MANAGEMENT S DISCUSSION OF FINANCIAL AND OPERATING PERFORMANCE

Size: px
Start display at page:

Download "MANAGEMENT S DISCUSSION OF FINANCIAL AND OPERATING PERFORMANCE"

Transcription

1 MANAGEMENT S DISCUSSION OF FINANCIAL AND OPERATING PERFORMANCE Utilization Trends The Corporation has experienced an increase in utilization from the end of 2015 through fiscal year Occupancy of Northwest Community Healthcare (NCH) was 66% through September 2017, the highest rate in three years, and NCH Hospital s average daily census was at 260 as of September 2017 (up from 223 in FY 2015 and 239 in FY 2016). Average length of stay ( ALOS ) for NCH Hospital increased from 4.1 in FY 2015 to in FY 2016, and increased to 4.6 in FY The increase in ALOS was partially attributed to the increased volumes within Behavioral Health and inpatient Rehabilitation. Both of which have greater ALOS. Management attributes NCH Hospital s increase in utilization and discharges to greater access to managed care contracts, increases in employed NCH Medical Group physicians, both primary care physicians and specialists, and NCH Hospital s additional inpatient rehabilitation unit (average daily census of 16 as of September 2017) and geriatric psychiatric beds (average daily census of 12 as of September 2017). Outpatient registrations continue to grow, increasing from 347,811 in FY 2015 to 396,151 in FY 2016 and 463,652 in FY Historical Performance: Twelve Month Period Ended September 30, 2017 Total System consolidated operating revenue for the twelve month period ended September 30, 2017 as compared to the twelve month period ended September 30, 2016 increased by approximately $4.8 million or 0.9%. The increased revenue is due to the implementation of several initiatives across the System generating more volume for NCH Hospital and NCH Medical Group and two new joint ventures. At NCH Hospital, inpatient discharges have increased year over year, the acuity of care has also increased by 1.7%. NCH Hospital outpatient registrations are up 17.0% in part due to a significant increase in reference lab services. The payor mix at NCH Hospital has remained stable over this time period. In FY 2017, Medicare represented 48% of NCH Hospital volume, commercial payors (including managed care) represented 40% of NCH Hospital volume and Medicaid and self-pay patients made up the remaining 12%. Over this same time period, NCH Medical Group s total revenue is up in part due to the employment of additional primary care physicians. Total operating expense increased by 5.9% for the twelve month period ended September 30, 2017 as compared to the prior year ended September 30, Salaries and employee benefits increased by 6.0% in 2017 as compared to 2016 due to the new joint ventures and additional Medical group practices. Also, professional fees increased by 9.6% in FY 2017 as compared to FY 2016 due to non-recurring costs related to strategies which will provide future benefits. In FY 2017 there was an operating loss of $25.5 million versus an operating income of $2.4 million in FY The FY 2017 operating loss is the result of increased charity care and

2 bad debts due to high deductible plans along with one-time reserves for legacy accounts receivable. The previously mentioned increase in professional fees also impacted the fiscal year. Non-operating revenue, net consists primarily of realized and unrealized gains and losses on investments. The gains incurred in 2017 were due primarily to strong investment returns and are reflective of the investment market activity due to stronger economic trends as compared to 2016.

3 UTILIZATION AND PAYOR MIX Quarter Ended Sep 30 Year Ended Sep Hospital Licensed Beds Average Staffed Beds Average Daily Census Average % Occupancy % % % % Discharges Average Length of Stay Patient Days 5,221 23,258 4,864 21,975 20, ,962 19,586 87,445 Medicare Case-Mix Index Total Case-Mix Index Adjusted Discharges 11,723 11,292 45,883 44,717 Surgeries Inpatient surgeries Outpatient Surgeries (Note 1) Total Surgeries 1,020 2,143 3,163 1,019 2,909 3,928 4,228 11,286 15,514 4,138 11,628 15,766 Emergency Department Visits 18,958 19,017 75,258 74,769 Outpatient Discharge Equivalents 6,502 6,428 25,373 25,131 Outpatient Registrations 116, , , ,151 Hospital Payor Mix (Based on Gross Revenue) Medicare Managed Care Medicaid Commercial Insurance Self Pay and Other 48.5% 23.9% 8.6% 16.0% 3.0% 100% 47.7% 25.6% 8.5% 15.7% 2.5% 100% Note 1: Outpatient surgical procedures at Hospital and DSC

4 CONSOLIDATED HISTORICAL CAPITALIZATION AND INVESTMENT POSITION (In thousands) The table below sets forth the consolidated capitalization and investment position of the Corporation and its subsidiaries as of September 30, 2015, 2016 and 2017 and as adjusted to give effect to the issuance of the Series 2008 Bonds in an aggregate principal amount of $241,585,000. The table also shows the historical ratios of longterm debt (net of current portion) to total capitalization, which is defined as longterm debt plus unrestricted net assets, ratios of unrestricted cash and investments to longterm obligations and days cash on hand. Unrestricted Cash and Investments: September 30, 2015 September 30, 2016 September 30, 2017 Cash, Investments & Board $410,350 $414,505 $445,806 Designated Funds (1) Total Unrestricted Cash and Investments $410,350 $414,505 $445,806 LongTerm Obligations (net of current maturities): Series 2008A Bonds Series 2008B Bonds Series 2008C Bonds Series 2011 Bonds Series 2016A Bonds Series 2016 Bonds Premium Bond issuance costs Total LongTerm Obligations (net of current maturities) $143,515 $ 31,805 $ 31,805 $ 45,200 $ 2,075 $ 30,180 $ 30,180 $ 43,400 $136,690 $ 20,412 $ (2,651) $ 28,510 $ 28,510 $ 41,500 $ 136,690 $ 19,473 $ (2,507) $252,325 $ 260,286 $ 252,176 Unrestricted Net Assets $560,003 $590,406 $604,692 Total Capitalization $812,328 $850,692 $856,868 Ratio of LongTerm Obligations to Capitalization 31.1% 30.6% 29.4% Ratio of Unrestricted Cash and Investments to LongTerm 163% 159% 177% Obligations Days Cash on Hand Note (1): Investments are carried at market value

5 ATTACHMENT TO COMPLIANCE CERTIFICATE Compliance Calculations For Reimbursement Agreements Dated as of December 1, 2011 Calculations as of September 30, 2017* A. Days Of Unrestricted Cash on Hand (Section 6.23(a)) 1. Cash, cash equivalents and marketable securities $435,550, Total Operating expenses of the Credit Group: For Twelve Months ended 9/30/17 $411,340,526 Divided by days (365) $ 1,126, Ratio of Line A1 to Line A Line A3 must not be less than The Members are in compliance Yes B. Historical Debt Services Coverage Ratio (Section 6.23 (b)) 1. Income Available for Debt Service $ 58,810, Debt Service Requirements $ 14,506, Ratio of Line B1 to Line B2 4.1: Line B3 must not be less than 1.1: The Members are in compliance Yes *Effective January 1, 2014, the Obligated Group excludes Northwest Community Day Surgery Center, Inc.

UTILIZATION AND PAYOR MIX

UTILIZATION AND PAYOR MIX UTILIZATION AND PAYOR MIX Quarter Ended September 30 Year Ended September 30 2010 2011 2010 2011 Hospital Licensed Beds Average Staffed Beds Average Daily Census Average % Occupancy 284 70% 257 63% 285

More information

SUMMA HEALTH SYSTEM OBLIGATED GROUP CONTINUING DISCLOSURE FOR THE THREE MONTHS ENDED MARCH 31, 2012

SUMMA HEALTH SYSTEM OBLIGATED GROUP CONTINUING DISCLOSURE FOR THE THREE MONTHS ENDED MARCH 31, 2012 SUMMA HEALTH SYSTEM OBLIGATED GROUP CONTINUING DISCLOSURE FOR THE THREE MONTHS ENDED MARCH 31, 2012 MANAGEMENT S DISCUSSION AND ANALYSIS OF THE RESULTS OF OPERATIONS AND FINANCIAL POSITION SUMMA HEALTH

More information

DUKE UNIVERSITY HEALTH SYSTEM, INC. AND AFFILIATES

DUKE UNIVERSITY HEALTH SYSTEM, INC. AND AFFILIATES Consolidated Financial Statements December 31, 2017 and 2016 (Unaudited) Prepared by: Duke University Health System Finance Print Date: January 17, 2018 Consolidated Balance Sheets (Unaudited) December

More information

McLEOD HEALTH FINANCIAL INFORMATION FOR CONSOLIDATED & OBLIGATED GROUP FOURTH QUARTER REPORT TWELVE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011

McLEOD HEALTH FINANCIAL INFORMATION FOR CONSOLIDATED & OBLIGATED GROUP FOURTH QUARTER REPORT TWELVE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011 McLEOD HEALTH FINANCIAL INFORMATION FOR CONSOLIDATED & OBLIGATED GROUP FOURTH QUARTER REPORT TWELVE MONTHS ENDED SEPTEMBER 30, 2012 AND 2011 Note: These unaudited financial statements have been prepared

More information

DUKE UNIVERSITY HEALTH SYSTEM, INC. AND AFFILIATES

DUKE UNIVERSITY HEALTH SYSTEM, INC. AND AFFILIATES Consolidated Financial Statements March 31, 2018 and 2017 (Unaudited) Prepared by: Duke University Health System Finance Print Date: April 24, 2018 Consolidated Balance Sheets (Unaudited) March 31, 2018

More information

LAHEY HEALTH SYSTEM F i n a n c i a l S t a t e m e n t D i s c u s s i o n a n d A n a l y s i s. For the Six Months Ended March 31, 2017

LAHEY HEALTH SYSTEM F i n a n c i a l S t a t e m e n t D i s c u s s i o n a n d A n a l y s i s. For the Six Months Ended March 31, 2017 LAHEY HEALTH SYSTEM F i n a n c i a l S t a t e m e n t D i s c u s s i o n a n d A n a l y s i s For the Six Months Ended March 31, 2017 Introduction The attached combined financial statements of Lahey

More information

MultiCare Health System Year End 2012 Results December 31, 2012

MultiCare Health System Year End 2012 Results December 31, 2012 MultiCare Health System Year End 2012 Results December 31, 2012 MultiCare Health System (MHS), a Washington nonprofit corporation, is an integrated healthcare delivery system providing inpatient, outpatient,

More information

CENTEGRA HEALTH SYSTEM AND AFFILIATES CONSOLIDATING STATEMENT OF REVENUE AND EXPENSES FOR THE TWELVE MONTHS ENDED JUNE 30, 2017 Unaudited

CENTEGRA HEALTH SYSTEM AND AFFILIATES CONSOLIDATING STATEMENT OF REVENUE AND EXPENSES FOR THE TWELVE MONTHS ENDED JUNE 30, 2017 Unaudited CONSOLIDATING STATEMENT OF REVENUE AND EXPENSES FOR THE TWELVE MONTHS ENDED JUNE 30, 2017 HOSPITAL THE CENTEGRA HEALTH BRIDGE CLINICAL CHWN GROUP FOUNDATION NIMED COMBINED LAB CMS CPC COMBINED CIS ELIMINATIONS

More information

DEBT SERVICE COVERAGE (1) (dollars in thousands)

DEBT SERVICE COVERAGE (1) (dollars in thousands) HISTORICAL COVERAGE OF PRO FORMA DEBT SERVICE The following table presents, for the fiscal years ended September 30, 2012, 2013 and 2014, the System s income available to pay debt service on the indebtedness

More information

Owensboro Health 4th Quarter (March May 2016) FY Ending May 31, 2016

Owensboro Health 4th Quarter (March May 2016) FY Ending May 31, 2016 Owensboro Health 4th Quarter (March May 2016) FY Ending May 31, 2016 Table of Contents Officer s Certificate of Compliance. 3 Management Discussion and Analysis.. 4 Utilization Statistics and Financial

More information

FINANCIAL AND STATISTICAL REPORT June 30, 2017 (UNAUDITED)

FINANCIAL AND STATISTICAL REPORT June 30, 2017 (UNAUDITED) FINANCIAL AND STATISTICAL REPORT June 30, 2017 (UNAUDITED) PAGE 1. Combined Statements of Revenues and Expenses for the three months ended June 30, 2017 and 2016 2. Combined Statements of Revenues and

More information

Utilization Calendar Yr ended. Fiscal Year ended September 30, December 31, mth

Utilization Calendar Yr ended. Fiscal Year ended September 30, December 31, mth South Carolina Jobs-Economic Development Authority, Hospital Refunding Revenue Bonds and Improvement Revenue Bonds (AnMed Health Project), Series 2009B, $112,000,000, Dated: May 13, 2009 South Carolina

More information

October 30, Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation. Relating to the Annual Financial Filing Information

October 30, Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation. Relating to the Annual Financial Filing Information October 30, 2017 RE: Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation Relating to the Annual Financial Filing Information I hereby certify that the Historical Utilization, Selected

More information

NORTHWESTERN MEMORIAL HOSPITAL AUDITED FINANCIAL STATEMENTS AND ANNUAL REPORT CERTIFICATION

NORTHWESTERN MEMORIAL HOSPITAL AUDITED FINANCIAL STATEMENTS AND ANNUAL REPORT CERTIFICATION NORTHWESTERN MEMORIAL HOSPITAL AUDITED FINANCIAL STATEMENTS AND ANNUAL REPORT CERTIFICATION Pursuant to Section 3 of the Disclosure Dissemination Agreement dated as of March 1, 2009, between Northwestern

More information

Quarterly Report For the Period Ending 9/30/14

Quarterly Report For the Period Ending 9/30/14 This Document is Dated as of November 24, 2014. SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS: Certain of the discussions included in the Management Discussion and Analysis section of the following

More information

Upstate Affiliate Organization (d/b/a Greenville Health System) and Subsidiaries

Upstate Affiliate Organization (d/b/a Greenville Health System) and Subsidiaries Upstate Affiliate Organization (d/b/a Greenville Health System) and Subsidiaries Consolidated Financial Statements As of December 31, 2017 and for the Three Months Ended December 31, 2017 and 2016 (UNAUDITED)

More information

I LJ~LEY MEDICAL CENTER

I LJ~LEY MEDICAL CENTER I LJ~LEY MEDICAL CENTER Consolidated Financial Statement For the Nine Months Ended March 31, 2017 Hurley Medical Center Nine Month Period Ended March 31, 2017 Management Discussion and Analysis For the

More information

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT FINANCIAL STATEMENTS (UNAUDITED) AS OF, AND FOR THE THREE MONTHS ENDED DECEMBER 31, 2008 MANAGEMENT S DISCUSSION AND ANALYSIS FOR THE THREE MONTHS ENDED DECEMBER 31, 2008 For the three months ended December

More information

May 10, Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation. Relating to the Annual Financial Filing Information

May 10, Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation. Relating to the Annual Financial Filing Information May 10, 2017 RE: Officers Certificate for Genesis Health, Inc. d/b/a Brooks Rehabilitation Relating to the Annual Financial Filing Information I hereby certify that the Historical Utilization, Selected

More information

FINANCIAL REPORT (UNAUDITED) FOR THE SIX MONTHS ENDED

FINANCIAL REPORT (UNAUDITED) FOR THE SIX MONTHS ENDED FINANCIAL REPORT (UNAUDITED) FOR THE SIX MONTHS ENDED JUNE 30, 2018 ATRIUM HEALTH FINANCIAL REPORT FOR THE SIX MONTHS ENDED JUNE 30, 2018 INDEX Page Financial Highlights 1-3 Comparative Balance Sheet 4

More information

Strategic Coordinating Organization and Subsidiaries

Strategic Coordinating Organization and Subsidiaries Strategic Coordinating Organization and Subsidiaries Consolidated Financial Statements As of December 31, 2016 and for the Three Months Ended December 31, 2016 (UNAUDITED) TABLE OF CONTENTS Page CONSOLIDATED

More information

MAIN LINE HEALTH SYSTEM CONTINUING DISCLOSURE DOCUMENT APPENDIX A 9/29/16

MAIN LINE HEALTH SYSTEM CONTINUING DISCLOSURE DOCUMENT APPENDIX A 9/29/16 MAIN LINE HEALTH SYSTEM CONTINUING DISCLOSURE DOCUMENT APPENDIX A Medical Staff As of June 30, 2016, the Main Line Health System s ( MLHS ) active medical staff for Main Line Health ( MLH ) hospitals consisted

More information

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT

SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT Financial Statements December 31, 2017 and 2016 ` Management s Discussion and Analysis December 31, 2017 and 2016 For the three months ended December 31, 2017, Sarasota County Public Hospital District

More information

Brooks Health System, FL (FL)

Brooks Health System, FL (FL) Brooks Health System, FL (FL) 1City of Jacksonville, Florida, Health Care Facilities Revenue Bonds (Brooks Rehabilitation), Series, $55,095,000, Dated: September 1, 2 Jacksonville Health Facilities Authority

More information

Northwest Community Healthcare and Subsidiaries Quarter Ended December 31, 2014 UNAUDITED

Northwest Community Healthcare and Subsidiaries Quarter Ended December 31, 2014 UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER FINANCIAL INFORMATION Northwest Community Healthcare and Subsidiaries Quarter Ended December 31, 2014 UNAUDITED Northwest Community Healthcare and Subsidiaries

More information

TOTAL CURRENT ASSETS 104,960 50,062 12,049 7, ,582 10,615 (3,270) 181,927

TOTAL CURRENT ASSETS 104,960 50,062 12,049 7, ,582 10,615 (3,270) 181,927 NORTHERN ARIZONA HEALTHCARE CONSOLIDATED BALANCE SHEET DECEMBER 2017 FMC VVMC NAH NAHOSC Group NAHPG ELIMINATIONS CONSOLIDATED CURRENT ASSETS Cash and Cash Equivalents 12,809 23,907 7,307 5,274 49,297

More information

Atrium Health System and Subsidiaries. Consolidated Balance Sheet (Unaudited)

Atrium Health System and Subsidiaries. Consolidated Balance Sheet (Unaudited) Consolidated Balance Sheet At June 30, At December 31, Assets Current assets: Cash and short-term investments $ 12,364 $ 11,242 Accounts receivable, net of allowances 33,702 30,213 Inventories 2,231 1,991

More information

UNIVERSITY HEALTH SYSTEM, INC.

UNIVERSITY HEALTH SYSTEM, INC. UNIVERSITY HEALTH SYSTEM, INC. The Health Educational and Housing Facility Board of the County of Knox (Tennessee), Revenue Bonds (University Health System, Inc.), Series 2007, $230,350,000 Dated: April

More information

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ)

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) ANNUAL FINANCIAL INFORMATION AND OPERATING DATA FOR THE YEAR ENDED DECEMBER 31, 2013 Contents Management s Discussion and Analysis of

More information

Quarterly Report As of December 31, 2018 and for the three and six months ended December 31, 2018

Quarterly Report As of December 31, 2018 and for the three and six months ended December 31, 2018 Quarterly Report As of December 31, 2018 and for the three and six months ended December 31, 2018 Table of Contents Part I: Overview... 1 Part II: Leadership Changes... 1 Part III: Strategic Acquisitions...

More information

G Prime Healthcare Foundation

G Prime Healthcare Foundation G Prime Healthcare Foundation Date: February 14, 2018 RE : Officers Certificate for Prime Healthcare Foundation, Inc., Relating to the 2017 4th Quarter Report Issues Including: Public Finance Authority,

More information

Northwest Community Healthcare and Subsidiaries Quarter Ended June 30, 2016 UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Northwest Community Healthcare and Subsidiaries Quarter Ended June 30, 2016 UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS CONSOLIDATED FINANCIAL STATEMENTS AND OTHER FINANCIAL INFORMATION Northwest Community Healthcare and Subsidiaries Quarter Ended June 30, 2016 UNAUDITED Northwest Community Healthcare and Subsidiaries Consolidated

More information

The Guthrie Clinic Financial Highlights for the Three and Six Months Ended December 31, 2017

The Guthrie Clinic Financial Highlights for the Three and Six Months Ended December 31, 2017 Financial Highlights for the Three and Six Months Ended December 31, 2017 I. Introduction In accordance with the provisions of the Master Indenture relating to the 2011 and 2007 Guthrie Health Bonds, enclosed

More information

Annual Report For the Fiscal Year Ended June 30, Concerning. WellSpan Health

Annual Report For the Fiscal Year Ended June 30, Concerning. WellSpan Health Document dated November 27, 2017 The following represents Management s discussion of financial and statistical information. It is intended to support certain other reports, included here, or available

More information

Inspira Health, NJ - Quarterly Report

Inspira Health, NJ - Quarterly Report Inspira Health, NJ - Quarterly Report 1 New Jersey Health Care Facilities Financing Authority, Revenue Bonds, Inspira Health Obligated Group Issue, Series 2017A, $265,000,000, Dated: August 17, 2017 2

More information

Tenet Reports Second Quarter 2010 Results

Tenet Reports Second Quarter 2010 Results åéïëêéäé~ëé Tenet Reports Second Quarter 2010 Results Diluted Earnings of $0.05 Per Share, Up from Loss of $0.03 Per Share Over Prior Year Period Net Income Attributable to Common Shareholders of $25 Million,

More information

Conway Hospital, Inc., SC

Conway Hospital, Inc., SC Conway Hospital, Inc., SC 1 South Carolina Jobs Economic Development Authority, Hospital Revenue Bonds (Conway Hospital, Inc.), Series 2016, $48,405,000, Dated: December 20, 2016 2 South Carolina Jobs

More information

OhioHealth Corporation

OhioHealth Corporation OhioHealth Corporation Financial Results for the Quarter Ended March 31, 2015 Unaudited Management's Discussion and Analysis of Financial Condition and Recent Financial Performance For the quarter ended

More information

(?~~ Cass Wisniewski, CPA Senior VP & Chief Financial Officer Hurley Medical Center. November 29, 2017 RE:

(?~~ Cass Wisniewski, CPA Senior VP & Chief Financial Officer Hurley Medical Center. November 29, 2017 RE: One Hurley Plaza Flint, Michigan 48503 November 29, RE: Officers Certificate for Hurley Medical Center Relating to the Annual Filing Issues Including: 1. City of Flint Hospital Building Authority, Building

More information

Jackson-Madison County General Hospital Changes in Active Medical Staff

Jackson-Madison County General Hospital Changes in Active Medical Staff Jackson-Madison County General Hospital Changes in Active Medical Staff 2016-2017 Change from Number of Active Active June 30, 2016 # Percentage Discharges Medical Staff Medical Staff to Board Board Average

More information

~ PROMEDICA PROMEDICA HEALTHCARE OBLIGATED GROUP. Quarterly Financial Disclosure

~ PROMEDICA PROMEDICA HEALTHCARE OBLIGATED GROUP. Quarterly Financial Disclosure PROMEDICA HEALTHCARE OBLIGATED GROUP Quarterly Financial Disclosure Fourth Quarter 2014 ~- - - -- - MANAGEMENT'S DISCUSSION OF RESULTS OF OPERATIONS Fourth Quarter- December 31, 2014 ' ' ' The following

More information

Interfaith Medical Center

Interfaith Medical Center Interfaith Medical Center Financial Statements For the Twelve Months Ended December 31, 2011 (DRAFT) TABLE OF CONTENTS Page Statement of Financial Position 1 Statement of Operations 2 Statement of Changes

More information

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2017 and 2016

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2017 and 2016 Audited Financial Statements CONTENTS Independent Auditor's Report 1 2 Management's Discussion and Analysis 3 10 Financial Statements Statements of Net Position 11 Statements of Revenues, Expenses and

More information

Balance Sheet Benefis Health System For month Ended September

Balance Sheet Benefis Health System For month Ended September 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

More information

Mercy Health Quarterly Financial Report. As of and for the three months ended December 31, 2018 and 2017

Mercy Health Quarterly Financial Report. As of and for the three months ended December 31, 2018 and 2017 Mercylit Quarterly Financial Report As of and for the three months ended December 31, 2018 and 2017 Contents: - Consolidated Financial Statements (Unaudited) - Management Discussion & Analysis Consolidated

More information

September 30, 2017 Fiscal Year Financial Report (Audited Statements)

September 30, 2017 Fiscal Year Financial Report (Audited Statements) Bond Long Term Rating Standard and Poor s AA/Negative FITCH Investors Service AA/Stable September 30, 2017 Fiscal Year Financial Report (Audited Statements) Cone Health is an integrated health care delivery

More information

Children s Healthcare of Atlanta Inc. and Affiliates. Interim Financial Statements March 31, 2014

Children s Healthcare of Atlanta Inc. and Affiliates. Interim Financial Statements March 31, 2014 Children s Healthcare of Atlanta Inc. and Affiliates Interim Financial Statements March 31, 2014 CHILDREN S HEALTHCARE OF ATLANTA, INC. AND AFFILIATES Unaudited Consolidated Financial Statements for the

More information

NANTICOKE HEALTH SERVICES OBLIGATED GROUP COMBINING BALANCE SHEET September 30, Nanticoke Alternative Care

NANTICOKE HEALTH SERVICES OBLIGATED GROUP COMBINING BALANCE SHEET September 30, Nanticoke Alternative Care Nanticoke Memorial Hospital Assets Current Assets: Cash 1,463,123 Patient Receivables, Net 12,747,937 Other Receivables 1,205,107 Inventories 1,933,790 Prepaid Expenses 841,766 Intercompany Receivables

More information

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

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

More information

~;Joseph's Healthcare Syste1n

~;Joseph's Healthcare Syste1n Consolidated Financial Statements Table of Contents September 2017 Consolidated Balance Sheets 1 Consolidated Statement of Operations 2 Consolidated Statement of Changes in Net Assets 3 Consolidated Statement

More information

First Quarter Fiscal Year Financial Report (Unaudited Statements)

First Quarter Fiscal Year Financial Report (Unaudited Statements) Bond Long Term Rating Standard and Poor s AA/Negative FITCH Investors Service AA/Stable First Quarter Fiscal Year Financial Report (Unaudited Statements) Cone Health is an integrated health care delivery

More information

Annual Report For the Period Ended June 30, 2014

Annual Report For the Period Ended June 30, 2014 This Document is Dated as of October 13, 2014. SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS: Certain of the discussions included in the Management Discussion and Analysis section of the following

More information

Corrective June 30, 2017 Audited Financial Statements Filing

Corrective June 30, 2017 Audited Financial Statements Filing Corrective June 30, 2017 Audited Financial Statements Filing This filing is being made to correct a typographical error in the audited Consolidated Financial Statements and Supplementary Information for

More information

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2015 and 2014

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2015 and 2014 Audited Financial Statements CONTENTS Independent Auditor's Report 1 2 Management's Discussion and Analysis 3 10 Financial Statements Statements of Net Position 11 Statements of Revenues, Expenses and

More information

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ)

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) ANNUAL FINANCIAL INFORMATION AND OPERATING DATA FOR THE YEAR ENDED DECEMBER 31, 2012 Contents Management s Discussion and Analysis of

More information

Third Quarter Fiscal Year 2017 Financial Report (Unaudited Statements)

Third Quarter Fiscal Year 2017 Financial Report (Unaudited Statements) Bond Long Term Rating Standard and Poor s AA/Negative FITCH Investors Service AA/Stable Third Quarter Fiscal Year 2017 Financial Report (Unaudited Statements) Cone Health is an integrated health care delivery

More information

September 30, 2018 Fiscal Year Financial Report (Unaudited Statements)

September 30, 2018 Fiscal Year Financial Report (Unaudited Statements) Bond Long Term Rating Standard and Poor s AA-/Stable FITCH Investors Service AA/Stable September 30, 2018 Fiscal Year Financial Report (Unaudited Statements) Cone Health is an integrated health care delivery

More information

Tenet Reports Adjusted EBITDA of $529 Million for the Quarter Ended March 31, 2015

Tenet Reports Adjusted EBITDA of $529 Million for the Quarter Ended March 31, 2015 Tenet Reports Adjusted EBITDA of $529 Million for the Quarter Ended March 31, 2015 DALLAS May 4, 2015 Tenet Healthcare Corporation (NYSE:THC) reported Adjusted EBITDA of $529 million for the first quarter

More information

HARRIS COUNTY HOSPITAL DISTRICT

HARRIS COUNTY HOSPITAL DISTRICT HARRIS COUNTY HOSPITAL DISTRICT dba FINANCIAL STATEMENTS As of June 30, 2015 FINANCIAL STATEMENTS As of June 30, 2015 TABLE OF CONTENTS PAGE FINANCIAL STATEMENT HIGHLIGHTS 1 VARIANCE ANALYSIS NARRATIVE

More information

HARRIS COUNTY HOSPITAL DISTRICT

HARRIS COUNTY HOSPITAL DISTRICT HARRIS COUNTY HOSPITAL DISTRICT dba HARRIS HEALTH SYSTEM FINANCIAL STATEMENTS As of October 31, 2015 FINANCIAL STATEMENTS As of October 31, 2015 TABLE OF CONTENTS PAGE FINANCIAL STATEMENT HIGHLIGHTS 1

More information

Northern Arizona Healthcare System (AZ)

Northern Arizona Healthcare System (AZ) Northern Arizona Healthcare System (AZ) 1 The Industrial Development Authority of the County of Yavapai, Hospital Revenue Bonds (Northern Arizona Healthcare System), Series 2017A, $40,000,000, Dated: May

More information

Discussion of Results (Percentage changes compare Q4 12 to Q4 11, unless otherwise noted.)

Discussion of Results (Percentage changes compare Q4 12 to Q4 11, unless otherwise noted.) Tenet Reports Fourth Quarter Adjusted EBITDA of $336 Million, an Increase of 16.7% 7.3% Growth in Net Operating Revenues 2.9% Increase in Adjusted Admissions 7.5% Growth in Surgeries DALLAS February 26,

More information

PUBLIC HOSPITAL DISTRICT NO. 1 OF KING COUNTY VALLEY MEDICAL CENTER Management s Discussion and Analysis September 30, 2012 and 2011 (unaudited)

PUBLIC HOSPITAL DISTRICT NO. 1 OF KING COUNTY VALLEY MEDICAL CENTER Management s Discussion and Analysis September 30, 2012 and 2011 (unaudited) PUBLIC HOSPITAL DISTRICT NO. 1 OF KING COUNTY VALLEY MEDICAL CENTER Management s Discussion and Analysis 30, 2012 and 2011 Public Hospital District No. 1 of King County, Washington (the District), doing

More information

Third Quarter Fiscal Year Financial Report (Unaudited Statements)

Third Quarter Fiscal Year Financial Report (Unaudited Statements) Bond Long Term Rating Standard and Poor s AA-/Stable FITCH Investors Service AA/Stable Third Quarter Fiscal Year Financial Report (Unaudited Statements) Cone Health is an integrated health care delivery

More information

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION As of and for the six months ended December 31, 2014 and 2013 The following information should be read

More information

CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION INDIANA UNIVERSITY HEALTH, INC. AND SUBSIDIARIES AS OF AND FOR THE THREE MONTHS AND YEARS

CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION INDIANA UNIVERSITY HEALTH, INC. AND SUBSIDIARIES AS OF AND FOR THE THREE MONTHS AND YEARS CONSOLIDATED FINANCIAL STATEMENTS AND OTHER INFORMATION INDIANA UNIVERSITY HEALTH, INC. AND SUBSIDIARIES AS OF AND FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2012 AND 2011 TABLE OF CONTENTS Management

More information

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ)

North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) North Shore-Long Island Jewish Health System, Inc. (North Shore-LIJ) MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL PERFORMANCE FOR THE SIX MONTHS ENDED JUNE 30, 2014 AND 2013 Management s Discussion

More information

Verity Health System of California, Inc. Unaudited Financial Report and Utilization Statistics For the Twelve Months Ended June 30, 2018

Verity Health System of California, Inc. Unaudited Financial Report and Utilization Statistics For the Twelve Months Ended June 30, 2018 Verity Health System of California, Inc. Unaudited Financial Report and Utilization Statistics For the Twelve Months Ended June 30, 2018 Verity Health System of California, Inc. Page Ref Management's Discussion

More information

cfp Premier Health May 14,2015

cfp Premier Health May 14,2015 cfp Premier Health Prem ier Health Center 110 N. Main St. Dayton, Oh io 45402 prem ierhealt h.co m May 14,2015 Enclosed are the unaudited Consolidated Financial Statements for MedAmerica Health Systems

More information

NONOPERATING ITEMS: MidMichigan Health s investment income of $3.3 million increased compared to $2.6 million a year ago.

NONOPERATING ITEMS: MidMichigan Health s investment income of $3.3 million increased compared to $2.6 million a year ago. 4000 Wellness Drive Midland, Michigan 48670 Phone (989) 839-3181 Francine.Padgett@midmichigan.org Subject: Continuing Disclosure Filing for MidMichigan Health Period Ended: Nine-month Period Ended March

More information

Tenet Reports $336 Million of Adjusted EBITDA for Second Quarter 16.7% Increase in Adjusted EBITDA 6.9

Tenet Reports $336 Million of Adjusted EBITDA for Second Quarter 16.7% Increase in Adjusted EBITDA 6.9 Tenet Reports $336 Million of Adjusted EBITDA for Second Quarter 16.7% Increase in Adjusted EBITDA 6.9% Increase in Net Operating Revenues Acquisition of Vanguard Health Systems Expected to Close by Year-End

More information

Tenet Reports Results for the Second Quarter Ended June 30, 2018

Tenet Reports Results for the Second Quarter Ended June 30, 2018 Tenet Reports Results for the Second Quarter Ended June 30, 2018 Tenet reported net income from continuing operations available to Tenet common shareholders of $24 million or $0.23 per diluted share in

More information

Ochsner Health System Annual Financial Information Disclosure

Ochsner Health System Annual Financial Information Disclosure Ochsner Health System Annual Financial Information Disclosure For the Twelve Months Ended December 31, 2011 Forward Looking Information: This Financial Information Disclosure contains disclosures, which

More information

This document is dated as of December 16, 2016

This document is dated as of December 16, 2016 This document is dated as of December 16, 2016 SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS. Certain of the discussions included in the following document may include certain forward-looking statements

More information

Annual Report For the Fiscal Year Ending 6/30/15

Annual Report For the Fiscal Year Ending 6/30/15 This Document is Dated as of October 1, 2015. SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS: Certain of the discussions included in the Management Discussion and Analysis section of the following

More information

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2016 and 2015

GREENWOOD LEFLORE HOSPITAL. Audited Financial Statements Years Ended September 30, 2016 and 2015 Audited Financial Statements CONTENTS Independent Auditor's Report 1 2 Management's Discussion and Analysis 3 10 Financial Statements Statements of Net Position 11 Statements of Revenues, Expenses and

More information

Proposed FY 2018 Operating Budget

Proposed FY 2018 Operating Budget Proposed FY 2018 Operating Budget June 27, 2017 HEALTHCARE FINANCE FY 2018 Operating Budget Revenue Assumptions The FY 2017 projected year end actuals include a net decrease of $4.2 million which includes

More information

Revenue Recognition PREPARE NOW. Presented By Michael Whitten, Senior Manager April 23, 2018

Revenue Recognition PREPARE NOW. Presented By Michael Whitten, Senior Manager April 23, 2018 Revenue Recognition PREPARE NOW Presented By Michael Whitten, Senior Manager April 23, 2018 Agenda TODAY S OBJECTIVE: A meaningful discussion and exchange of ideas resulting in tangible steps to apply

More information

Discussion of Results (Percentage changes compare Q3 12 to Q3 11, unless otherwise noted.)

Discussion of Results (Percentage changes compare Q3 12 to Q3 11, unless otherwise noted.) Tenet Reports Third Quarter Adjusted EBITDA Growth of 40% to $269 Million 5.8% Growth in Net Operating Revenues 1.4% Increase in Adjusted Admissions 6.3% Growth in Outpatient Surgeries 3.7% Increase in

More information

~;Joseph's Healthcare System

~;Joseph's Healthcare System Consolidated Financial Statements Table of Contents March 2016 Consolidated Balance Sheets 1 Consolidated Statement of Operations 2 Consolidated Statement of Changes in Net Assets 3 Consolidated Statement

More information

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION As of and for the year ended June 30, 2017 and 2016 The following information should be read in conjunction

More information

University Medical Center of El Paso El Paso Children s Hospital El Paso Health University Medical Center Foundation

University Medical Center of El Paso El Paso Children s Hospital El Paso Health University Medical Center Foundation University Medical Center of El Paso El Paso Children s Hospital El Paso Health University Medical Center Foundation FINANCIAL REPORT September 2018 MONTHLY FINANCIAL REPORTS September 2018 TABLE OF CONTENTS

More information

VERITY HEALTH SYSTEM (FORMERLY DAUGHTERS OF CHARITY HEALTH SYSYTEM) ANNUAL REPORT

VERITY HEALTH SYSTEM (FORMERLY DAUGHTERS OF CHARITY HEALTH SYSYTEM) ANNUAL REPORT VERITY HEALTH SYSTEM (FORMERLY DAUGHTERS OF CHARITY HEALTH SYSYTEM) ANNUAL REPORT FISCAL YEAR ENDED JUNE 30, 2016 1 Contents 1) List of Obligated Group Members 3 2) Sources of Gross Patient Revenue.3 3)

More information

Interim Unaudited Consolidated Financial Statements and Other Information

Interim Unaudited Consolidated Financial Statements and Other Information Interim Unaudited Consolidated Financial Statements and Other Information For The Period Ended March 31, 2017 The Cleveland Clinic Foundation d.b.a. Cleveland Clinic Health System INTERIM UNAUDITED CONSOLIDATED

More information

Deferred inflows of resources Deferred gain on debt refunding 11,668 12,578

Deferred inflows of resources Deferred gain on debt refunding 11,668 12,578 Shands Teaching Hospital and Clinics, Inc. and Subsidiaries Consolidated Basic Statements of Net Position (Unaudited) As of June 30, 2014 and 2013 (Amounts in Thousands) 2014 2013 Assets Current assets

More information

Quarterly Disclosure Report. For Six Months Ended December 31, (Unaudited)

Quarterly Disclosure Report. For Six Months Ended December 31, (Unaudited) Quarterly Disclosure Report For Six Months Ended December 31, 2009 (Unaudited) Contacts: Mark Amiri Frederick Savelsbergh Vice President and Treasurer Chief Financial Officer 214-820-2538 214-820-3725

More information

Quarterly Disclosure Report. For Six Months Ended December 31, (Unaudited)

Quarterly Disclosure Report. For Six Months Ended December 31, (Unaudited) Quarterly Disclosure Report For Six Months Ended December 31, 2008 (Unaudited) Contacts: Mark Amiri Frederick Savelsbergh Vice President and Treasurer Senior Vice President of Hospital Finance and 214-820-2538

More information

CONTINUING DISCLOSURE ANNUAL REPORT OF EISENHOWER MEDICAL CENTER FOR THE FISCAL YEAR ENDED JUNE 30, 2013

CONTINUING DISCLOSURE ANNUAL REPORT OF EISENHOWER MEDICAL CENTER FOR THE FISCAL YEAR ENDED JUNE 30, 2013 CONTINUING DISCLOSURE ANNUAL REPORT OF EISENHOWER MEDICAL CENTER FOR THE FISCAL YEAR ENDED JUNE 30, 2013 CONTINUING DISCLOSURE ANNUAL REPORT OF EISENHOWER MEDICAL CENTER FOR THE FISCAL YEAR ENDED JUNE

More information

Erie County Medical Center Corporation Operating and Capital Budgets. For the year ending 2018

Erie County Medical Center Corporation Operating and Capital Budgets. For the year ending 2018 Erie County Medical Center Corporation Operating and Capital Budgets For the year ending 2018 Table of Contents Page Management Discussion and Analysis 3-7 Regulatory Reporting Requirements 8 Budget Process

More information

For The Period. The Cleveland

For The Period. The Cleveland Interim Unaudited Consolidated Financial Statements and Other Information For The Period Ended June 30, 2013 The Cleveland Clinic Foundation d.b. a. Cleveland Clinic Health System INTERIM UNAUDITED CONSOLIDATED

More information

COMMUNITY HEALTH NETWORK, INC. & AFFILIATED ENTITIES

COMMUNITY HEALTH NETWORK, INC. & AFFILIATED ENTITIES COMMUNITY HEALTH NETWORK, INC. & AFFILIATED ENTITIES Unaudited Consolidated Financial Statements As of and for the Quarter Ended March 31, 2012 and A-1 Quarterly Financial Information Community Health

More information

Report of Independent Auditors and Consolidated Financial Statements. Kaweah Delta Health Care District

Report of Independent Auditors and Consolidated Financial Statements. Kaweah Delta Health Care District Report of Independent Auditors and Consolidated Financial Statements Kaweah Delta Health Care District June 30, 2013 and 2012 CONTENTS PAGE MANAGEMENT S DISCUSSION AND ANALYSIS 1 16 REPORT OF INDEPENDENT

More information

NYU Hospitals Center

NYU Hospitals Center This document is dated as of July 21, 2016 SPECIAL NOTE CONCERNING FORWARD-LOOKING STATEMENTS. Certain of the discussions included in the following document may include certain forward-looking statements

More information

SUMMARY OF FINANCIAL FEASIBILITY, UCLA MEDICAL CENTER. Total Estimated Project Cost: $43,000,000

SUMMARY OF FINANCIAL FEASIBILITY, UCLA MEDICAL CENTER. Total Estimated Project Cost: $43,000,000 ATTACHMENT 3 SUMMARY OF FINANCIAL FEASIBILITY, UCLA MEDICAL CENTER Project Title: UCLA Health System, CHS South Tower Total Estimated Project Cost: $43,000,000 Proposed Sources of Funding: External Financing

More information

Monongalia Health System (WV)

Monongalia Health System (WV) Monongalia Health System (WV) 1 Monongalia County Building Commission (West Virginia), Refunding and Improvement Revenue Bonds (Monongalia Health System ), Series 2015, $51,450,000, Dated: April 28, 2015

More information

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION

MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION MANAGEMENT S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS FOR ASCENSION As of and for the year ended June 30, 2016 and 2015 The following information should be read in conjunction

More information

QUARTERLY REPORT ORLANDO HEALTH, INC. Quarter Ended December 31, 2018

QUARTERLY REPORT ORLANDO HEALTH, INC. Quarter Ended December 31, 2018 QUARTERLY REPORT ORLANDO HEALTH, INC. Quarter Ended Filed by: Address: 1414 Kuhl Avenue Orlando, FL 32806 Contact: John Miller, Vice President, Finance Contents Interim Consolidated Financial Statements

More information

I N T E R I M U N A U D I T E D F I N A N C I A L S T A T E M E N T S F OR T HE P E R I O D E N D E D D E C E M B E R 3 1, 2014

I N T E R I M U N A U D I T E D F I N A N C I A L S T A T E M E N T S F OR T HE P E R I O D E N D E D D E C E M B E R 3 1, 2014 I N T E R I M U N A U D I T E D F I N A N C I A L S T A T E M E N T S A N D O T H E R I N F O R M A T I O N F OR T HE P E R I O D E N D E D D E C E M B E R 3 1, 2014 Southwest General Health Center Table

More information

11/10/2014 4:24 PM. CHS September 2014 Financial Stmts for Obligated Group.xls

11/10/2014 4:24 PM. CHS September 2014 Financial Stmts for Obligated Group.xls Balance Sheet - As of September 30, 2014 (000s) September August Audit % Change Audit 2014 2014 2013 September - 2013 2012 ASSETS Current Assets: 1 Cash and Investments... $ 263,280 $ 254,532 $ 253,474

More information

MEDICAL UNIVERSITY HOSPITAL AUTHORITY (A Component Unit of The Medical University of South Carolina)

MEDICAL UNIVERSITY HOSPITAL AUTHORITY (A Component Unit of The Medical University of South Carolina) Basic Financial Statements and Required Supplementary Information (With Independent Auditors Report Thereon) Table of Contents Page(s) Independent Auditors Report 1 2 Management s Discussion and Analysis

More information