| 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 | 4,516,450 | Total Charges | 27,718,820 | ||
| Fixed Assets | 5,407,109 | Contract Allowance | 11,910,367 | ||
| Other Assets | 960,957 | Operating Revenue | 15,808,453 | ||
| Total Assets | 10,884,516 | Operating Expenses | 17,317,506 | ||
| Current Liabilities | 1,919,128 | Operating Margin | -1,509,053 | ||
| Long Term Liabilities | 1,075,000 | Other Income | 636,301 | ||
| Total Equity | 7,890,388 | Other Expense | 68,294 | ||
| Total Liabilities and Equity | 10,884,516 | Net Profit or Loss | -941,046 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $62,732 | Revenue per Bed | $658,686 | Revenue per Person | $15,808,453 |
| Net Margin per Discharge | ($5,988) | Net Margin per Bed | ($62,877) | Net Margin per Person | ($1,509,053) |
| Net Profit per Discharge | ($3,734) | Net Profit per Bed | ($39,210) | Net Profit per Person | ($941,046) |
| Net Fixed Assets per Discharge | $21,457 | Net Fixed Assets per Bed | $225,296 | Net Fixed Assets per Bed | $5,407,109 |
| Long Term Debt per Discharge | $4,266 | Long Term Debt per Bed | $44,792 | Long Term Debt per Person | $1,075,000 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 11.3 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,010 | Net Fixed Assets | 2,024 | Population Estimate | 1,151 |
| Total Revenue | 1,979 | Long Term Liabilities | 1,872 | Total Patient Discharges | 2,262 |
| Net Margin | 2,290 | Total Patient Beds | 2,113 | ||
| Net Profit or Loss | 2,886 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,534,980 | 768,399 | 3.2990 |
| 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 | 945,660 | 1,264,090 | 0.7481 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 386,891 | 13 | Nursing Administration | 175,286 |
| 02,03 | Captial Related - Movable Equipment | 639,140 | 14 | Central Services and Supply | 14,458 |
| 04 | Employee Benefits | 2,356,008 | 15 | Pharmacy | 397,458 |
| 05 | Administrative and General | 2,129,791 | 16 | Medical Records and Medical Library | 260,497 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 36,789 |
| 07 | Operation of Plant | 540,610 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 274,841 | 19 | Non Physician Anesthetist | 206,400 |
| 10,11 | Dietary and Cafeteria | 121,380 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 7,539,549 |