Balance Sheet Benefis Health System For month Ended September

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Eileen Tate
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Montana Facility Finance Authority Hospital Revenue Series 2007 Bonds - $125 Million Benefis Health System Continuing Disclosure Quarterly Report (Quarter ended 9/30/2009) The accompanying unaudited

1 Montana Facility Finance Authority Hospital Revenue Series 2007 Bonds - $125 Million Benefis Health System Continuing Disclosure Quarterly Report (Quarter ended 9/30/2009) The accompanying unaudited balance sheet and statements of operations present the estimated financial position and results of operations of Benefis Health System for the period ended September 30, These financial statements are based on management s estimates and available information, are not audited, and omit cash flows and all of the footnote disclosures that otherwise would be required by accounting principles generally accepted in the United States of America. If the omitted cash flows and footnote disclosures were included in the financial statements, they might influence the user s conclusions about Benefis Health System s financial position and results of operations. Accordingly, these financial statements are not intended to be a complete presentation of Benefis Health System s overall financial statements and condition. Actual results for the period ended December 31, 2009, may differ from those presented in the accompanying estimates, and are not necessarily indicative of the results that will be obtained by Benefis Health System for the period ending December 31, 2009, or for any future period.

2 Balance Sheet Benefis Health System For month Ended September (Unaudited) Page 1 of 2 10/11/2009 3:55:56PM Sep 09 Act Dec 08 Act CURRENT ASSETS Cash and Cash Equivalents 16,388,758 8,925,252 Net Patient Accounts Receivable 43,486,679 39,664,709 LESS: ALLOWANCE FOR BAD DEBTS (12,737,681) (8,812,910) Affiliate Receivable 300,322 43,328 Other Receivables 4,799,072 6,961,443 Supplies Inventory 7,242,964 6,832,327 Other Current Assets 4,623,691 2,781,046 CURRENT ASSETS 64,103,805 56,395,195 ASSETS WHICH USE IS LIMITED Board Designated Cash and Investments 60,922,784 56,238,062 Funds Held by Trustees 12,211,855 31,304,346 Restricted Cash and Investments 5,597,654 3,013,696 ASSETS WHICH USE IS LIMITED 78,732,293 90,556,104 PROPERTY, PLANT, AND EQUIPMENT Gross Property, Plant and Equipment 409,869, ,534,419 LESS: ACCUMULATED DEPRECIATION (180,556,131) (170,747,960) PROPERTY, PLANT, AND EQUIPMENT 229,313, ,786,459 OTHER ASSETS Unamortized Financing Costs 3,165,903 3,319,195 Interaffiliate Notes Receivable 0 8,512 Other Assets 24,205,703 21,921,518 OTHER ASSETS 27,371,606 25,249,225 TOTAL ASSETS 399,521, ,986,983

4 MONTH-TO-DATE Detail Statement of Operations Benefis Health System Sep 09 Act (Unaudited) YEAR-TO-DATE Page 1 of 1 10/11/2009 4:01:49PM Sep 09 Act Sep 09 Bud % Var Act2009 Bud09 %Var Act2008 %Var Gross Service Revenues 21,425,245 23,640,412 (9.37)% Acute Care - Inpatient 202,158, ,547,584 (5.33)% 182,241, % 11,682,718 11,619, % Acute Care - Outpatient 102,614, ,961,675 (2.24)% 85,142, % 1,158,220 1,099, % Long Term Care 10,685,166 9,934, % 8,555, % 641, , % Home Care and Hospice 5,534,178 4,301, % 3,965, % 34,907,795 36,836,008 (5.23)% Total Gross Service Revenues 320,992, ,745,441 (3.53)% 279,905, % Revenue Deductions (1,392,436) (1,184,792) % Charity Care (11,484,193) (10,702,413) 7.30 % (8,214,122) % (11,571,264) (12,400,453) (6.69)% Medicare and Medicaid (107,403,649) (112,015,255) (4.12)% (91,130,624) % (2,544,662) (2,819,944) (9.76)% Negotiated Contracts (24,801,728) (25,472,999) (2.64)% (19,542,679) % 620,029 (213,628) (390.24)% Other (1,616,054) (1,929,738) (16.26)% (1,155,670) % % Allocated Deductions % % (14,888,333) (16,618,817) (10.41)% Total Revenue Deductions (145,305,624) (150,120,405) (3.21)% (120,043,095) % 20,019,462 20,217,191 (0.98)% Total Net Patient Revenue 175,686, ,625,036 (3.80)% 159,862, % 136, , % Rental and Education Revenue 1,220,422 1,043, % 1,152, % 531, ,547 (15.82)% Other Revenue 3,841,217 5,493,883 (30.08)% 2,989, % 668, ,110 (10.54)% Total Other Operating Revenue 5,061,639 6,537,772 (22.58)% 4,141, % 20,687,803 20,964,301 (1.32) % Total Net Service Revenue 180,748, ,162,808 (4.45)% 164,003, % Operating Expenses 6,904,124 7,354,302 (6.12)% Salaries and Wages 63,372,486 66,432,515 (4.61)% 63,171, % 1,877,223 1,745, % Employee Benefits 15,593,015 15,766,419 (1.10)% 14,496, % 1,463,174 1,347, % Professional Fees 12,636,741 11,827, % 8,604, % 3,830,899 3,670, % Supplies 32,426,513 35,134,334 (7.71)% 31,987, % 1,258,223 1,219, % Purchased Services 11,913,993 11,499, % 10,282, % 1,224,662 1,623,037 (24.55)% Depreciation 11,073,616 12,276,199 (9.80)% 10,937, % 227, ,825 (56.74)% Interest and Amortization 1,924,325 2,355,108 (18.29)% 2,103,738 (8.53)% 914, , % Bad Debts 7,880,122 7,870, % 5,862, % 1,549,495 2,003,277 (22.65)% Other Expenses 11,866,033 17,290,339 (31.37)% 11,135, % % Indirect Allocated Expenses % % 19,249,566 20,362,012 (5.46) % Total Total Operating Expense 168,686, ,452,809 (6.52)% 158,581, % 1,438, , % Total Operating Revenue and Expenses 12,061,222 8,709, % 5,422, % 186, , % Total Non Operating Gain (Loss) (296,847) 1,737,456 (117.09)% 407,594 (172.83) % 1,624, , % Net Income(Loss) 11,764,375 10,447, % 5,829, % 1,655, , % Total Other Activity Unrestricted 7,618,362 2,866, % (5,005,143) (252.21) % 3,280,393 1,080, % Increase(Decrease) in UR Net Assets 19,382,737 13,314, % 824, %

5 BENEFIS HEALTH SYSTEM HOSPITAL REVENUE BONDS, SERIES 2007 LIQUIDITY RATIO YTD SEPTEMBER 30, 2009 (Unaudited) CASH $ 16,388,758 BOARD DESIGNATED CASH $ 60,922,784 $ 77,311,542 TOTAL OPERATING EXPENSES $ 168,686,844 DEPRECIATION $ (11,073,616) $ 157,613,228 DAYS THROUGH SEPTEMBER 30, DAYS CASH $ 577,338 DAYS CASH ON HAND

6 BENEFIS HEALTH SYSTEM UTILIZATION DATA 3RD QUARTER 2009 Quarter Ended Year to Date Sept 30, Sept 30, Staffed Beds (end of period)¹ Adult Medical/Surgical/ICU/CCU Obstetrics Newborns - Cribs & Bassinets Pediatrics NICU Hospice Hospital Total Skilled Nursing TCU BECC Total Grand Total ¹ Use Bed Count as of (2) for 2008 and for Admissions Adult Medical/Surgical/ICU/CCU 2,567 2,566 8,025 7,968 Obstetrics ,181 1,211 Newborns Pediatrics NICU Hospital Total 3,530 3,505 10,768 10,798 Skilled Nursing TCU BECC Total Grand Total 3,657 3,644 11,205 11,175 =Patient Days Admissions Average Length of Stay (days) Adult Medical/Surgical/ICU/CCU Obstetrics Newborns Pediatrics NICU Hospital Total Skilled Nursing TCU BECC Total Grand Total

7 BENEFIS HEALTH SYSTEM UTILIZATION DATA 3RD QUARTER 2009 Quarter Ended Sept 30, Year to Date Sept 30, =(Patient Days # of Days)/Available Acute Beds Occupancy (Staffed Beds) Adult Medical/Surgical/ICU/CCU 57% 55% 60% 59% Obstetrics 37% 34% 34% 37% Newborns 28% 27% 26% 28% Pediatrics 26% 32% 36% 40% NICU 46% 47% 55% 65% Hospital Total 50% 48% 52% 52% Skilled Nursing 96% 86% 95% 89% TCU 67% 85% 67% 74% BECC Total 89% 86% 88% 87% Grand Total 61% 59% 63% 62% Patient Days Adult Medical/Surgical/ICU/CCU 13,448 13,090 41,991 41,331 Obstetrics ,724 2,918 Newborns ,671 1,833 Pediatrics ,380 1,549 NICU ,005 3,536 Hospital Total 16,235 15,853 50,771 51,167 Skilled Nursing 9,633 9,769 28,149 30,206 TCU 2,285 1,721 6,764 4,473 BECC Total 11,918 11,490 34,913 34,679 Grand Total 28,153 27,343 85,684 85,846 Surgical Procedures Inpatient ,544 2,647 Outpatient 1,243 1,148 3,737 3,602 Endoscopy 1,660 1,500 4,804 4,702 Total 3,756 3,543 11,085 10,951 Laboratory Tests 159, , , ,496 Radiology Examinations 23,690 22,105 69,919 67,738 Emergency Visits 9,814 8,686 29,499 29,020 Physical Therapy Procedures 12,811 13,505 42,312 43,001 Cardiology Tests 2,468 2,486 7,062 7,275 FTE Employees* 1,680 1,761 1,677 1,747 *average number for period reported (SOURCE: Acctg)

8 BENEFIS HEALTH SYSTEM PAYOR MIX 3RD QUARTER rd YTD Year Ended Qtr Sept 30 Dec 31, Dec 31, Payor Medicare 49.1% 49.6% 50.1% 49.9% Blue Cross 11.6% 11.2% 12.4% 12.1% Commercial 22.4% 21.8% 21.5% 21.6% Medicaid 11.5% 12.2% 11.6% 12.1% Self Pay 5.1% 4.9% 4.3% 4.2% Other 0.2% 0.2% 0.1% 0.1% TOTAL 100.0% 100.0% 100.0% 100.0%

Financial Operating Summary for the Quarter Ending Sept. 30, 2017

Financial Operating Summary for the Quarter Ending Sept. 30, 2017 Summary of the financial operations for the quarter ending September 30, 2017 reported an overall operating loss of $3,099,930. This decrease