Actual I >Fixed Bud11:et I Variance I 11 Date Actual 1 Date Fixed J Date Variance Budget
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1 Actual I >Fixed Bud11:et I Variance I 11 Date Actual 1 Date Fixed J Date Variance Budget Operating revenues: Gross patient service revenue: Inpatient revenue 7,540,139 7,970,410 (430,271) -5.4% 22,047,478 23,397,002 (1,349,524) -5.8% 23,524, % Outpatient revenue 17,436,700 16,411,276 1,025, % 46,956,921 48,175,037 (1,218,116) -2.5% 42,981, % Total patient service charges 24,976,839 24,381, , % 69,004,399 71,572,039 (2,567,640) -3.6% 66,505, % Less: Charity Care 577,173 1,147,587 (570,414) -49.7% 1,854,835 3,368,722 (1,513,887) -44.9% 1,974, % Provision for bad debt, net 957, , , % 2,856,059 1,076,772 1,779, % 2,292, % Contractual adjustments 15,363,693 15,608,831 (245,138) -1.6% 42,710,568 45,819,472 (3,108,904) -6.8% 41,834, % Net patient service revenue 8,078,449 7,258, , % 21,582,937 21,307, , % 20,404, % Capitation Revenue 0.0% 0.0% 0.0% Other Operating Revenue (15,586) 56,381 (71,967) % 207, ,506 42, % 238, % Net Assets Released from Restrict 31,886 31, % 31,886 31, % 100.0% Total operating revenues 8,094,749 7,314, , % 21,822,593 21,472, , % 20,642, % Operating expenses: Salaries and Wages 2,629,320 2,504, , % 7,222,315 7,352,168 (129,853) -1.8% 7,293, % Employee Benefits 699, ,225 (21,845) -3.0% 2,082,644 2,117,148 (34,504) -1.6% 1,879, % Non-Salary: Medical surgical supplies 463, ,225 79, % 1,232,238 1,127, , % 1,194, % Imaging supplies 7,889 (21) 7, % 37,358 (62) 37, % 100.0% Lab supplies 315, , , % 1,041, , , % 505, % Pharmaceutical 480, ,128 (44,450) -8.5% 1,144,251 1,541,505 (397,255) -25.8% 1,370, % Other medical related supplies 31,255 8,963 22, % 81,550 26,311 55, % 26, % Cardiac supplies 130, ,640 28, % 279, ,362 (19,026) -6.4% 309, % Environmental supplies 28,139 14,343 13, % 78,405 42,104 36, % 40, % linen supplies 40, , % 116,893 1, , % 1, % Dietary supplies 44,143 80,597 (36,454) -45.2% 181, ,592 (55,386) -23.4% 237, % Other general supplies 51, ,625 (87,006) -62.8% 135, ,935 (271,717) -66.8% 302, % Total Supplies Expense 1,593,498 1,425, , % 4,328,425 4,184, , % 3,989, % Purchased and contracted services 377, ,592 49, % 823, ,647 (138,531) -14.4% 951, % Repairs and maintenance 506, , , % 1,376, ,170, , % 1,200, % Purchased Labor 183, , , % 366, , , % 157, % Medical professional fees 127, , (9,335.33) -6.8% 418, , , % 423, %
2 Date.Fixed Budget I Date Variance Other non-sa/a ry expense 14, , (18,679.14) -55.7% 63, , (34,494.01) -35.0% 128, % Rental expense 34, , , % 93, , , % 71, % Utility expense 81, , (16,725.94) -17.0% 275, , (12,218.68) -4.2% 341, % Insurance expense 34, , , % 108, , , % 42, % Seminars/ meals/ travel 19, , (671.67) -3.3% 42, , (16,971.66) -28.5% 59, % Special Events % 1, , % 100.0% Marketing expense 20, , (5,596.53) -21.7% 46, , (28,958.95) -38.2% 48, % Advertising 0.0% 0.0% 0.0% Telecommunication expense 40, , , % 92, , , % 4, % Taxes and licenses expense 5, , (10,212.00) -63.6% 9, , (37,374.55) -79.3% 45, % Postage/ Mailing cost 8, , (93.67) -1.1% 38, , , % 27, % Other non-salary expense 87, , (7,326.20) -7.7% 181, , (98,032.02) -35.1% 280, % Total Non-Salary 3,135, ,702, , % 8,268, ,932, , % 7,770, % Income taxes 0.0% 0.0% 0.0% Depreciation and amortization 557, , (27,383.35) -4.7% 1,668, , 716, (47,772.64) -2.8% 1,566, % Interest Expense 75, , (4,439.60) -5.6% 225, , (8,186.80) -3.5% 235, % Sentara Corporate support services 36, , % 110, , % 100.0% Sentara Hospital support services 9, , (941.36) -8.8% 26, , (4,898.86) -15.5% 100.0% Total operating expenses 7,143, ,640, , % 19,604, ,494, , % 18,745, % Excess of operating revenues over expense_s 951, , , % 2,218, ,978, , % 1,897, %
3 Sentara Halifax Regional Hos ital CURRENT MONTH PRIOR YEAR $CHANGE, General Checking Account 34,217, ,316, ,901, Health/Dependent Care Cking Acct Payroll Checking Account (3,248.69) (24,566.84) 21, Escrow Resident Funds Escrow - Restricted Funds Petty Cash 3, , Other Cash Equivalent Investment Sinking Fund , , , Cash And Temporary Investments Total 35,027, ,640, ,386, Refund Clearing Patient Accts Cash Clearing 116, (5,001.97) 121, Returned Check Clearing Other Insurance Pt AR Hospital Patient Accts Receivable 28,149, ,013, ,135, Physician Group Pt AR DME Pt AR 189, (189,277.73) Hospice Pt AR 282, , (35,412.26) Homecare Pt AR 784, , (15, ) Allowance for Patient Bad Debt (5,117,435.10) (1,853,884.00) (3,263,551.10) Allowance-Physician Grps BO lnpt Bad Debt Writeoffs 3,639, ,518, (99,878,935.80) Outpt Bad Debt Writeoffs (103,518,801.90) 103,518, Allowance-Charity Care (3,044,687.40) (1,198,384.00) (1,846,303.40) Allowance for Contractuals (14,885,280.52) (14,968,404.43) 83, Allow Contractuals-Physician Grp Patient Receivables, Net Total 9,925, ,295, (369,869.35) Premium/Capitation Recivables Total Contributions Receivable Ace Interest-Cash Equiv lnvestmts 698, (698,377.00) Interest Receivable - lntracomp-curr Miscellaneous Receivables 1,535, , ,382, Retro Rec Medicare 48, , (686,816.94) Retro Rec VA Medicaid 32, , Other Receivables Total 1,616, ,586, , Due from Dominion Health Group-Current 26, , (28,954.63) Due from Halifax Hospital - Current Due from Halifax Woodview/HRLTC - Current 323, , , Due from Halifax Meadowview/CSC - Current 164, , (16,315.22) Due from Halifax Foundation-Current 285, , , Due from Halifax Properties-Current 23, , (1,597.60) Due from Halifax Prof Svcs-Current Due from DHMA - Current 221, , (178,671.08) Due From Southside Health Svcs - Current 8, , (2,797.17) Receivables from Affiliated Organizations Total 1,053, ,115, (61,851.83) Current Investments Total
4 Sentara Halifax Regional Hos ital CURRENT MONTH PRIOR YEAR Inventory I Stock 239, , , Med Service and Supply Inventory 316, , (216,373.83) Operating Room Inventory 741, , , Pharmaceutical Inventory 1,297, ,049, , Dietary Inventory 25, (25,091.02) Maintenance Inventory 51, (51,274.95) Inventories Total 2,595, ,611, (16,084.47) Prepaid Insurance 4, , (16,661.31) Prepaid Maintenance Agreements 882, ,107, (224,723.49) Other Prepaids 1,317, ,708, (391,229.32) Prepaid Expenses Total 2,204, ,836, (632,614.12) Other Current Assets Total Receivables from Affliated Organizations Total Notes receivable from Optima Total SHC LT Investments 49,899, ,175, (3,275,821.37) MV Change - SHC LT Investments 1,292, ,292, Long-term investments Total 51,192, ,175, (1,983,058.82) Board Designated Endowment Fund Total Sinking Fund 2007-Reserve 1,386, ,386, Trusteed Funds, Construction/Reserve Total 1,386, ,386, Land 2,576, ,576, Land Improvements 2,346, ,246, , Buildings 28,129, ,936, ,192, Fixed Equipment 785, , , Major Moveable Equipment 31,671, ,557, ,113, Minor Equipment 2, (2,300.00) Vehicles 75, , Acquisitions Clearing (870,576.58) (870,576.58) Asset Clearing Account 186, , Leasehold Imp-A Accum Depr-Land Improvements (570,232.06) (356,045.44) (214,186.62) Accum Depr-Buildings (4,425,995.19) (3,461,929.22) (964,065.97) Accum Depr-Fixed Equipment (504,019.71) (77,504.64) (426,515.07) Accum Depr-Major Mov Equip (11,361,646.56) (6,561,503.63) (4,800,142.93) Accum Depr-Minor Equipment (797.71) Accum Depr-Vehicles (20,415.07) (20,415.07) Amort Lse Imp-A C+P Halifax Integration 1,239, (1,239,991.33) CIP - Info System-Phase 2 379, , CIP - Clarksville Building Improvement
5 Sentara Halifax Regional Hos ital CURRENT MONTH PRIOR YEAR CIP - Hupps Mill Renovations CIP - Ortho Joint 18, , CIP - Laboratory Renovation 28, , CIP - Downtown Property (Canopy) CIP - 20-Bed Expansion CIP - Therapy Addition-Renovation CIP - 18-Bed Addition CIP - Therapy Addition-Renovation CIP - NBN and LO Renovation 154, , CIP - East 3 Renovation 213, , Property, Plant and Equipment, Net Total 48,812, ,673, (2,861,465.05) Land Held For Future Use At Cost Total Deferred Tax Asset Total Startup Costs Amortization of Startup Costs Long Term Promissory Notes 842, ,072, (230,378.36) Investment in Waste Management Coop 32, , Investment in VA Solutions 574, ,935, (2,360,619.00) Investment in DHG Other Misc Long Term Assets 203, , (19,864.74) Other Assets, Net Total 1,653, ,264, (2,610,862.10) Accts Payable/Trade-System Gen 109, ,302, (1,192,588.06) Accts Payable/Trade Accruals 980, , Accts Payable/Trade-SUA 962, (962,024.35) Accts Payable/Trade-Manual Adj 529, ,544, (3,014,261.93) Accts Pay-PLA/CIP-System Gen Accounts Payable Total 1,620, ,808, (4,188,140.09) Accrued Salaries-System Gen 1,006, (1,006,452.10) Accrued Vacation/PAL-System Gen ,010, (2,010,694.08) Accrued Bonuses Federal Income Tax Withheld 34, (34,940.40) FICA Withheld 83, (83, ) FICA Accrued State Income Tax Withheld 58, (58,929.79) FUTA Payable SUTA Payable 21, (21,691.39) Accrued Wages And Payroll Taxes Total ,216, (3,216,424.23) Medical Claims Payable Total o.oo Bonds Payable Current , , (89,583.33) Curr Part Pay for Capital Leases 55, , (153,035.98) Current Portion Of Long-Term Debt Total 709, , (242,619.31)
6 24101 Due to Sentara Hospitals-Current 155, , Due to Dominion Health Group-Current Due to Halifax Hospital - Current Due to Halifax Woodview/HRLTC - Current Due to Halifax Meadowview/CSC - Current Due to Halifax Foundation-Current Due to Halifax Properties - Current (14,744.42) (14,744.42) Due to S. Enterprises-Current 3, , Due to DHMA - Current Due to S. Health System-Current 22,748, ,527, ,221, Due to Behavioral Hlth Svcs-Curr 1, , Payables To Affiliated Organizations Total 22,894, ,527, ,367, Accrued Interest on Bonds , , , Accrued Interest Payable Total 525, , , Deferred Revenue 103, , Deferred Revenue Total 103, , Retro Pay Medicare FY , , Due To Third-Party Payors Total 679, , Child Support W/H 1, (1,018.32) Employee Billing Acct W/H 2, (2,611.35) LTD Physicians & Executive Deductions Flex Pre Tax Deductions 173, , , Garnishee W/H (667.52) Legal Resources Ded W/H Other Deductions (2,021.20) 2, Retirement Annuity Deductions , (239,693.04) Tax Levy W/H Health Saving Account Deductions (4,131.85) (8,777.05) 4, Vol Cr Illness W/H 6, (6,909.79) Fed Income Tax Payable-Curr 150, , State Income Tax Payable-Curr 30, , Sales Tax Payable 2, , (986.18) Reserve-Insurance Claims-Curr 819, ,394, (574,823.13) Res-Wrkmn Comp FY 94 On-Curr 233, , Accrued Medical Prof Fees 178, , Accrued Accounting Fees 9, , (7,819.46) Resident Escrow Accounts Clinical Education Payable 5, , Contributions Payable Security Deposits Payable Other Misc Current Liabilities Other Current Liabilities Total 1,600, ,693, (92,563.55) Bonds Payable LT ,631, ,002, (370,416.71) Bonds Discount Payable LT 2007 (36,162.31) (37, ) 1, LT Capital Leases Payable , (3,060.48) Long-term debt, Excluding Current Portion Total 17,595, ,967, {372,057.80)
7 C.URRENT MONTH Sentara Halifax Re ional Hos PRIOR VEAR Deferred Tax Liability Total Retirement Payable-LT 3,720, {3,720,750.61) General Reserve 4,523, ,599, ,924, Other Misc LT Accrued Exp 1,567, , , Other Long-Term Liabilities Total 6,091, ,292, (1,201,474.18) Payables To Affiliated Organizations Total o.oo Unrestricted Net Asset Balance 101, 663, ,296, ,367, Net Asset Trans to SHS from Subs {62,379.00) {62,379.00) Unrestricted Total (Add Inc and Exp Accts to Tie to Bal 101,601, ,296, ,304, Special Restricted Gifts 42, , Woodview Expansion Fund Meadowview Expansion Fund Hospice Fund Bates Scholarship Fund Project PRIME Sentara Leigh Cancer Fund Crowell Library Fund Temporarily Restricted Total 42, , Permanently Restricted Total
8 Sentara Healthcare, VA 1 Industrial Development Authority of Charlotte County, Virginia, Hospital Revenue Bonds (Halifax Regional Hospital, Inc.), Series 2007, $20,000,000, Dated: October 17, 2007 Series 2007 Hospital Services Fiscal Quarter Ended 12/31/ Admissions 2 Outpatient Visits 3 Emergency Department Visits 4 Patient Days (less nursery days) 5 Average Daily Census 6 Average Length of Stay 7 Outpatient Surgery 8 Case Mix Index - Medicare 9 FTE'S ,396 6,578 3,
9 OPERA TING AND FINANCIAL ENVIRONMENT SENT ARA HALIFAX REGIONAL HO SPIT AL SOUTH BOSTON, VIRGINIA FISCAL YEAR-TO-DATE March 31, 2016 Volume Inpatient admissions for the fiscal year were 14 or 1.4 percent unfavorable to the prior period. Profitability Net Revenue is $1,180,000 or 5.7 percent favorable to the prior period. In addition, Operating Expenses are $860,000 or 4.6 percent unfavorable for the same fiscal period. Net Income is $2,028,000 compared to $3,774,000 last year or 2.5 percent margin on Net Revenue compared to 4.9 percent last year. Questions Contact Stewart Nelson, Chief Financial Officer, at
10 Halifax Regional Hospital, Inc. Hospital Revenue Bond, Series 2007 No Default Certificate Halifax Regional Hospital (Hospital) is not in default under any provisions of the Master Trust Indenture dated as of May 1, 1991, between Central Fidelity Bank and the Hospital, as supplemented by the Fomih Supplement dated as of September 1, 2007, between The Bank of New York and the Hospital. May 18, 2016 hief Financial Officer
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