Financial Statements 2008-09 TURNING SCIENCE INTO HEALTH
OPERATING STATEMENT FOR THE YEAR ENDED 30 JUNE 2009 Note Revenue from Operating Activities 2 606,108 547,844 Revenue from Non-Operating Activities 2 2,529 2,475 Employee Benefits 3 (443,363) (399,006) Non Salary Labour costs 3 (8,248) (9,169) Supplies and Consumables 3 (95,472) (88,220) Other Expenses from Continuing Operations 3(a) (57,033) (53,852) Net Result Before Capital & Specific Items 4,521 72 Capital Purpose Income 2 50,055 29,768 Depreciation and Amortisation 4 (32,933) (33,679) Expenditure Using Capital Purpose Income 3(a) (5,266) (6,107) Net Result for the Year 16,377 (9,946) This Statement should be read in conjunction with the accompanying notes. 1
BALANCE SHEET AS AT 30 JUNE 2009 Note ASSETS Current Assets Cash and Cash Equivalents 6 33,619 32,396 Receivables 7 27,840 35,183 Other Financial Assets 8 29,595 14,955 Inventories 9 6,713 5,702 Other Current Assets 10 2,007 1,670 Current Assets 99,774 89,906 Non-Current Assets Receivables 7 16,035 8,165 Other Financial Assets 8 154 154 Property, Plant and Equipment 11 1,072,978 667,313 Intangible Assets 12 1,573 700 Non-Current Assets 1,090,740 676,332 TOTAL ASSETS 1,190,514 766,238 LIABILITIES Current Liabilities Payables 13 32,577 31,559 Interest Bearing Liabilities 14 427 400 Employee Benefits and Related On-Costs Provisions 15 124,171 108,002 Other Liabilities 16 1,793 1,834 Current Liabilities 158,968 141,795 Non-Current Liabilities Interest Bearing Liabilities 14 23,967 24,394 Employee Benefits and Related On-Costs Provisions 15 13,943 10,849 Other Liabilities 16 374 673 Non-Current Liabilities 38,284 35,916 TOTAL LIABILITIES 197,252 177,711 NET ASSETS 993,262 588,527 EQUITY Asset Revaluation Reserve 17(a) 532,717 144,359 Restricted Specific Purpose Reserve 17(a) 5,442 2,275 Contributed Capital 17(b) 529,927 529,927 Accumulated Deficits 17(c) (74,824) (88,034) TOTAL EQUITY 993,262 588,527 This Statement should be read in conjunction with the accompanying notes. 2
STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 30 JUNE 2009 Note Equity at Beginning of Financial Year 588,527 563,326 Effects of Changes in Accounting Policy Accumulated Deficits - - Restated Equity at Beginning of Financial Year 588,527 563,326 Gain on Asset Revaluation 17 388,358 23,540 Net Income Recognised Directly in Equity 388,358 23,540 Net Result for the Year 16,377 (9,946) Recognised Income and Expense for the Year 404,735 13,594 Transactions with the State in its Capacity as Owner 17-11,607 Equity at the End of the Financial Year 993,262 588,527 This Statement should be read in conjunction with the accompanying notes. 3
CASH FLOW STATEMENT FOR THE YEAR ENDED 30 JUNE 2009 Note CASH FLOWS FROM OPERATING ACTIVITIES Operating Grants from Government 474,687 443,726 Patient and Resident Fees Received 23,734 20,465 Private Practice Fees Received 10,863 8,280 Donations and Bequests Received 6,731 1,926 GST Received from/(paid to) ATO (263) 9,944 Recoupment from private practice for use of Hospital Facilities 24,711 24,161 Interest Received 2,438 2,376 Other Receipts 56,572 51,092 Employee Benefits Paid (424,170) (386,722) Finance Costs (1,855) (1,655) Other Payments (155,301) (162,160) Cash Generated from Operations 18,147 11,433 Capital Grants from Government 31,625 20,663 Capital Donations and Bequests Received 3,536 2,965 Other Capital Receipts 2,890 3,619 Other Capital Payments (5,266) (6,107) NET CASH INFLOW FROM OPERATING ACTIVITIES 18 50,932 32,573 CASH FLOWS FROM INVESTING ACTIVITIES Purchase of Property, Plant and Equipment (40,131) (38,037) Proceeds from Disposal of Property, Plant and Equipment 1,022 43 Purchase of Investments (14,640) (1,889) (Payment)/receipts (to)/from Major Projects Victoria 5,094 (9,612) NET CASH OUTFLOW FROM INVESTING ACTIVITIES (48,655) (49,495) CASH FLOWS FROM FINANCING ACTIVITIES Proceeds from Borrowings - 20,901 Repayment of Borrowings (1,068) (366) Contributed Capital from Government - 8,060 NET CASH INFLOW/(OUTFLOW) FROM FINANCING ACTIVITIES (1,068) 28,595 NET INCREASE IN CASH HELD 1,209 11,673 CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD 6 32,367 20,694 CASH AND CASH EQUIVALENTS AT END OF PERIOD 6 33,576 32,367 This Statement should be read in conjunction with the accompanying notes. 4
Contents Note Page 1 Statement of Significant Accounting Policies... 6 2 Revenue... 18 2a Analysis of Revenue by Source... 21 2b Patient and Resident Fees... 23 2c Net Gain/(Loss) on Disposal of Non-Current Assets... 23 2d Assets Received Free of Charge or for Nominal Consideration... 24 2e Specific Income... 24 3 Expenses... 25 3a Analysis of Expense by Source... 28 3b Analysis of Expenses by Internal and Restricted Specific Purpose Funds 30 for Services Supported by Hospital and Community Initiatives... 3c Specific Expenses... 30 4 Depreciation and Amortisation... 30 5 Finance Costs... 31 6 Cash and Cash Equivalents... 31 7 Receivables... 32 8 Other Financial Assets... 33 9 Inventories... 33 10 Other Assets... 33 11 Property, Plant and Equipment... 34 12 Intangible Assets... 37 13 Payables... 37 14 Interest Bearing Liabilities... 38 15 Employee Benefits and Related On-Costs Provisions... 38 16 Other Liabilities... 40 17 Equity... 40 18 Reconciliation of Net Result for the Year to Net Cash Inflow/(Outflow) 41 from Operating Activities... 19 Non-Cash Financing and Investing Activities... 42 20 Financial Instruments... 42 21 Commitments for Expenditure... 49 22 Contingent Liabilities... 49 23 Events occurring after Report Date... 50 24a Responsible Persons Disclosures... 50 24b Executive Officer Disclosures... 51 25 Segment Reporting... 52 5
Note 1: Statement of Significant Accounting Policies (a) Statement of Compliance The financial report is a general purpose financial report which has been prepared on an accrual basis in accordance with the Financial Management Act 1994 and applicable Australian Accounting Standards (AASs) and Australian Accounting Interpretation. AASs includes Australian equivalents to International Financial Reporting Standards. (b) Basis of Preparation The financial report is prepared in accordance with the historical cost convention, except for the revaluation of certain non-financial assets and financial instruments, as noted. Cost is based on the fair values of the consideration given in exchange for assets. In the application of AASs management is required to make judgments, estimates and assumptions about carrying values of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and various other factors that are believed to be reasonable under the circumstance, the results of which form the basis of making the judgments. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period or in the period of the revision, and future periods if the revision affects both current and future periods. Accounting policies are selected and applied in a manner which ensures that the resulting financial information satisfies the concepts of relevance and reliability, thereby ensuring that the substance of the underlying transactions or other events is reported. The accounting policies set out below have been applied in preparing the financial report for the year ended 30 June 2009, and the comparative information presented in these financial statements for the year ended 30 June 2008. (c) (d) (e) (f) (g) Reporting Entity The Health Service is a not-for profit entity and therefore applies the additional Aus paragraphs applicable to not-for-profit entities under the AASs. Rounding Off All amounts shown in the Financial Statements are expressed to the nearest $1,000 unless otherwise indicated. Cash and Cash Equivalents Cash and cash equivalents comprise cash on hand and in banks and investments in money market instruments. Receivables Trade debtors are carried at nominal amounts due and are due for settlement within 30 days from the date of recognition. Collectability of debt is reviewed on an ongoing basis, and debts which are known to be uncollectible are written off. A provision for doubtful debts is raised where doubt as to collection exists. Bad debts are written off when identified. Inventories Inventories include goods and other property held either for sale or for distribution at no or nominal cost in the ordinary course of business operations. It excludes depreciable assets. 6
Note 1: Statement of Significant Accounting Policies (continued) (g) Inventories (continued) Inventories held for distribution are measured at cost, adjusted for any loss of service potential. All other inventories are measured at the lower of cost or net realisable value. Bases used in assessing loss of service potential for inventories held for distribution include current replacement cost and technical or functional obsolescence. Technical obsolescence occurs when an item still functions for some or all of the tasks it was originally acquired to do, but no longer matches existing technologies. Functional obsolescence occurs when an item no longer functions the way it did when it was first acquired. Cost is determined principally by the weighted average method. (h) Other Financial Assets Other financial assets are recognised and derecognised on trade date where purchase or sale of an investment is under a contract whose terms require delivery of the investment within the timeframe established by the market concerned, and are initially measured at fair value, net of transaction costs. The Health Service classifies its other financial assets between current and non-current assets based on the purpose for which the assets were acquired. Management determines the classification of its investments at initial recognition. The Health Service assesses at each balance sheet date whether a financial asset or group of financial assets is impaired. Loans and Receivables Trade receivables, loans and other receivables are recorded at amortised cost, using the effective interest method, less impairment. The effective interest method is a method of calculating the amortised cost of a financial asset and of allocating interest income over the relevant period. The effective interest rate is the rate that exactly discounts estimated future cash receipts through the expected life of the financial asset, or, where appropriate, a shorter period. Available-for-sale financial assets Other financial assets held by the entity are classified as being available-for-sale and are stated at fair value. Gains and losses arising from changes in fair value are recognised directly in equity until the investment is disposed of or is determined to be impaired, at which time the cumulative gain or loss previously recognised in equity is included in profit or loss for the period. Fair value is determined in the manner described in Note 20. (i) Intangible Assets Intangible assets represent identifiable non-monetary assets without physical substance such as patents, trademarks, goodwill, computer software and development costs (where applicable). Intangible assets are recognised at cost. Subsequently, intangible assets with finite useful lives are carried at cost less accumulated amortization and accumulated impairment losses. Costs incurred subsequent to initial acquisition are capitalised when it is expected that additional future economic benefits will flow to the Health Service. Amortisation is allocated to intangible assets with finite useful lives on a systematic (typically straightline) basis over the asset s useful life. Amortisation begins when the asset is available for use, that is, when it is in the location and condition necessary for it to be capable of operating in the manner intended by management. The amortisation period and the amortisation method for an intangible asset with a finite useful life are reviewed at least at the end of each annual reporting period. In addition, an assessment is made at each reporting date to determine whether there are indicators that the intangible asset concerned is impaired. If so, the assets concerned are tested as to whether their carrying value exceeds their recoverable amount. 7
Note 1: Statement of Significant Accounting Policies (continued) (i) Intangible Assets (continued) Intangible assets with indefinite useful lives are not amortised, but are tested for impairment annually or whenever there is an indication that the asset may be impaired. The useful life of intangible assets that are not being amortised are reviewed each period to determine whether events and circumstances continue to support an indefinite useful life assessment for that asset. In addition, the Health Service tests all intangible assets with indefinite useful lives for impairment by comparing its recoverable amount with its carrying amount: annually, and whenever there is an indication that the intangible asset may be impaired. Any excess of the carrying amount over the recoverable amount is recognised as an impairment loss. Intangible assets with finite useful lives are amortised over 3 years (2008: 3 years). (j) Property, Plant and Equipment Crown Land is measured at fair value with regard to the property s highest and best use after due consideration is made for any legal or constructive restrictions imposed on the asset, public announcements or commitments made in relation to the intended use of the asset. Theoretical opportunities that may be available in relation to the assets are not taken into account until it is virtually certain that any restriction will no longer apply. Land and Buildings are recognised initially at cost and subsequently measured at fair value less accumulated depreciation. Plant, Equipment and Vehicles are recognised initially at cost and subsequently measured at fair value less accumulated depreciation. (k) Revaluations of Non-current Physical Assets Non-current physical assets measured at fair value are revalued in accordance with FRD 103D. This revaluation process normally occurs every five years based upon the asset s Government Purpose Classification, but may occur more frequently if fair value assessments indicate material changes in values. Revaluation increments or decrements arise from differences between an asset s carrying value and fair value. Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an increment reverses a revaluation decrement in respect of that class of asset previously recognised as an expense in net result, the increment is recognised as revenue in the net result. Revaluation decrements are recognised immediately as expenses in the net result, except that, to the extent that a credit balance exists in the asset revaluation reserve in respect of the same class of assets, they are debited directly to the asset revaluation reserve. Revaluation increases and revaluation decreases relating to individual assets within a class are offset against one another within that class but are not offset in respect of assets in different classes. Revaluation reserves are not transferred to accumulated funds on derecognition of the relevant asset. In accordance with FRD 103D the Health Service non-current physical assets were subjected to a detailed valuation in the current financial year. (l) Depreciation Assets with a cost in excess of $1,000 (2008: $1,000) are capitalised and depreciation has been provided on depreciable assets so as to allocate their cost - or valuation - over their estimated useful lives using the straight-line method. Estimates of the remaining useful lives and depreciation method for all assets are reviewed at least annually. This depreciation charge is not funded by the Department of Human Services. 8
Note 1: Statement of Significant Accounting Policies (continued) (l) Depreciation (continued) The following table indicates the expected useful lives of non-current assets on which the depreciation charges are based. Buildings Up to 40 years Up to 40 years Building Components: - Fitout Up to 20 years Up to 20 years Shell/Structure Up to 60 years Up to 60 years - Services Up to 28 years Up to 28 years - Siteworks/Site Services Up to 30 years Up to 30 years Plant & Equipment Up to 15 years Up to 15 years Furniture & Fittings Up to 5 years Up to 5 years Communication Up to 5 years Up to 5 years Transport Up to 3 years Up to 3 years Linen Up to 3 years Up to 3 years Other Up to 5 years Up to 5 years (m) Net Gain/(Loss) on Non-Financial Assets Net gain/(loss) on non-financial assets includes realised and unrealised gains and losses from revaluations, impairments and disposals of all physical assets and intangible assets. Disposal of Non-Financial Assets Any gain or loss on sale of non-financial assets is recognised at the date that control of the asset is passed to the buyer and is determined after deducting from the proceeds the carrying value of the asset at that time. Impairment of Non-Financial Assets Intangible assets with indefinite useful lives (and intangible assets not yet available for use) are tested annually for impairment (i.e. as to whether their carrying value exceeds their recoverable amount, and so require write-downs) and whenever there is an indication that the asset may be impaired. All other assets are assessed annually for indications of impairment, except for: inventories; and financial assets. If there is an indication of impairment, the assets concerned are tested as to whether their carrying value exceeds their possible recoverable amount. Where an asset s carrying value exceeds its recoverable amount, the difference is written-off by a charge to the operating statement except to the extent that the write-down can be debited to an asset revaluation reserve amount applicable to that class of asset. It is deemed that, in the event of the loss of an asset, the future economic benefits arising from the use of the asset will be replaced unless a specific decision to the contrary has been made. The recoverable amount for most assets is measured at the higher of depreciated cost and fair value less costs to sell. Recoverable amount for assets held primarily to generate net cash inflows is measured at the higher of the present value of future cash flows expected to be obtained from the asset and fair value less costs to sell. (n) Payables These amounts consist predominantly of liabilities for goods and services. Payables are initially recognised at fair value, then subsequently carried at amortised cost and represent liabilities for goods and services provided to the health service prior to the end of the financial year that are unpaid, and arise when the health service becomes obliged to make future payments in respect of the purchase of these goods and services. 9
Note 1: Statement of Significant Accounting Policies (continued) (n) (o) (p) (q) (r) Payables (continued) The normal credit terms are Net 30 days after the end of month of date of invoice. Resources Provided and Received Free of Charge or for Nominal Consideration Resources provided or received free of charge or for nominal consideration are recognised at their fair value when the transferee obtains control over them, irrespective of whether restrictions or conditions are imposed over the use of the contributions, unless received from another entity or agency as a consequence of a restructuring of administrative arrangements. In the later case, such a transfer will be recognised at carrying value. Contributions in the form of services are only recognised when a fair value can be reliably determined and the services would have been purchased if not donated. Interest Bearing Liabilities Interest bearing liabilities in the Balance Sheet are recognised at fair value upon initial recognition. Subsequent to initial recognition, interest bearing liabilities are measured at amortised cost with any difference between the initial recognised amount and the redemption value being recognised in profit and loss over the period of the interest bearing liability using the effective interest rate method. Fair value is determined in the manner described in Note 20. Functional and Presentation Currency The presentation currency of the Health Service is the Australian dollar, which has also been identified as the functional currency of the Health Service. Goods and Services Tax Income, expenses and assets are recognised net of associated GST, unless the GST incurred is not recoverable from the taxation authority. In this case it is recognised as part of the cost of acquisition of the asset or as part of the expense. Receivables and payables are stated inclusive of the amount of GST receivable or payable. The net amount of GST recoverable from, or payable to, the taxation authority is included with other receivables and other payables in the balance sheet. Cash flows are presented on a gross basis. The GST components of cash flows arising from investing or financing activities which are recoverable from, or payable to the taxation authority, are presented as operating cash flows. Commitments and contingent liabilities are presented on a gross basis. (s) Employee Benefits Wages and Salaries, Annual Leave and Accrued Days Off Liabilities for wages, and salaries, including non-monetary benefits, annual leave and accrued days off expected to be settled within 12 months of the reporting date are recognised in provision for employee benefits, are classified as current liabilities and measured at nominal values. Those liabilities that the health service does not expect to settle within 12 months are recognised in the provision for employee benefits as current liabilities, measured at present value of the amounts expected to be paid when the liabilities are settled using the remuneration rate expected to apply at the time of settlement. Long Service Leave Current Liability unconditional LSL (representing 10 or more years of continuous service) is disclosed as a current liability even where the Health Service does not expect to settle the liability within 12 months as it does not have the unconditional right to defer the settlement of the entitlement should an employee take leave within 12 months. 10
Note 1: Statement of Significant Accounting Policies (continued) (s) Employee Benefits (continued) The components of this current LSL liability are measured at: present value component that the Health Service does not expect to settle within 12 months; and nominal value component that the Health Service expects to settle within 12 months. Non-Current Liability conditional LSL (representing less than 10 years of continuous service) is disclosed as a non-current liability. There is an unconditional right to defer the settlement of the entitlement until 10 years of service has been completed by an employee. Conditional LSL is required to be measured at present value. Consideration is given to expected future wage and salary levels, experience of employee departures and periods of service. Expected future payments are discounted using interest rates of Commonwealth Government guaranteed securities in Australia. Superannuation Defined contribution plans - Contributions to defined contribution superannuation plans are expensed when incurred. Defined benefit plans- The amount charged to the Operating Statement in respect of defined benefit Superannuation plans represents the contributions made by the Health Service to the superannuation plan in respect to the current services of current Health Service staff. Superannuation contributions are made to the plans based on the relevant rules of each plan. Employees of the Health Service are entitled to receive superannuation benefits and the Health Service contributes to both the defined benefit and defined contribution plans. The defined benefit plans provide benefits based on years of service and final average salary. The name and details of the major employee superannuation funds and contributions made by the Health Service are as follows: Fund Defined Benefit Plans Contributions Paid or Payable for the Year Hospital Superannuation Board Health Super 22,893 21,622 Commonwealth Superannuation Scheme 3,556 3,546 ESS (previously GSO) 652 636 Defined Contribution Plans Hospital Superannuation Board Health Super 1,644 1,806 HESTA 6,947 5,273 Other 385 246 36,077 33,129 The Health Service does not recognise any unfunded defined benefit liability in respect of the superannuation plans because the Health Service has no legal or constructive obligation to pay future benefits relating to its employees; its only obligation is to pay superannuation contributions as they fall due. The Department of Treasury and Finance administers and discloses the State s defined benefit liabilities in its financial report. 11
Note 1: Statement of Significant Accounting Policies (continued) (s) Employee Benefits (continued) Termination Benefits Liabilities for termination benefits are recognised when a detailed plan for the termination has been developed and a valid expectation has been raised in those employees affected that the terminations will be carried out. The liabilities for termination benefits are recognised in other creditors unless the amount or timing of the payments is uncertain, in which case they are recognised as a provision. On-Costs Employee benefits on-costs (workers compensation and superannuation) are recognised separately from provision for employee benefits. (t) Finance Costs Finance costs are recognised as expenses in the period in which they are incurred. Finance costs include: - amortisation of discounts or premiums relating to borrowings; - bank charges; and - interest on long term borrowings. (u) (v) (w) (x) Residential Aged Care Services The Darley House Residential Aged Care Service operations are an integral part of the Health Service and shares its resources. An apportionment of land and buildings has been made based on floor space. The results of this operations have been segregated based on actual revenue earned and expenditure incurred. Intersegment Transactions Transactions between segments within the Health Service have been eliminated to reflect the extent of the Health Service's operations as a group. Leases Operating lease payments, including contingent rentals, are recognised as an expense in the operating statement on a straight line basis over the lease term, except where another systematic basis is more representative of the time pattern of the benefits derived from the use of the leased asset. Income Recognition Income is recognised in accordance with AASB 118 Revenue and is recognised as to the extent it is earned. Unearned income at reporting date is reported as income received in advance. Amounts disclosed as revenue are, where applicable, net of returns, allowances and duties and taxes. Government Grants Grants are recognised as income when the Health Service gains control of the underlying assets in accordance with AASB 1004 Contributions. For reciprocal grants, the Health Service is deemed to have assumed control when the performance has occurred under the grant. For non-reciprocal grants, the Health Service is deemed to have assumed control when the grant is received or receivable. Conditional grants may be reciprocal or non-reciprocal depending on the terms of the grant. Indirect Contributions Insurance is recognised as revenue following advice from the Department of Human Services. Long Service Leave (LSL) - revenue is recognised upon finalisation of movements in LSL liability in line with the arrangements set out in the Metropolitan health and Aged Care Services Division Hospital Circular 34/2008. Patient Fees Patient fees are recognised as revenue at the time invoices are raised. 12
Note 1: Statement of Significant Accounting Policies (continued) (x) Income Recognition (continued) Private Practice Fees Private Practice fees are recognised as revenue at the time invoices are raised. Donations and Other Bequests Donations and bequests are recognised as revenue when received. If donations are for a special purpose they may be transferred to a reserve, for example, restricted special purpose reserve. Interest Revenue Interest revenue is recognised on a time proportionate basis that takes into account the effective yield of the financial asset. (y) (z) (aa) Fund Accounting The Health Service operates on a fund accounting basis and maintains three funds: Operating, Specific Purpose and Capital Funds. The Health Service's Capital and Specific Purpose Funds include unspent capital donations and receipts from fundraising activities conducted solely in respect of these funds. Services Supported By Health Services Agreement and Services Supported By Hospital And Community Initiatives The activities classified as Services Supported by Health Services Agreement (HSA) are substantially funded by the Department of Human Services and includes Residential Aged Care Services (RACS) and are also funded from other sources such as the Commonwealth, patients and residents, while Services Supported by Hospital and Community Initiatives (Non HSA) are funded by the Health Service's own activities or local initiatives and/or the Commonwealth. Change in Accounting Policies In accordance with Victorian Government Financial Reporting Direction FRD 103D Non-Current Physical Assets, the Health Service measures plant and equipment, and medical equipment assets at fair value from 1 July 2008. Previously these assets were measured at cost. This change in accounting policy is required to ensure that Victoria s Whole of Government financial report, to which Austin Health is consolidated into, complies with the requirements of AASB 1049 Whole of Government and General Government Sector Financial Reporting. As this change is the initial application of a policy to revalue assets in accordance with AASB 116 Property, Plant and Equipment the change is treated as a revaluation in the current year. (ab) Comparative Information There have been no changes to previous year s figures. (ac) Property, Plant & Equipment Revaluation Reserve The asset revaluation reserve is used to record increments and decrements on the revaluation of noncurrent assets. (ad) Specific Restricted Purpose Reserve A Specific Restricted Purpose Reserve is established where the Health Service has possession or title to funds but has no discretion to amend or vary the restriction and/or condition underlying the funds received. (ae) Contributed Capital Consistent with Interpretation 1038 Contributions by Owners Made to Wholly Owned Public Sector Entities and FRD 119 Contributions by Owners, appropriations for additions to the net asset base have been designated as contributed capital. Other transfers that are in the nature of contributions or distributions, that have been designated as contributed capital are also treated as contributed capital. 13
Note 1: Statement of Significant Accounting Policies (continued) (af) Net Result Before Capital & Specific Items The subtotal entitled Net Result Before Capital & Specific Items is included in the Operating Statement to enhance the understanding of the financial performance of the Health Service. This subtotal reports the result excluding items such as capital grants, assets received or provided free of charge, depreciation, and items of unusual nature and amount such as specific revenue and expenses. The exclusion of these items are made to enhance matching of income and expenses so as to facilitate the comparability and consistency of results between years and Victorian Public Health Services. The Net Result Before Capital & Specific Items is used by the management of the Health Service, the Department of Human Services and the Victorian Government to measure the ongoing result of Health Service in operating hospital services. Capital and specific items, which are excluded from this sub-total, comprise: Capital purpose income, which comprises all tied grants, donations and bequests received for the purpose of acquiring non-current assets, such as capital works, plant and equipment or intangible assets. It also includes donations of plant and equipment (refer note 1(o)). Consequently the recognition of revenue as capital purpose income is based on the intention of the provider of the revenue at the time the revenue is provided. Specific income/expense, comprises the following items, where material: Voluntary departure packages; Write-down of inventories; Non-current asset revaluation increments/decrements; Diminution in investments; Restructuring of operations (disaggregation/aggregation of health services); Litigation settlements; Non-current assets lost or found; Forgiveness of loans; Reversals of provisions; and Voluntary changes in accounting policies (which are not required by an accounting standard or other authoritative pronouncement of the Australian Accounting Standards Board). Impairment of non current assets, includes all impairment losses (and reversal of previous impairment losses), related to non current assets only which have been recognised in accordance with note 1(m). Depreciation and amortisation, as described in note 1 (j) and (l). Assets provided free of charge, as described in note 1(o). Expenditure using capital purpose income, comprises expenditure which either falls below the asset capitalisation threshold (note 1(i) and (j)), or doesn t meet asset recognition criteria and therefore does not result in the recognition of an asset in the balance sheet, where funding for that expenditure is from capital purpose income. (ag) Category Groups The Health Service has used the following category groups for reporting purposes for the current and previous financial years. Admitted Patient Services (Admitted Patients) comprises all recurrent health revenue/expenditure on admitted patient services, where services are delivered in public hospitals. Mental Health Services (Mental Health) comprises all recurrent health revenue/expenditure on specialised mental health services (child and adolescent, general and adult, community and forensic) managed or funded by the state or territory health administrations, and includes: Admitted patient services (including forensic mental health), outpatient services, emergency department services (where it is possible to separate emergency department mental health services), community-based services, residential and ambulatory services. Outpatient Services (Outpatients) comprises all recurrent health revenue/expenditure on public hospital type outpatient services, where services are delivered in public hospital outpatient clinics. 14
Note 1: Statement of Significant Accounting Policies (continued) (ag) Category Groups (continued) Emergency Department Services (EDS) comprises all recurrent health revenue/expenditure on emergency department services that are available free of charge to public patients. Aged Care comprises revenue/expenditure from Home and Community Care (HACC) programs, allied health, Aged Care Assessment and support services. Off Campus, Ambulatory Services (Ambulatory) comprises all recurrent health revenue/expenditure on public hospital type services including palliative care facilities and rehabilitation facilities, as well as services provided under the following agreements; Services that are provided or received by hospital but are delivered/received outside a hospital campus, services which have moved from a hospital to a community setting since June 1998. Residential Aged Care comprises those Commonwealth-licensed residential aged care services in receipt of supplementary funding from DHS. Other Services excluded from Australian Health Care Agreement (AHCA) (Other) comprises revenue/expenditure for services not separately classified above, including: public health services including laboratory testing, drugs services including drug withdrawal, disability services including aids and equipment and flexible support packages to people with a disability, community care programs including sexual assault support and various support services. Health and Community Initiatives also falls in this category group. (ah) New Accounting Standards and Interpretations Certain new accounting standards and interpretations have been published that are not mandatory for the 30 June 2009 reporting period. As at 30 June 2009, the following standards and interpretation had been issued but were not mandatory for financial year ended 30 June 2009. Austin Health has not and does not intend to adopt these standards early. Standard /Interpretation Summary Applicable for reporting periods beginning on or ending on AASB 8 Operating Supersedes AASB 114 Beginning 1 January Segments. AASB 2007-3 Amendments to Australian Accounting Standards arising from AASB 8 [AASB 5, AASB 6, AASB 102, AASB 107, AASB 119, AASB 127, AASB 134, AASB 136, AASB 1023 and AASB 1038]. AASB 2007-6 Amendments to Australian Accounting Standards arising from AASB 123 [AASB 1, AASB 101, AASB 107, AASB 111, AASB 116 and AASB 1038 and Interpretations 1 & 12]. Segment Reporting. An accompanying amending standard also introduced consequential amendments into other Standards. Option to expense borrowing costs related to a qualifying asset had been removed. Entities are now required to capitalize borrowing costs relevant to qualifying assets. 2009 Beginning 1 January 2009 Beginning 1 January 2009 Impact on Health Service s Annual Statements Not applicable. Impact expected to be insignificant. All Australian government jurisdictions are currently still actively pursuing an exemption for government from capitalizing borrowing costs. 15
Note 1: Statement of Significant Accounting Policies (continued) (ah) New Accounting Standards and Interpretations (continued) Standard /Interpretation AASB 2008-3 Amendments to AAS arising from AASB 3 & AASB 127 [AASB 1,2,4, 5, 7, 101,107, 112, 114, 116, 121, 128,131, 132, 133, 134, 136, 137, 138, & 139 and Interpretation 9 & 107] AASB 2008-5 Amendments to AASs arising from Annual Improvements Project [AASBs 5, 7, 101, 102, 107, 108, 110, 116, 118, 119, 120, 123, 127,128, 129,131, 132, 134, 136, 138, 140, 141, 1023 & 1308] AASB 2008-6 Further Amendments to Australian Accounting Standards arising from the Annual Improvements project [AASB 1 & AASB 5] AASB 2008-7 Amendments to AAS Cost of an Investment in a Subsidiary, Jointly Controlled Entity or Associate [AASB 1, 118, 121, 127 %136] AASB 2008-8 Amendments to Australian Accounting Standards Eligible Hedged Items [AASB 139] AASB 2008-9 Amendments to AASB 1049 for Consistency with AASB 101 Summary This Standard gives effect to consequential changes arising from revised AASB 3 and amended AASB 127. The prefaces to those Standards summarise the main requirements of those standards. A suite of amendments to existing standards following issuance of IASB Standard Improvements to IFRSs in May 2008. Some amendments result in accounting changes for presentation, recognition and measurement purposes. The amendments require all the assets and liabilities of a for-sale subsidiary s to be classified as held for sale and clarify the disclosures required when the subsidiary is part of a disposal group that meets the definition of a discontinued operation. Changes mainly relate to treatment of dividends from subsidiaries or controlled entities. The amendments to AASB 139 clarify how the principles that determine whether a hedged risk or portion of cash flows is eligible for designation as a hedged item, should be applied in particular situations. Amendments to AASB 1049 for consistency with AASB 101 (September 2007) version. Applicable for reporting periods beginning on or ending on Beginning 1 January 2009 Beginning 1 January 2009 Beginning 1 January 2009 Beginning 1 January 2009 Beginning 1 January 2009 Beginning 1 January 2009 Impact on Health Service s Annual Statements Impact expected to be insignificant. Impact is being evaluated. Impact expected to be insignificant. Impact expected to be insignificant. Impact expected to be insignificant. Impact expected to be insignificant. 16
(ah) New Accounting Standards and Interpretations (continued) Standard /Interpretation Summary Applicable for reporting periods beginning on or ending on AASB 2009-1 Amendments to Australian Accounting Standards Borrowing Costs of Not-for Profit Public Sector Entities [AASB 1, AASB 111 & AASB 1213] AASB 2009-2 Amendments to Australian Accounting Standards Improving Disclosures about Financial Instruments [ AASB 4, AASB 7, AASB 1023 & AASB 1038] Amendments to Australian Accounting Standards to allow borrowing costs of Not-for Profit Public Sector Entities to be expensed. Amendments to AASB 7 to enhance disclosures about fair value measurements and liquidity risk. Editorial amendments to AASB 4, AASB 1023 and AASB 1038 resulting from the amendments to AASB 7. Beginning 1 January 2009 Beginning 1 January 2009 Impact on Health Service s Annual Statements Impact expected to be insignificant. Impact expected to be insignificant. (ai) Going Concern The financial statements have been prepared on a going concern basis. Austin Health has: A surplus from ordinary activities of $16.4M for the year ended 30 June 2009 ($10M deficit for the year ended 30 June 2008); Depreciation/Amortisation Expense of $33M for the year ended 30 June 2009 ($33.7M for the year ended 30 June 2008) which is not matched with recurrent funding; A working capital deficiency of $59.1M as at 30 June 2009 ($52M deficiency as at 30 June 2008); Net cash inflows of $1.2M for the year ended 30 June 2009 ($11.7M inflows for the year ended 30 June 2008); and Budgeted for a deficit from ordinary activities for 30 June 2010. With respect to Austin Health s current financial position, the Board and Management of Austin Health have initiated various strategies which will be monitored throughout the 2009/10 financial year. On the basis of the advice and assurances received in writing from the Department of Human Services, the Directors of Austin Health are of the opinion that Austin Health will be able to pay its debts as and when they fall due. 17
Note 2: Revenue HSA HSA Non HSA Non HSA Revenue from Operating Activities Government Grants - Department of Human Services 445,551 407,644 - - 445,551 407,644 - Commonwealth Government - Residential Aged Care Subsidy 2,777 2,715 - - 2,777 2,715 - Other 20,816 18,622 - - 20,816 18,622 Government Grants 469,144 428,981 - - 469,144 428,981 Indirect Contributions by Department of Human Services - Insurance 5,556 5,590 - - 5,556 5,590 - Long Service Leave 11,175 5,478 - - 11,175 5,478 Indirect Contributions by Department of Human Services 16,731 11,068 - - 16,731 11,068 Patient and Resident Fees - Patient and Resident Fees (Refer note 2b) 21,027 21,644 - - 21,027 21,644 - Residential Aged Care (Refer note 2b) 833 783 - - 833 783 Patient and Resident Fees 21,860 22,427 - - 21,860 22,427 18
Note 2: Revenue (continued) HSA HSA Non HSA Non HSA Business Unit and Specific Purpose Funds - Private Practice and Other Patient Activities - - 5,400 3,944 5,400 3,944 - Laboratory Medicine 185 284 15,158 13,912 15,343 14,196 - Diagnostic Imaging 317 424 3,121 2,671 3,438 3,095 - Mental Health Services - - 1,364 1,397 1,364 1,397 - Pharmacy Services 323 309 376 214 699 523 - Affiliated Entities - - 4,164 4,850 4,164 4,850 - Retail Services - - 709 661 709 661 - Laundry - - 3,697 3,978 3,697 3,978 - Food Production Kitchen - - 1,263 565 1,263 565 - Car Park - - 6,093 5,852 6,093 5,852 - Research - - 9,294 3,790 9,294 3,790 - Cardiology - - 1,075 482 1,075 482 - Child Care - - 979 927 979 927 - Nuclear Medicine - - 2,197 2,410 2,197 2,410 - Fundraising - - 1,544 1,498 1,544 1,498 - Hospital Department Funds - - 1,355 1,224 1,355 1,224 - Salary Packaging - - 1,998 637 1,998 637 - Other - - 919 539 919 539 Business Unit and Specific Purpose Funds 825 1,017 60,706 49,551 61,531 50,568 Donations and Bequests 7 148 - - 7 148 Recoupment from Private Practice for use of Hospital Facilities 24,711 24,161 - - 24,711 24,161 Other Revenue from Operating Activities 12,124 10,491 - - 12,124 10,491 Sub- Revenue from Operating Activities 545,402 498,293 60,706 49,551 606,108 547,844 19
Note 2: Revenue (continued) HSA HSA Non HSA Non HSA Revenue from Non-Operating Activities Interest 2,330 2,176 - - 2,330 2,176 Other Revenue from Non-Operating Activities 199 299 - - 199 299 Sub- Revenue from Non-Operating Activities 2,529 2,475 - - 2,529 2,475 Revenue from Capital Purpose Income State Government Grants - Targeted Capital Works & Equipment 3,260 4,964 - - 3,260 4,964 - Other - - 22,010 14,902 22,010 14,902 - DHS Indirect Contribution - - 11,574 2,488 11,574 2,488 Commonwealth Government Capital Grants 313 196 6,066 601 6,379 797 Residential Accommodation Payments (refer note 2b) 175 152-175 152 Assets Received Free of Charge (refer note 2d) - - 24-24 - Net Gain/(Loss) on Disposal of Non-Current Assets (refer note 2c) - - 406 33 406 33 Capital Interest - - 1,158 1,095 1,158 1,095 Donations and Bequests - - 3,536 2,965 3,536 2,965 Other Capital Purpose Income - - 1,533 2,372 1,533 2,372 Sub- Revenue from Capital Purpose Income 3,748 5,312 46,307 24,456 50,055 29,768 Revenue (Refer Note 2a) 551,679 506,080 107,013 74,007 658,692 580,087 Indirect Contributions by Department of Human Services Department of Human Services makes certain payments on behalf of the Health Service. These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses. 20
Note 2a: Analysis of Revenue by Source Admitted Outpatients EDS Ambulatory Mental RAC Aged Other Patients Health Care 2009 2009 2009 2009 2009 2009 2009 2009 2009 $000 Revenue from Services Supported by Health Services Agreement Government Grants 284,850 59,369 17,645 54,580 42,769 3,773 3,281 2,876 469,143 Indirect Contributions by Department of Human Services 15,141 385 213 502 387 42 13 48 16,731 Patient and Resident Fees (refer note 2b) 15,588 520-4,020 837 833 62-21,860 Recoupment from Private Practice for Use of Hospital Facilities 11,048 10,487 1,478 433 63 - - 1,202 24,711 Business Units & Specific Purpose Funds 536 171 41 10 10 - - 57 825 Donations and Bequests (non capital) 3 - - 4 - - - - 7 Other Revenue 8,594 936 369 1,167 1,098 23 33 104 12,324 Interest 2,330 - - - - - - - 2,330 Capital Purpose Income (refer note 2) 3,260 - - - - 488 - - 3,748 Sub- Revenue from Services Supported by Health Services Agreement 341,350 71,868 19,746 60,716 45,164 5,159 3,389 4,287 551,679 Revenue from Services Supported by Hospital and Community Initiatives Business Units & Specific Purpose Funds - - - - - - - 60,706 60,706 Capital Purpose Income (refer note 2) - - - - - - - 46,307 46,307 Sub- Revenue from Services Supported by Hospital and Community Initiatives - - - - - - - 107,013 107,013 Revenue 341,350 71,868 19,746 60,716 45,164 5,159 3,389 111,300 658,692 Indirect Contributions by Department of Human Services Department of Human Services makes certain payments on behalf of the Health Service. These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses. 21
Note 2a: Analysis of Revenue by Source (continued) Admitted Outpatients EDS Ambulatory Mental RAC Aged Other Patients Health Care 2008 2008 2008 2008 2008 2008 2008 2008 2008 $000 Revenue from Services Supported by Health Services Agreement Government Grants 266,701 47,954 16,089 49,482 39,702 3,647 3,196 2,210 428,981 Indirect Contributions by Department of Human Services 10,118 239 113 308 244 26 10 9 11,068 Patient and Resident Fees (refer note 2b) 14,852 460 3 5,357 927 782 46-22,427 Recoupment from Private Practice for Use of Hospital Facilities 12,585 10,269 718 520 68-1 - 24,161 Business Units & Specific Purpose Funds 731 223 32 18 13 - - - 1,017 Donations and Bequests (non capital) 82 1 3 54 7-1 - 148 Other Revenue 7,266 916 350 1,267 878 28 50 35 10,790 Interest 2,176 - - - - - - - 2,176 Capital Purpose Income (refer note 2) 4,964 - - - - 348 - - 5,312 Sub- Revenue from Services Supported by Health Services Agreement 319,475 60,062 17,308 57,006 41,839 4,831 3,304 2,254 506,080 Revenue from Services Supported by Hospital and Community Initiatives Business Units & Specific Purpose Funds - - - - - - - 49,551 49,551 Capital Purpose Income (refer note 2) - - - - - - - 24,456 24,456 Sub- Revenue from Services Supported by Hospital and Community Initiatives - - - - - - - 74,007 74,007 Revenue 319,475 60,062 17,308 57,006 41,839 4,831 3,304 76,261 580,087 Indirect Contributions by Department of Human Services Department of Human Services makes certain payments on behalf of the Health Service. These amounts have been brought to account in determining the operating result for the year by recording them as revenue and expenses. 22
Note 2b: Patient and Resident Fees Patient Fees Raised Patient and Resident Fees Raised (*) Recurrent: Acute - Inpatients 18,922 19,189 - Outpatients 891 1,172 Residential Aged Care - Generic 833 783 Mental Health 837 927 Prosthetics & Orthotics 377 356 Recurrent 21,860 22,427 Capital Purpose: Residential Accommodation Payments (**) 175 152 Capital 175 152 The Service charges fees in accordance with the Department of Human Services Victoria directives. * Patient and Resident Fees exclude recoupment from private practice. ** This includes accommodation charges. Note 2c: Net Gain/(Loss) on Disposal of Non-Current Assets Proceeds from Disposal of Non-Current Assets Plant & Equipment - - Motor Vehicles - 43 Major Medical 22 - Computers and Communication - - Buildings 1,000 - Proceeds from Disposal of Non-Current Assets 1,022 43 Less: Written down value of Non-Current Assets Sold Plant & Equipment 14 - Motor Vehicles - - Major Medical 134 9 Computers and Communication 2 1 Buildings 466 - Written down value of Non-Current Assets Sold 616 10 Net Gains on Disposal of Non-Current Assets 406 33 23