Doylestown Hospital and Doylestown Health Foundation. Calculation of the Series 2013 Bond Covenant Ratios

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2 Doylestown Hospital and Doylestown Health Foundation Calculation of the Series 2013 Bond Covenant Ratios DEBT SERVICE COVERAGE RATIO: (For period Ending September 30, 2017) (Not less than 1.35, measured quarterly, rolling four quarter basis) 9,316,580 Excess Revenue over expenses Add Back: 20,322,054 Depreciation and Amortization 4,786,678 Interest 34,425,312 Income available for debt service 34,425,312 Income available for debt service 12,289,618 M.A.D.S Debt Service Coverage Ratio DAYS CASH ON HAND: (For period Ending September 30, 2017) (Minimum of 100 days, tested annually beginng June 30, 2008) 122,950,337 Unrestricted cash and investments and board designated funds 74,321,830 Total Operating Expenses 5,176,969 Depreciation and Amortization 122,950,337 Unrestricted cash and investments and board designated funds 69,144,861 Total Operating Expenses less Depreciation and Amortization 92 Number of days in the year as of 9/30/ Days Cash on Hand RATIO OF DEBT TO CAPITALIZATION: (For Period Ending September 30, 2017) (Equal to or less than 66.6%, tested semiannually on December 31 and June 30) 163,196,721 Long Term Debt, Net of Current Portion 4,759,240 Current Portion of Long Term Debt 137,959,037 Unrestricted Net Assets 167,955,961 Long Term Debt 305,914,998 Long Term Debt plus Current Portion of Long Term Debt plus Unrestricted Net Assets 54.9% Debt to Capitalization Ratio Q:\ Bond Reporting\QUARTERLY & YEARLY FILINGS BOND COVENANTS\September 2017\Quarterly Covenant Reports September 2017 DAC.xlsxBond Covenant Ratios

3 Village Improvement Association of Doylestown and Controlled Entities CONSOLIDATING STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS September 30, 2017 Consolidated Doylestown Doylestown Health Obligated The DH The System Hospital Foundation Eliminations Group Association Physicians Eliminations Consolidated Unrestricted net assets Revenue Net patient service revenue $ 69,344,511 $ - $ - $ 69,344,511 $ - $ 6,123,173 $ - $ 75,467,684 Less: provision for bad debts (1,374,950) - - (1,374,950) - 6,493 - (1,368,457) Net patient service revenue less provision for bad debts 67,969, ,969,561-6,129,666-74,099,227 Amortization of deferred entry fees 342, , ,339 Other revenue 4,842,838 17,976 4,860,814 18,119 2,835,411 (2,647,986) 5,066,358 Gifts and bequests 63, ,826 (23,125) 181, ,706 Total revenue 73,217, ,802 (23,125) 73,354,420 18,119 8,965,077 (2,647,986) 79,689,630 Expenses Salaries and wages 30,574, ,666 30,748,573 8,611,257 39,359,830 Employee benefits 5,501,820 26,417 5,528, ,572 6,402,809 Professional fees 1,327,010-1,327,010 55,440 (69,605) 1,312,845 Supplies and other expenses 30,160, ,321 30,282,516 18,757 1,392,119 (2,578,381) 29,115,011 Depreciation and amortization 5,176, ,176,969-80,845 5,257,814 Interest 1,258, ,258, ,258,525 Total expenses 73,998, ,307-74,321,830 18,757 11,014,233 (2,647,986) 82,706,834 Operating income (loss) (780,780) (163,505) (23,125) (967,410) (638) (2,049,156) - (3,017,204) Other income and losses Investment income 233, , ,762 10, ,007 Net realized gains and losses on sale of investments Change in net unrealized losses on trading securities 1,995, ,343 2,728, ,728,924 Change in fair value of interest rate swaps 95, , ,377 Excess of (deficiency in) revenue and other income over expenses and other losses 1,543, ,252 (23,125) 2,281,653 9,607 (2,049,156) - 242,104 Other changes in unrestricted net assets Changes in net unrealized gains and losses on other-than-trading securities 15,544 (29) 15, ,515 Net assets released from restrictions - 31,865 31, ,865 Gifts to Doylestown Hospital/outside organizations - (24,625) 23,125 (1,500) (268,990) (270,490) Other changes in accrued retirement benefits 1,041, ,041, ,041,410 Net transfers (to) from Doylestown Health Foundation 7,241 (8,091) - (850) (850) Increase (decrease) in unrestricted net assets 2,607, ,372-3,368,093 (259,383) (2,049,156) - 1,059,554 Temporarily restricted net assets Restricted contributions - 6,359,415 6,359, ,359,415 Investment income 3,163 3, ,163 Change in net unrealized gains and losses on investments - - Change in fair value of charitable gift annuities 4,794 4, ,794 Net assets released from restrictions - (32,970) (32,970) (32,970) Change in beneficial interest in net assets of Doylestown Health Foundation 6,334,402 - (6,334,402) Increase (decrease) in temporarily restricted net assets 6,334,402 6,334,402 (6,334,402) 6,334, ,334,402 Permanently restricted net assets Increase in beneficial interests in perpetual trusts 234, ,097 (234,097) 234, ,097 Increase (decrease) in net assets 9,176,220 7,328,871 (6,568,499) 9,936,592 (259,383) (2,049,156) - 7,628,053 Net assets, beginning of year 124,373,180 43,196,634 (16,489,436) 151,080,378 1,417,274 (8,649,982) - 143,847,670 Net assets, end of year $ 133,549,400 $ 50,525,505 $ (23,057,935) $ 161,016,970 $ 1,157,891 $ (10,699,138) $ - $ 151,475,723

4 Village Improvement Association of Doylestown and Controlled Entities Consolidating Balance Sheet September 30, 2017 Doylestown Doylestown Health Obligated The DH The System Hospital Foundation Eliminations Group Association Physicians Eliminations Consolidated (Incl Pine Run ) Current assets: Cash and cash equivalents $ 17,088,483 $ 492,458 $ 17,580,941 $ 296,705 ########## $ - $ 1,975,945 Patient accounts receivable, net 35,639,569 35,639,569 2,711,468 38,351,037 Due from affiliated entities and unconsolidated joint v 409, ,326 1,619,985 (1,895,870) 133,441 Inventories 6,976,582 6,976,582-6,976,582 Other current assets 7,853, ,378 8,424,736-6,877 8,431,613 Total current assets 67,967,318 1,063,836-69,031, ,705 (11,266,666) (1,895,870) 55,868,618 Assest limited as to use: Internally designated: By Board of Directors 78,780,095 78,780,095 78,780,095 By Board of Directors - for donor purposes 5,129,856 5,129,856 5,129,856 Externally designated 35,039,546 35,039,546 35,039, ,819,641 5,129, ,949, ,949,497 Investments 26,589,301 26,589, ,054 26,589,301 Investment in net assets of Doylestown Health Foundation 23,057,935 (23,057,935) Property, plant and equipment, net 203,244,997 14, ,259, ,925 2,172, ,431,951 Other assets 7,549,660 6,534,912 14,084,572 16,250 14,100,822 Due from affiliated entities 10,133 (10,133) Beneficial interest in perpetual trusts 11,702,018 11,702,018 11,702,018 Total assets $ 415,649,684 $ 51,034,580 $ (23,068,068) $ 443,616,196 $ 1,159,684 $ (9,078,119) $ (1,895,870) $ 432,642,207 Current liabilities: Current portion of long term debt $ 4,759,240 $ 4,759,240 $ 4,759,240 Current portion of insurance claims liabilities 3,923,720 3,923,720 3,923,720 Accounts payable 25,617,207 94,482 25,711,689 1, ,308 26,284,997 Accrued salaries and payroll taxes 3,923, ,923, ,253 4,593,831 Accrued vacation payable 7,780,560 7,780, ,458 8,158,018 Other liabilities 7,810,976-7,810, ,810,976 Estimated settlements to third-party payors Deferred entry fee deposits 483, , ,700 Due to affiliated entities 1,607, ,238 (10,133) 1,895,870 - (1,895,870) - Total current liabilities 55,906, ,720 (10,133) 56,289,333 1,795 1,621,019 (1,895,870) 56,014,482 Long term debt, net of current portion 163,196, ,196, ,196,721 Interest Rate Swap 11,637,057 11,637,057 11,637,057 Insurance claims liabilities, net of current portion 6,714,776 6,714,776 6,714,776 Accrued pension 26,198,537 26,198,537 26,198,537 Other liabilities 4,725, ,353 4,841,618 4,841,618 Deferred entry fees 13,721,182 13,721,182 13,721,182 Total liabilities 282,100, ,073 (10,133) 282,599,224 1,795 1,621, ,324,373 Net assets: Unrestricted 110,491,465 27,467, ,959,037 1,157,889 (10,699,138) 127,259,899 Temporarily restricted - 11,355,888 11,355,888 11,355,888 Temporarily restricted, held by Foundation 11,355,888 - (11,355,888) Permanently restricted - 11,702,047 11,702, ,702,047 Permanently restricted, held by Foundation 11,702,047 (11,702,047) Total net assets 133,549,400 50,525,507 (23,057,935) 161,016,972 1,157,889 (10,699,138) - 150,317,834 Total liabilities and net assets $ 415,649,684 $ 51,034,580 $ (23,068,068) $ 443,616,196 $ 1,159,684 $ (9,078,119) $ (1,895,870) $ 432,642,

5 DOYLESTOWN HOSPITAL RATIO OF DAYS CASH ON HAND For period ending September 30, 2017 Hospital & PR Foundation Total Unrestricted cash and investments 17,088, ,458 17,580,941 Short-term Investments 26,589,301 26,589,301 Board designated funds 78,780,095 78,780,095 Unrestricted cash and investments and board designated funds 95,868,578 27,081, ,950,337 Total Operating Expenses 73,998, ,307 74,321,830 Depreciation and Amortization 5,176, ,176,969 Unrestricted cash and investments and board designated funds 95,868,578 27,081, ,950,337 Total Operating Expenses less Depreciation and Amortization 68,822, ,404 69,144,861 Number of days in the year 92 Days Cash on Hand Q:\ Bond Reporting\QUARTERLY & YEARLY FILINGS BOND COVENANTS\September 2017\Quarterly Covenant Reports September 2017 DAC.xlsxDays Cash

6 DOYLESTOWN HOSPITAL RATIO OF DEBT TO CAPITALIZATION For period ending September 30, 2017 Hospital & PR Foundation Total 163,196, ,196,721 Long Term Debt,incl. Capital Leases (Net of Current Portion) 4,759,240 4,759,240 Current Portion of Long Term Debt incl. Capital Leases 110,491,465 27,467, ,959,037 Unrestricted Net Assets 167,955,961 Long Term Debt 305,914,998 Long Term Debt plus Current Portion of Long Term Debt plus Unrestricted Net Assets 54.9% Debt to Cap Ratio Q:\ Bond Reporting\QUARTERLY & YEARLY FILINGS BOND COVENANTS\September 2017\Quarterly Covenant Reports September 2017 DAC.xlsxDebt to Cap

7 Quarterly Covenant Reports September 2017 DAC.xlsxDSCR Obl. Grp Hospital FY17 Audited Statements & Foundation FY17 Audited Statements Minus: July - September 2016 (FY2017) Internal Equals: Adjusted Unaudited Statements Plus: July - September 2017 (FY2018) Internal Equals: Rolling 12 Mos. Hospital & Hospital & Hospital & Hospital & Hospital & Pine Run Foundation Total Pine Run Foundation Total Pine Run Foundation Total Pine Run Foundation Eliminations Total Pine Run Foundation Eliminations Total Net patient service revenue 271,754, ,754,856 63,127, ,127, ,627, ,627,802 67,969, ,969, ,597, ,597,363 Amortization of deferred entry fees 1,320,519 1,320, , ,246 1,139,273 1,139, , ,339 1,481,612 1,481,612 Other operating revenues 23,756, ,798 24,019,347 5,202,670 11,925 5,214,595 18,553, ,873 18,804,752 4,842,838 17,976 4,860,814 23,396, ,849 23,665,566 Bequest 630, ,458 (476,665) 982,925 52, ,785 (11,816) 302, , ,673 (464,849) 1,144,916 63, ,826 (23,125) 181, , ,499 (487,974) 861,773 Total operating revenue 297,462,056 1,092,256 (476,665) 298,077,647 68,563, ,710 (11,816) 68,825, ,898, ,546 (464,849) 229,716,743 73,217, ,802 (23,125) 73,354, ,115, ,348 (487,974) 302,606,314 Expenses: Salaries and Wages 119,164, , ,821,559 28,314, ,282 28,443,793 90,850, ,370 91,377,766 30,574, ,666 30,748, ,425, , ,126,339 Employee benefits 21,687,033 84,788 21,771,821 5,620,129 18,749 5,638,878 16,066,904 66,039 16,132,943 5,501,820 26,417 5,528,237 21,568,724 92,456 21,661,180 Professional Fees 5,455, ,455,214 1,426, ,426,046 4,029, ,029,168 1,327, ,327,010 5,356, ,356,178 Supplies and other expenses 119,207, , ,669,999 27,556, ,198 27,662,085 91,650, ,228 92,007,914 30,160, ,321 30,282, ,810, , ,290,430 Depreciation and amortization 20,025,129 5,978 20,031,107 4,884,429 1,593 4,886,022 15,140,700 4,385 15,145,085 5,176, ,176,969 20,316,766 5,288 20,322,054 Loss on extinguishment of debt 2,408, ,408, ,408,412 2,408,412 Interest 4,912, ,912,045 1,383, ,383,892 3,528, ,528,153 1,258, ,258,525 4,786, ,786,678 Total expenses 292,860,313 1,209, ,661,745 69,185, , ,440, ,674, , ,221,029 73,998, , ,321, ,672,942 1,278, ,951,271 Operating income 4,601,743 (117,588) (476,665) 6,415,902 (622,035) 18,888 (11,816) (614,963) 5,223,778 (136,476) 7,495,714 (780,780) (163,505) (23,125) (967,410) 4,442,998 (299,981) (487,974) 3,655,043 Other income: Net gains/losses on sale of investments 1,441, ,768 2,412, ,441, ,768 2,412, ,441, ,768 2,412,376 Investment income 2,020,961 1,116,794 3,137, , , ,356 1,859, ,472 2,824, , , ,762 2,093,275 1,155,886 3,249,161 Total other operating revenue 3,462,569 2,087,562-5,550, , , ,356 3,301,535 1,935, ,236, , , ,762 3,534,883 2,126, ,661,537 Excess of revenues over expenses 8,064,312 1,969,974 (476,665) 11,966,033 (461,001) 171,210 (11,816) (301,607) 8,525,313 1,798, ,732,489 (547,432) 27,909 (23,125) (542,648) 7,977,881 1,826,673 (487,974) 9,316,580 Add back: Depreciation 20,031,107 20,322,054 Add back: Interest 4,912,045 4,786,678 Income available for debt service 36,909,185 34,425,312 MADS 10,453,372 12,289,618 Debt Service Coverage Ratio (1.35 Minimum)

8 AGGREGATE DEBT SERVICE DOYLESTOWN HOSPITAL 2016 Series A, B & C Revenue Bonds *FINAL* Period Ending 2016 Series A (Tax-Exempt) 2016 Series B (Tax-Exempt) 2016 Series C (Federally Taxable) Series 2013A Series 20 I 3B Co-Gen Loan Aggregate Debt Service 07/01/2017 1,858, ,812, ,322, ,329,750 1,405, , ,125, /01/2018 2,813, ,626, ,195, ,329,750 1,879, , ,373, /01/2019 2,813, ,626, ,198, ,329,750 1,879, , ,376, /01/2020 2,805, ,638, ,204, ,329,750 1,884, , ,390, /01/2021 2,813, ,642, ,202, ,329,750 1,879, , ,396, /01/2022 2,555, ,911, ,619, ,844,750 2,579, , ,039, /01/2023 2,554, ,239,000 4,967, , ,289, /01/2024 2,554, ,182,250 3,717, , ,983, /01/2025 2,553, ,186,000 3,779, , ,959, /01/2026 2,551, ,189,500 3,844, ,585, /01/2027 2,554, ,192,250 3,796, ,542, /01/ ,198, ,619, /01/ ,250 5,129, ,590, /01/2030 2,552, ,123, ,676, /01/2031 2,547, ,159, ,706, /01/2032 2,552, ,190, ,743, /01/2033 2,555, ,209, ,764, /01/2034 2,552, ,323, ,876, /01/2035 2,555, ,328, ,884, /01/2036 2,552, ,328, ,880, /01/2037 2,554, ,317, ,871, /01/2038 6,553, ,553, /01/2039 6,547, ,547, /01/2040 6,550, ,550, /01/2041 6,552, ,552, /01/2042 6,553, ,553, /01/2043 6,551, ,551, /01/2044 6,547, ,547, /01/2045 6,554, ,554, /01/2046 6,552, ,552, ,918, ,257, ,742, ,589,500 90,591, ,536, ,636, Note Gross debt service only, does not reflect capitalized interest Sep 22, :03 pm Prepared by PNC Capital Markets LLC

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