| 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 | 1,835,468 | Total Charges | 4,598,036 | ||
| Fixed Assets | 989,882 | Contract Allowance | 938,033 | ||
| Other Assets | 0 | Operating Revenue | 3,660,003 | ||
| Total Assets | 2,825,350 | Operating Expenses | 3,951,053 | ||
| Current Liabilities | 564,803 | Operating Margin | -291,050 | ||
| Long Term Liabilities | 631,533 | Other Income | 635,226 | ||
| Total Equity | 1,629,014 | Other Expense | 0 | ||
| Total Liabilities and Equity | 2,825,350 | Net Profit or Loss | 344,176 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $64,211 | Revenue per Bed | $140,769 | Revenue per Person | $3,660,003 |
| Net Margin per Discharge | ($5,106) | Net Margin per Bed | ($11,194) | Net Margin per Person | ($291,050) |
| Net Profit per Discharge | $6,038 | Net Profit per Bed | $13,238 | Net Profit per Person | $344,176 |
| Net Fixed Assets per Discharge | $17,366 | Net Fixed Assets per Bed | $38,072 | Net Fixed Assets per Bed | $989,882 |
| Long Term Debt per Discharge | $11,080 | Long Term Debt per Bed | $24,290 | Long Term Debt per Person | $631,533 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 80.9 % | ||||
| Length of Stay | 130 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,502 | Net Fixed Assets | 2,429 | Population Estimate | 1,151 |
| Total Revenue | 2,500 | Long Term Liabilities | 1,951 | Total Patient Discharges | 2,509 |
| Net Margin | 1,835 | Total Patient Beds | 1,711 | ||
| Net Profit or Loss | 1,635 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 1,922,618 | 2,938,151 | 0.6544 |
| 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 | 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 | 120,548 | 13 | Nursing Administration | 143,270 |
| 02,03 | Captial Related - Movable Equipment | 62,842 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 769,146 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 639,584 | 16 | Medical Records and Medical Library | 0 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 42,018 |
| 07 | Operation of Plant | 136,778 | 18 | Other General Service Expense | 0 |
| 08,09 | Laundry, Linen and Housekeeping | 79,373 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 146,751 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,140,310 |