| 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 | 1,559,830 | Total Charges | 7,540,287 | ||
| Fixed Assets | 1,184,906 | Contract Allowance | 1,992,664 | ||
| Other Assets | 667,984 | Operating Revenue | 5,547,623 | ||
| Total Assets | 3,412,720 | Operating Expenses | 5,770,844 | ||
| Current Liabilities | 565,644 | Operating Margin | -223,221 | ||
| Long Term Liabilities | 1,088,147 | Other Income | 203,409 | ||
| Total Equity | 1,758,929 | Other Expense | 0 | ||
| Total Liabilities and Equity | 3,412,720 | Net Profit or Loss | -19,812 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $40,200 | Revenue per Bed | $369,842 | Revenue per Person | $5,547,623 |
| Net Margin per Discharge | ($1,618) | Net Margin per Bed | ($14,881) | Net Margin per Person | ($223,221) |
| Net Profit per Discharge | ($144) | Net Profit per Bed | ($1,321) | Net Profit per Person | ($19,812) |
| Net Fixed Assets per Discharge | $8,586 | Net Fixed Assets per Bed | $78,994 | Net Fixed Assets per Bed | $1,184,906 |
| Long Term Debt per Discharge | $7,885 | Long Term Debt per Bed | $72,543 | Long Term Debt per Person | $1,088,147 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 12.1 % | ||||
| Length of Stay | 4 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,445 | Net Fixed Assets | 2,400 | Population Estimate | 1,151 |
| Total Revenue | 2,439 | Long Term Liabilities | 1,869 | Total Patient Discharges | 2,413 |
| Net Margin | 1,813 | Total Patient Beds | 2,461 | ||
| Net Profit or Loss | 2,592 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 959,575 | 511,172 | 1.8772 |
| 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 | 168,411 | 160,017 | 1.0525 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 79,246 | 13 | Nursing Administration | 35,836 |
| 02,03 | Captial Related - Movable Equipment | 318,474 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 277,199 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 843,248 | 16 | Medical Records and Medical Library | 83,188 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 99,885 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 109,199 | 19 | Non Physician Anesthetist | 20,248 |
| 10,11 | Dietary and Cafeteria | 104,888 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 1,971,411 |