Summary of Financial Opera2ons. Fiscal Year 2015 Period 8 7/1/2014 to 2/28/2015
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1 Summary of Financial Opera2ons Fiscal Year 2015 Period 8 7/1/2014 to 2/28/2015 Date Issue: March 18, 2015
2 2
3 Volume: Volumes were consistent with budget, with a 3% increase over prior year for the same 2me frame. Surgeries is 4% less than budget but less than 1% from prior year. Higher Medicare mix con2nues through February. Opera-ng Margin. Opera2ng margin for the year is $4.1 million behind budget due to delay in $5 million IGT payment. The payment is expected in March Expenses con2nue to remain favorable compared to budget, as indicated by the posi2ve $9.1 million variance. Net Days in AR. In February, receivables increased by $1.6 million from January, and net days in A/R increased to 53.7 due to system problems that have been corrected. 3
4 4
5 ECH Opera-ng Margin (1) Run rate is booked opera-ng income adjusted for material non- recurring transac-ons (2) Run rate exclusions of cost report settlements, EPIC expenses, and pay for performance bonuses 5
6 6
7 Summary of Financial Results $ in Thousands Actual to Budget Variance for hospital affiliates primarily due to lower operating expenses and unrealized gain. 7
8 Worked Hours per Adjusted Pa-ent Day: Favorable to Budget 8
9 Year to date Labor Variance: $3,815,000 Favorable to Fixed Budget 5,000,000 4,000,000 3,000,000 2,000,000 1,000, ,000,000 All other wages $98,866 RN variance - $2,437,413 Sitters/Therapists variance ($508,720) (53%) Social Security-$1,029,467 Health insurance $654,588 All other benefits $2,129,489 - Incentive ($2,026,237) - not budgeted -2,000,000-3,000,000 * Positive number = Favorable to budget 9
10 Revenue per CMI adjusted discharge was lower than budget while expense per CMI adjusted discharge is favorable. 10
11 ECH Volume Sta-s-cs (1) (2) Excludes normal newborns, includes discharges from L&D 11
12 El Camino Hospital Volume Trends Prior and Current Fiscal Years 12
13 El Camino Hospital Financial Metrics Trend (1) P r o f I t _ L o ss Opera-ng EBITDA lower than FYE 2014 B A L _ S H E E T Represents cash of $657 million 13
14 APPENDIX 14
15 Supply Cost per CMI Adjusted Discharges (1) YTD: 1.0% over budget Mountain View YTD: 5.3% over budget Los Gatos 11 15
16 Mountain View LOS & CMI Trend (1) Medicare: Due to DRG reimbursement, financial results usually improve with decreased LOS and increased CMI Non- Medicare: Reimbursement varies; financial results usually improve when both LOS & CMI increase All data excludes normal newborns (MS-DRG=795), Medicare data excludes Medicare HMOs and PPOs 16
17 Los Gatos LOS & CMI Trend (1) Medicare: Due to DRG reimbursement, financial results usually improve with decreased LOS and increased CMI Non- Medicare: Reimbursement varies; financial results usually improve when both LOS & CMI increase All data excludes normal newborns (MS-DRG=795), Medicare data excludes Medicare HMOs and PPOs 17
18 El Camino Hospital (1) Results from Opera2ons vs. Prior Year 8 months ending 2/28/
19 El Camino Hospital Mountain View Results from Opera2ons vs. Prior Year 8 months ending 2/28/2015 (1) 19
20 El Camino Hospital Los Gatos Results from Opera2ons vs. Prior Year 8 months ending 2/28/2015 1(1) 20
21 El Camino Hospital Results from Opera2ons vs. Budget 8 months ending 2/28/2015 (1) 1 21
22 El Camino Hospital Mountain View Results from Opera2ons vs. Budget 8 months ending 2/28/2015 (1) 22
23 El Camino Hospital Los Gatos Results from Opera2ons vs. Budget 8 months ending 2/28/2015 (1) 23
24 El Camino Hospital Balance Sheet ($ Thousands) (1) 1 24
25 El Camino Hospital Capital Spending (in millions) Category Detail Total Authorized Total Spent YTD Capitalized YTD CIP Balance CIP EPIC Installation Facility Improvement Slot Build- out (06/13) LG Upgrades (06/14) Behavioral Health Bldg (06/14) NPCR3 Seismic Upgrades (04/13) Oak Pavilion Cancer Ctr TI (06/14) Women's Hospital L&D Exp (05/12) LG Spine OR (02/15) LG Imaging Masterplan (06/13) Integrated MOB (09/14) New Main Hospital Upgrades (01/12) Multi Use/Specialty Building (04/08) North Drive Parking Expansion (08/14) All Other IT Hardware, Software, Equipment* Medical & Non Medical Equipment *Excluding EPIC GRAND TOTAL This page has minor corrections to the version presented at the Finance Committee 25
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