| 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 | 5,059,612 | Total Charges | 30,690,217 | ||
| Fixed Assets | 926,007 | Contract Allowance | 17,615,058 | ||
| Other Assets | 0 | Operating Revenue | 13,075,159 | ||
| Total Assets | 5,985,619 | Operating Expenses | 13,149,767 | ||
| Current Liabilities | 2,471,663 | Operating Margin | -74,608 | ||
| Long Term Liabilities | 300,652 | Other Income | 531,774 | ||
| Total Equity | 3,213,304 | Other Expense | 0 | ||
| Total Liabilities and Equity | 5,985,619 | Net Profit or Loss | 457,166 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $37,789 | Revenue per Bed | $817,197 | Revenue per Person | $13,075,159 |
| Net Margin per Discharge | ($216) | Net Margin per Bed | ($4,663) | Net Margin per Person | ($74,608) |
| Net Profit per Discharge | $1,321 | Net Profit per Bed | $28,573 | Net Profit per Person | $457,166 |
| Net Fixed Assets per Discharge | $2,676 | Net Fixed Assets per Bed | $57,875 | Net Fixed Assets per Bed | $926,007 |
| Long Term Debt per Discharge | $869 | Long Term Debt per Bed | $18,791 | Long Term Debt per Person | $300,652 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 22.0 % | ||||
| Length of Stay | 3 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 1,944 | Net Fixed Assets | 2,433 | Population Estimate | 1,151 |
| Total Revenue | 2,089 | Long Term Liabilities | 2,056 | Total Patient Discharges | 2,153 |
| Net Margin | 1,773 | Total Patient Beds | 2,420 | ||
| Net Profit or Loss | 1,575 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 2,040,244 | 1,336,920 | 1.5261 |
| 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 | 980,263 | 2,515,197 | 0.3897 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 0 | 13 | Nursing Administration | 303,877 |
| 02,03 | Captial Related - Movable Equipment | 0 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 815,021 | 15 | Pharmacy | 227,657 |
| 05 | Administrative and General | 2,164,661 | 16 | Medical Records and Medical Library | 373,414 |
| 06 | Maintenance and Repairs | 274,600 | 17 | Social Services | 0 |
| 07 | Operation of Plant | 302,345 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 283,842 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 212,013 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 4,957,430 |