| 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 | 1,965,313 | Total Charges | 13,248,601 | ||
| Fixed Assets | 7,420,546 | Contract Allowance | 3,578,007 | ||
| Other Assets | 1,257,409 | Operating Revenue | 9,670,594 | ||
| Total Assets | 10,643,268 | Operating Expenses | 10,593,154 | ||
| Current Liabilities | 243,238 | Operating Margin | -922,560 | ||
| Long Term Liabilities | 5,466,202 | Other Income | 117,887 | ||
| Total Equity | 4,933,828 | Other Expense | 0 | ||
| Total Liabilities and Equity | 10,643,268 | Net Profit or Loss | -804,673 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $30,126 | Revenue per Bed | $460,504 | Revenue per Person | $9,670,594 |
| Net Margin per Discharge | ($2,874) | Net Margin per Bed | ($43,931) | Net Margin per Person | ($922,560) |
| Net Profit per Discharge | ($2,507) | Net Profit per Bed | ($38,318) | Net Profit per Person | ($804,673) |
| Net Fixed Assets per Discharge | $23,117 | Net Fixed Assets per Bed | $353,359 | Net Fixed Assets per Bed | $7,420,546 |
| Long Term Debt per Discharge | $17,029 | Long Term Debt per Bed | $260,295 | Long Term Debt per Person | $5,466,202 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 30.9 % | ||||
| Length of Stay | 7 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,331 | Net Fixed Assets | 1,894 | Population Estimate | 1,151 |
| Total Revenue | 2,260 | Long Term Liabilities | 1,478 | Total Patient Discharges | 2,188 |
| Net Margin | 2,092 | Total Patient Beds | 2,260 | ||
| Net Profit or Loss | 2,859 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,780,346 | 1,581,560 | 1.7580 |
| 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 | 413,597 | 1,300,693 | 0.3180 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 735,552 | 13 | Nursing Administration | 159,445 |
| 02,03 | Captial Related - Movable Equipment | 332,186 | 14 | Central Services and Supply | 31,210 |
| 04 | Employee Benefits | 783,352 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,884,391 | 16 | Medical Records and Medical Library | 312,768 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 30,647 |
| 07 | Operation of Plant | 257,821 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 132,055 | 19 | Non Physician Anesthetist | 180,769 |
| 10,11 | Dietary and Cafeteria | 110,191 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,950,387 |