| 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 | 1,445,658 | Total Charges | 5,628,246 | ||
| Fixed Assets | 1,996,086 | Contract Allowance | 826,477 | ||
| Other Assets | 106,155 | Operating Revenue | 4,801,769 | ||
| Total Assets | 3,547,899 | Operating Expenses | 5,551,645 | ||
| Current Liabilities | 846,000 | Operating Margin | -749,876 | ||
| Long Term Liabilities | 1,182,825 | Other Income | 190,811 | ||
| Total Equity | 1,519,074 | Other Expense | 0 | ||
| Total Liabilities and Equity | 3,547,899 | Net Profit or Loss | -559,065 | ||
| Per Discharge Statistics | Per Bed Statistics | Per Person Statistics | |||
| Revenue per Discharge | $44,461 | Revenue per Bed | $218,262 | Revenue per Person | $4,801,769 |
| Net Margin per Discharge | ($6,943) | Net Margin per Bed | ($34,085) | Net Margin per Person | ($749,876) |
| Net Profit per Discharge | ($5,177) | Net Profit per Bed | ($25,412) | Net Profit per Person | ($559,065) |
| Net Fixed Assets per Discharge | $18,482 | Net Fixed Assets per Bed | $90,731 | Net Fixed Assets per Bed | $1,996,086 |
| Long Term Debt per Discharge | $10,952 | Long Term Debt per Bed | $53,765 | Long Term Debt per Person | $1,182,825 |
| Persons per Discharge | 0 | Persons per Bed | 0 | ||
| Occupancy Rate | 7.2 % | ||||
| Length of Stay | 5 Days | ||||
| Income Statement | Balance Sheet | Statistics | |||
| Total Charges | 2,481 | Net Fixed Assets | 2,313 | Population Estimate | 1,151 |
| Total Revenue | 2,467 | Long Term Liabilities | 1,856 | Total Patient Discharges | 2,450 |
| Net Margin | 2,030 | Total Patient Beds | 2,180 | ||
| Net Profit or Loss | 2,788 | ||||
| Line | Description | Direct Cost | Charges | Ratio |
| 30 | Adults and Pediatrics - General Routine Care | 776,621 | 421,682 | 1.8417 |
| 31 | Intensive Care Unit | 0 | 0 | |
| 32 | Coronary Care Unit | 0 | 0 | |
| 43 | Nursery | 0 | 0 | |
| 44 | Skilled Nursing Care | 2,015,603 | 1,637,102 | 1.2312 |
| 50 | Operating Room | 42,656 | 45,383 | 0.9399 |
| 51 | Recovery Room | 0 | 0 | |
| 52 | Labor and Delivery Room | 0 | 0 |
| Lines | Description | Amount | Lines | Description | Amount |
| 01 | Capital Related - Building and Fixtures | 162,345 | 13 | Nursing Administration | 107,255 |
| 02,03 | Captial Related - Movable Equipment | 202,959 | 14 | Central Services and Supply | 0 |
| 04 | Employee Benefits | 212,941 | 15 | Pharmacy | 0 |
| 05 | Administrative and General | 1,070,701 | 16 | Medical Records and Medical Library | 102,495 |
| 06 | Maintenance and Repairs | 0 | 17 | Social Services | 15,333 |
| 07 | Operation of Plant | 197,098 | 18 | Other General Service Expense | 64,268 |
| 08,09 | Laundry, Linen and Housekeeping | 132,951 | 19 | Non Physician Anesthetist | 0 |
| 10,11 | Dietary and Cafeteria | 255,461 | 20,21,22,23 | Education Programs | 0 |
| Total General Service Cost Centers | 2,523,807 |