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 Economic Development Authority, Hospital Revenue Bonds (Conway Hospital, Inc. Project) Series 2007, $44,790,000, Dated: November 8, 2007 Remarketed on May 15, 2008; Reissuance Date: November 1, 2012 Hospital Services and Bed Complement Service Licensed Beds Staffed Beds Medical/Surgical 144 102 OB/GYN 16 16 Pediatric 18 18 Medical/Surgical Intensive Care 32 32 Total 210 168 Newborn Nursery 20 20 Hospital Campus Facilities Year Placed Square Footage Parking Spaces Building in Service of Building Available Major Services Conway Hospital, Inc. 1982 381,945 565 All Inpatient and outpatient acute care Kingston Nursing Center 1989 42,983 73 Extended care and sub acute rehab CHI Rehabilitation Services 1997 39,000 203 Cardiac, Pulmonary and Physical Rehab CHI Outpatient Diagnotic Center 2011 8,968 68 Outpatient Imaging Physician Services And Specialties Number of Board Certified Specialty Number of Active Staff Active Staff Average Age Active Staff Anesthesiology 4 4 51 Cardiology 3 1 50 Dentistry 2 1 55 Emergency Medicine 13 11 46 Gastroenterology 1 1 36 General Surgery 3 3 49 Internal Medicine 4 4 54 Nephrology 18 14 51 Neurology 4 4 52 Obstetrics/Gynecology 2 1 61 Oncology 12 9 49 Oral/Maxillofacial Surgery 3 2 45 Orthopedics 3 2 58 Otolaryngology 6 5 42 Pathology 3 3 54 Pediatrics 3 2 49 Hospitalist 8 3 52 Plastic Surgery 1 1 55 Podiatry 2 1 50 Pulmonary 2 2 40 Radiology 18 18 51 Urology 4 4 52 Totals 119 96 50
Leading Admitting Physicians Specialty Cases Annualized Cases Age Percent of Admissions ORTHOPEDICS 407 543 40 5.23% INTERNAL MEDICINE 386 515 41 4.96% INTERNAL MEDICINE 359 479 31 4.61% FAMILY PRACTICE 319 425 41 4.10% INTERNAL MEDICINE 317 423 33 4.07% INTERNAL MEDICINE 309 412 45 3.97% INTERNAL MEDICINE 304 405 49 3.91% INTERNAL MEDICINE 288 384 40 3.70% PEDIATRICS 270 360 45 3.47% MEDICAL 250 333 50 3.21% Totals/Averages 7,783 10377 42 41.23% Hospital Utilization Number of Beds: Licensed 210 Staffed 172 Discharges 8888 Observation Patients 4766 Patient Days 34065 Average Length of Stay 3.8 Average Daily Census 93.33 Percent Occupancy (staffed beds) 54.26 Outpatient Visits 124105 Emergency Room Visits 57693 Operating Room Cases 2454 Outpatient Surgeries 4270 Total FTEs 940 Medicare/Medicaid Case Mix Index 1.52 Patient Revenue Sources (Percentages) Insurance (Including Blue Cross) 18.65% HMO/PPO 8.30% Medicare 48.97% Medicaid 14.29% Self Pay 8.41% Other 1.38% TOTAL 100.00%
Analysis of Derived Balance Sheet Information Assets Current Assets: Cash and cash equivalents $15,856,648 Assets Limited as to use $4,709,867 Accounts Receivable: Patients, net of allowances for doubtful accounts $22,699,274 Other receivables, net $19,626 Supplies Inventory $3,683,856 Prepaid expenses $2,050,834.00 Total current assets $49,020,105 Other receivables Investments in affiliate $2,435,198 Beneficial interest in assets hold by others $4,109,331 Assets Limited as to use $238,144,220 Property and equipment, net $127,922,615 Intangible assets, net $2,857,674 Intercompany investments and receivables $66,799,030 Total assets $491,288,173 Liabilities and net assets Current liabilities: Payables: Accounts Payables $13,797,518 Estimated third party payor settlements $9,662,204 Accrued Employee compensation and benefits $10,233,087 Current portion of long term debt $5,598,278 Total Current Liabilities $39,291,087 Other Long term Liabilites $2,857,674 Long term debt, net $106,582,341 Total Liabilities $148,731,102 Net Assets: Unrestricted net assets $338,447,740 Temporarily restricted net assets $786,018 Permanently restricted net assets $3,323,313 Total net assets $342,557,071 Total liabilities and net assets $491,288,173
Analysis of Derived Statement of Operations Information Unrestricted revenue gains, & other support Net patient service revenue $211,110,923 Other operating revenues $2,747,666 Total unrestricted revenue, gains and other support $213,858,589 Expenses: Salaries, wages & benefits $97,720,374 Professional Fees $16,015,395 Supplies & other $44,263,396 Provision for bad debts $51,628,158 Depreciation & amortization $10,197,556 Interest expense $4,209,764 Total expenses $224,034,643 Operating Income $10,176,054 Other Income: Share in net gains of affiliates ($19,459) Investment income $7,449,007 Excess of unrestricted revenue and gains over expenses $2,746,506 Change in net unrealized gained (loss) on investments $6,521,939 Contributions received for capital acquisitions $219,122 Increase(decrease) in unrestricted net assets $3,994,555
Historic Debt Service Coverage Excess of Revenue Over Expenses ($2,743,616) Add: Unrealized Gain/Loss On Investments $6,521,939 Loss on Debt Refinancing $0 Depreciation and Amortization 10,197,556 Interest 4,209,765 Income Available for Debt Service 18,185,644 Maximum Annual Debt Service $8,077,177 Debt Service Coverage Ratio 2.2X Series 2016,2007 Historic Days' Cash on Hand Unrestricted Cash and Investments $225,651,033 Operating Expenses $224,034,644 Less: Provision for Bad Debts $51,628,158 Depreciation & Amortization $10,197,556 Adjusted Total Operating Expenses $162,208,930 Days in Period 365 Daily Operating Expenses $444,408 Days' Cash on Hand 507 Historic Capitalization Unrestricted Cash and Investments $225,651,033 Long Term Debt (net of current portion) $137,223,765 Unrestricted Net Assets $338,437,740 Total Capitalization $475,661,505 Ratio of Long Term Debt to Capitalization 29% Ratio of Cash to Long Term Debt 164%