Re : CITY OF TORRANCE TMMC REVENUE NOTES SERIES 2016A & 20168

Transcription

1 TORRANCE MEMORIAL MEDICAL CENTER Annual Disclosure Report Per Continuing Disclosure Agreement FY 2016 Re : CITY OF TORRANCE TMMC REVENUE NOTES SERIES 2016A & 20168

2 BOARD OF TRUSTEES -TMMC & TMHS Effective December 15, 2016 Board Members Greg Geiger, Chairman Vinh Cam, MD, Vice Chairman William Collier, Esq., Treasurer Kristine Douglas Amir Kaviani, MD Sherry Kramer, Secretary Charlotte Lesser Susan Liebson Richard Lucy Thomas Simko, MD Mark Lurie, MD, Ex-Officio Member

3 B Annual Capital Expenditure Budget ($ in OOO's) Annual Capital Expenditure Budget 29,568 30,390 Annua1Filing2016A&BNotes.xls

4 C.1 Number of Physicians on the Medical Staff 1,046 C.2 Number of Physicians on Staff Board Certified 930 C.3 Top 10 Admitting Physicians Inpatient Inpatient Last Name Specialty Age Admission Discharges Fanous, MD, Vadim V Internal Medicine % Boontung, MD, Sittiporn Pulmonary % Jensen, MD, Steven C Pediatrics % Tong, MD, Anhtuan Internal Medicine % Ramos, MD, Valente C Internal Medicine % Nguyen, MD, Kim Mai T Internal Medicine % Criley, MD, Jasminka M Internal Medicine % Kim, MD, Chong U Internal Medicine % Tehrani, MD, Taraneh Internal Medicine % Miller, MD, Katherine V Internal Medicine % % Total number of discharges: 29,345 AnnualFiling2016A&BNotes.xls

5 Other Data D.1 The Estimate number of FTE's 3,076 D.2 The Estimated number of FT/PT RN's/LPN's Full-time Part-time RN LPN FTE'S E Percentage admissions pursuant to managed care contracts 71.0% F G Licensed Beds Available and in use beds Medical/Surgical ICU CICU BURN 7T CCU OVERFLOW PEDIATRICS OB NICU-5TH FLR NICU-TRQNSITION NICU-3RD FLR TCU An nualfiling2016a&bnotes.xls

6 Historic Utilization The Corporation's utilization statistics for its three fiscal years ended 2016 and for the fiscal quarters ended December 31, 2016 and December 31, 2015 are presented below. Historic Utilization Inpatient Statistics: Licensed beds Beds in use Discharges Patient Days Inpatient surgeries Newborn discharges Average length of stay (acute days) Percent occupancy (beds in use) Outpatient Statistics: ill ,331 25,238 23, , ,273 97,210 6,891 6,979 6,409 3,014 3,126 3, % 74% 73% Fiscal Quarter Ended December 31, 2016 ~ ,803 6,353 28,546 26,834 1,697 1, % 72% Emergency visits Outpatient visits Outpatient surgeries 81,783 77,618 70, , , ,234 9,544 9,825 10,787 20,512 83,350 2,353 19,476 76,440 2,516 Excludes newborns. Source: Corporation HistorUtiliz2016AC.xlsx

7 Other Data Source of Net Patient Service Revenue Medicare 24.0% Medical 2.0% Managed Care 71.0% Other/Self Pay 3.0% AnnualFiling2016A&BNotes.xls

8 J Liquidity Data-Cash and Investments ($ in OOO's) 2016 Cash and Cash Equivalents Board Designated Investments Subtotal:Unrestricted Cash and Investments Trustee Held Funds for: Project Funds Endowment Funds Managed Care and Endowment Subtotal : Trustee-Held Funds 35, , ,910 22,019 5,957 75, ,853 Total Cash and Investments 328,763 AnnualFiling2016A&BNotes.xls

9 K Unrestricted Cash and Investments to Daily Operating Expense ($ in OOO's) 2016 Unrestricted Cash and Investments 224,910 Total Expenses Less: Depreciation and Amortization Subtotal Days Cash on Hand 613,065 (48,187) 564, Annua1Filing2016A&BNotes.xls

10 L Unrestricted Cash and Investments to Long-Term Debt ($000's) 2016 Unrestricted Cash and Investments Long-Term Debt Unrestricted Cash and Investments to Long-Term Debt Ratio 224, ,240 76% AnnualFiling2016A&BNotes.xls

11 M Long-Term Debt to Total Capitalization ($ in OOO's) 2016 Long-Term Debt Unrestricted Net Assets Total Capitalization Long-Term Debt to Capitalization Ratio 297, , ,412 38% Annua1Filing2016A&BNotes.xls

12 N Income Available for Debt Service to Actual Debt Service ($ in OOO's) 2016 Excess Revenues Over Expenses Add:Depreciation and Amortization Add: Interest Expense $ 14,915 48,187 10,439 Amount Available for Debt Service $ 73,541 Annual Debt Service on Long-Term Debt: 2001 and 2010 Bond Debt Payments Interest Expense Interest Expense Capitalized 4,405 10, $ 15,293 Annual Debt Service Coverage Ratio 4.81 AnnualFiling2016A&BNotes.xls

13 0 Additional Long Term Indebtedness ($ in OOO's) December 31, 2016 City of Torrance Revenue Notes, Series2016B $30,000,000 AnnualFiling2016A&BNotes.xls