| 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 | 1,966,101 | Total Charges | 5,556,456 | ||
| Fixed Assets | 1,423,779 | Contract Allowance | -174,393 | ||
| Other Assets | 78,038 | Operating Revenue | 5,730,849 | ||
| Total Assets | 3,467,918 | Operating Expenses | 6,266,741 | ||
| Current Liabilities | 674,186 | Operating Margin | -535,892 | ||
| Long Term Liabilities | 258,611 | Other Income | 511,710 | ||
| Total Equity | 2,535,121 | Other Expense | 0 | ||
| Total Liabilities and Equity | 3,467,918 | Net Profit or Loss | -24,182 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $70,751 | Revenue per Bed | $220,417 | Revenue per Person | $5,730,849 |
| Net Margin per Discharge | ($6,616) | Net Margin per Bed | ($20,611) | Net Margin per Person | ($535,892) |
| Net Profit per Discharge | ($299) | Net Profit per Bed | ($930) | Net Profit per Person | ($24,182) |
| Net Fixed Assets per Discharge | $17,578 | Net Fixed Assets per Bed | $54,761 | Net Fixed Assets per Bed | $1,423,779 |
| Long Term Debt per Discharge | $3,193 | Long Term Debt per Bed | $9,947 | Long Term Debt per Person | $258,611 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 21.2 % | ||||
| Length of Stay | 24 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,483 | Net Fixed Assets | 2,375 | Population Estimate | 1,151 |
| Total Revenue | 2,427 | Long Term Liabilities | 2,074 | Total Patient Discharges | 2,480 |
| Net Margin | 1,939 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 2,596 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,154,774 | 825,035 | 1.3997 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 2,075,690 | 1,895,129 | 1.0953 |
| 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 | 131,252 | 13 | Nursing Administration | 98,261 |
| 02,03 | Captial Related - Movable Equipment | 165,754 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 521,381 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,187,859 | 16 | Medical Records and Medical Library | 73,631 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 28,025 |
| 07 | Operation of Plant | 258,691 | 18 | Other General Service Expense | 44,695 |
| 08,09 | Laundry, Linen and Housekeeping | 169,929 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 377,729 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 3,057,207 |