 | Net Profit per Bed | $62,118 | Net Profit per Person | $1,180,237 |
| Net Fixed Assets per Discharge | $3,038 | Net Fixed Assets per Bed | $120,737 | Net Fixed Assets per Bed | $2,294,000 |
| Long Term Debt per Discharge | $0 | Long Term Debt per Bed | $0 | Long Term Debt per Person | $0 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 40.3 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,771 | Net Fixed Assets | 2,288 | Population Estimate | 1,151 |
| Total Revenue | 1,867 | Long Term Liabilities | 2,213 | Total Patient Discharges | 1,782 |
| Net Margin | 2,243 | Total Patient Beds | 2,352 | ||
| Net Profit or Loss | 1,308 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,525,261 | 1,437,238 | 1.7570 |
| 31 | Intensive Care Unit | 1,044,680 | 658,990 | 1.5853 |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 6,260 | 1,059 | 5.9112 |
| 44 | Skilled Nursing Care | 0 | 0 | |
| 50 | Operating Room | 1,666,300 | 6,397,980 | 0.2604 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 158,856 | 13 | Nursing Administration | 287,941 |
| 02,03 | Captial Related - Movable Equipment | 399,938 | 14 | Central Services and Supply | 57,912 |
| 04 | Employee Benefits | 1,561,736 | 15 | Pharmacy | 620,314 |
| 05 | Administrative and General | 3,565,351 | 16 | Medical Records and Medical Library | 398,775 |
| 06 | Maintenance and Repairs | 536,744 | 17 | Social Services | 165,433 |
| 07 | Operation of Plant | 298,975 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 285,489 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 248,220 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 8,585,684 |