11/10/2014 4:24 PM. CHS September 2014 Financial Stmts for Obligated Group.xls
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1 Balance Sheet - As of September 30, 2014 (000s) September August Audit % Change Audit September ASSETS Current Assets: 1 Cash and Investments... $ 263,280 $ 254,532 $ 253, % $ 218,172 2 A/R less Contractual Allowances , , , % 111,179 3 Third Party/Other Receivables... 9,664 9,713 12, % 7,131 4 Inventory... 20,719 21,307 19, % 13,801 5 Other Current Assets... 11,239 11,387 10, % 11,889 6 Total Current Assets , , , % 362,172 7 Property, Plant & Equipment , , , % 388,679 8 Less: Accumulated Depreciation... (217,340) (213,942) (190,574) -14.0% (181,144) 9 Construction in Progress... 19,923 26,239 5, % 27, Property, Plant & Equipment, Net , , , % 235,036 Other Assets: 11 Assets whose use is Limited... 13,010 13,008 17, % 27, Investments Other Assets... 73,776 74,613 75, % 64, TOTAL ASSETS... $ 829,344 $ 774,685 $ 744, % $ 688,794 LIABILITIES AND NET ASSETS Current Liabilities: 15 Current Maturity./LT D & Capital Leases... $ 13,348 $ 13,457 $ 12, % $ 11, LT Obligations Subject to ST Remarketing Arrangement , Notes Payable... 9,662 10,831 10, % 8, Accounts Payable... 49,228 47,150 43, % 44, Accrued Expenses/Liabilities... 63,620 59,025 58, % 55, Due to Third-Party Payors... 37,390 37,202 34, % 38, Other Current Liabilities % Total Current Liabilities , , , % 227, Capital Leases, net... 67,782 21,181 19, % 23, Long-Term Debt less Current Maturity... 84,195 84,684 88, % 23, Other Long Term Liabilities , , , % 406, Net Assets , , , % 7, TOTAL LIABILITIES & NET ASSETS... $ 829,344 $ 774,685 $ 744, % $ 688,794 CHS September 2014 Financial Stmts for.xls
2 Statement of Operations - September 2014 YTD (000s) Monthly Year-to-Date Current Budget % Change Prior Current Budget % Change Prior REVENUES $ 73,743 $ 73, % $ 70,290 1 Patient Service Revenue (Net Contractuals) $ 657,548 $ 655, % $ 639,079 (1,156) (1,807) 36.0% (1,890) 2 Provision For Bad Debt (16,649) (16,500) -0.9% (15,458) 72,587 71, % 68,400 3 Net Patient Revenue Less Bad Debt 640, , % 623,621 1,333 1, % 1,244 4 Plus: Other Operating Revenues... 11,261 10, % 12,268 73,920 72, % 69,644 5 TOTAL OPERATING REVENUES , , % 635,889 EXPENSES 30,710 30, % 29,962 6 Salaries and Wages , , % 270,343 9,910 10, % 10,705 7 Employee Benefits... 89,276 93, % 95,749 2,510 2, % 2,382 8 Medical and Professional Fees... 22,831 23, % 24,534 6,603 6, % 5,627 9 Purchased Services... 54,005 53, % 51,894 14,648 14, % 14, Supplies , , % 124,361 3,656 3, % 2, Depreciation... 29,071 29,069 24, % Interest Expense... 5,810 6, % 4, % Insurance Expense... 5,632 5, % 5,528 2,691 2, % 2, Other Expenses... 22,218 22, % 22, % - 15 CHS Allocation.. 25 (11) 327.3% (1) Loss From Discontinued Operations ,954 70, % 69, TOTAL OPERATING EXPENSES , , % 624,070 1,966 2, % (216) 18 OPERATING INCOME(LOSS)... 24,248 16, % 11, % Plus: Non-Operating Income % 1,158 $ 2,096 $ 2, % $ (87) 20 NET INCOME(LOSS)... $ 25,137 $ 17, % $ 12, Contributions to Foundations Contributions for Purchase of P,P & E Grant Revenues Change in Pension PBO - FAS Interest Rate Swap Valuation (1,174) 9 26 Equity Transfer to Affiliates (262) (30) 27 Change in Interest in Net Assets of Foundations (29) Gain/Loss From Discontinued Operations (2,963) - 29 Other Changes in Net Assets 3 INCREASE (DECREASE) IN 2, UNRESTRICTED NET ASSETS 21, , Net Assets, Beg. of Period 151,217 $ 173, Net Assets, End of Period $ 173,102 CHS September 2014 Financial Stmts for.xls
3 Statement of Cash Flows (000s) As of September 30, 2014 September 30, 2014 Dec 31, 2013 Operating Activities 1 Changes in Net Assets.. $ 21,885 $ 144,166 Adjustments to Reconcile Change in Net Assets to Net Cash Provided by Operating Activities: 2 Depreciation and Amortization... 29,071 33,990 3 Impact of Change in Accum. Depreciation... (2,305) (24,560) 4 Accelerated Amort. of Deferred Financing Costs/Goodwill Provision for Bad Debt on Amounts Due From Affiliates Change in Equity of Foundations Equity Transfers to Affiliates (262) 2,334 8 Gain on Disposal of Assets Provision for Bad Debts 16,649 19, Restricted Contributions Received (614) (1,559) 11 Net Realized and Unrealized Gains on Investments. (1,174) 2 (Increase) Decrease in Assets: 12 Patients Accounts Receivable... (33,101) (17,456) 13 Other Receivables. 2,815 (5,195) 14 Inventories... (1,413) (5,505) 15 Other Current Assets. (864) (437) Increase (Decrease) in Payables: 16 Accounts Payable... 5,462 (530) 17 Third-Party Payor Payables... 2,437 (3,462) 18 Accrued Expenses... 4,866 2, Other Liabilities... (53) Net Cash Provided by (Used in) Operating Activities... 43, ,935 Investing Activities 21 Capital Expenditures, Net... (91,155) (21,763) 22 Net Change in Other Long Term Assets... 1,372 (11,556) 23 Changes in Assets Whose Use is Limited 5,397 10, Cash Transferred to Affiliate Net Cash Provided by (Used in) Investing Activities... (84,386) (23,151) Financing Activities 26 Proceeds from LT Debt (Retirement of LT Debt)... 44,039 (6,001) 27 Proceeds from Restricted Contributions 614 1, Notes Payable... (1,169) 2, Net Change in Other Long Term Liabilities... 7,309 (83,370) 30 Net Cash Provided by (Used in) Financing Activities... 50,793 (85,482) 31 Total (Decrease) Increase in Cash and Cash Equivalents... 9,806 35, Cash and Cash Equivalents, Beginning of the Year , , Cash and Cash Equivalents, End of the Year... $ 263,280 $ 253, Cash on Balance Sheet... $ 263,280 $ 253,474 CHS September 2014 Financial Stmts for.xls
4 Selected Statistics - September 2014 YTD Monthly Year-to-Date Current Budget % Change Prior Current Budget % Change Prior Inpatient Certified Beds (Excl NB, Rehab & SNF) Operating Beds (Excl NB, Rehab & SNF) ,114 1, % 2,064 3 Discharges-Medical (Excl NB, SNF, Rehab, & ALC).. 19,485 18, % 19,845 1,248 1, % 1,289 4 Discharges-Surgical (Excl NB, SNF, Rehab, & ALC) 11,624 12, % 11,821 3,362 3, % 3,353 5 Total Discharges Med/Surg. 31,109 31, % 31, % 52 6 Discharges - Rehab % % Discharges - Newborns... 4,526 4, % 4,349 15,366 14, % 14,709 8 Patient Days(Excl NB, SNF, Rehab, & ALC) , , % 140, % Patient Days-Rehab... 9,155 8, % 8, % Patient Days -ALC.. 4,874 6, % 5, % ALOS * (Excl NB, SNF, Rehab, & ALC) % % 54.9% 4.7% 55.0% 12 Occup. Cert Beds % 55.9% 1.3% 57.9% 64.1% 61.2% 4.7% 59.4% 13 Occup. Oper Beds % 62.4% 1.1% 62.5% Outpatient Visits: 13,774 12, % 12, Emergency Room (Net of Admits) , , % 109, % Observation Cases 4,905 3, % 3, % Clinic Visits... 5,415 5, % 5,142 9,690 10, % 9, Primary Care Visits... 84,085 91, % 84,654 3,917 4, % 3, Ambulatory Surgery Visits... 35,727 37, % 35,798 41,574 48, % 45, Referred Ambulatory Visits , , % 425, Home Care Visits ,175 69,899 76, % 72, Total Outpatient Visits , , % 677,345 24,910 28, % 26, Substance Abuse. 238, , % 241,280 28,038 30, % 27, Equivalent Patient Days , , % 257,998 6,545 7, % 6, Equivalent Patient Discharges... 59,023 65, % 61,119 6, , % 6, FTEs(based on 1950 Hrs) 6, , % 6, % Case-Mix Index-Medicare % % Case-Mix Index-Non Medicare % SNF/RHCF: Certified Beds ,321 1, % 1, Subacute Days 10,800 11, % 12,511 7,733 8, % 8, Resident Days 71,202 70, % 72,921 * Based on calendar days CHS September 2014 Financial Stmts for.xls
5 Financial Ratios - September 2014 YTD Monthly Year-to-Date Current Budget % Change Prior Current Budget % Change 12/31/13 FINANCIAL INDICATORS Liquidity Days Cash on Hand(excl AUL) % Days Cash on Hand(Incl AWUIL, less financing proceeds) % Days Revenue in A/R(Net) % Current Ratio % Average Payment Period % 74.9 Capital Debt to Capitalization % 100.0% 44.7% Capital Expense % 100.0% 5.2% Debt to Equity % 100.0% 80.7% Average age of Plant % 6 Profitability 2.7% 3.0% -10.0% -0.3% 10 Operating Margin % 2.6% 42.3% 3.4% Debt Service Coverage % Return on Assets % 100.0% 4.2% Return on Equity % 100.0% 18.4% Other % FTEs per Adj. Occ. Bed % % FTEs per 100 Adj. Discharges % ,862 10, % 11, Net Revenue/Adj Discharge... 11,523 10, % 11,003 11,480 9, % 11, Expense/Adj Discharge... 10,909 9, % 10,667 2,859 2, % 2, Net Revenue/Adj Patient Day... 2,840 2, % 2,733 2,767 2, % 2, Expense/Adj Patient Day... 2,689 2, % 2,650 80,416 81, % 79, Salary & Benefits/FTE... 80,073 81, % 74, % 41.66% -0.3% 43.02% 21 Salaries As % of Tot. Oper. Revenue 41.85% 41.75% 0.2% 43.24% 54.95% 55.70% -1.3% 58.39% 22 Salaries & Benefits As % Of Tot. Oper. Revenue % 56.08% -1.0% 57.47% 19.82% 19.47% 1.8% 20.63% 23 Supplies As % Of Tot. Oper. Revenue % 19.61% -1.4% 18.54% CHS September 2014 Financial Stmts for.xls
6 Net Patient Service Revenue Payor Mix Year Ended Year Ended Year Ended Year Ended Year Ended 9-months Ended 9-months Ended Dec 31, 2009 Dec 31, 2010 Dec 31, 2011 Dec 31, Dec Sep Sep-2013 Medicare 43.57% 41.66% 42.50% 43.17% 43.00% 42.60% 43.63% Medicaid 9.37% 9.91% 10.64% 9.42% 10.74% 13.49% 9.27% BlueCross 7.82% 7.91% 9.20% 10.46% 10.94% 12.29% 10.58% HMO 28.03% 28.09% 27.50% 28.41% 28.15% 27.67% 27.25% Commercial 5.57% 6.60% 5.09% 4.73% 4.75% 2.37% 5.20% Workers Compensation 3.93% 4.88% 3.70% 2.80% 2.23% 1.34% 2.62% Self Pay 1.71% 0.96% 1.37% 1.00% 0.19% 0.24% 1.45% Total % % % % % % %
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