Cook County Health and Hospitals System. Financial Statements. Year To Date February 28, 2014

Cook County Health and Hospitals System Financial Statements Year To Date February 28, 2014 1 As of May 30, 2014

Index Page 1. Mission Statement................................ 3 2. Attestation Statement.............................. 4 3. Management Discussion and Analysis................ 5-10 4. Combining Balance Sheet Assets................... 11 5. Combining Balance Sheet Liabilities and Net Assets.... 12 6. Combining Income Statement...................... 13 7. Comparative Income Statements: Cook County Health Facilities (Consolidated)..... 14 Stroger Hospital............................. 15 ACHN (Clinics)............................. 16 Medicaid Expansion.......................... 17 Oak Forest Health Center..................... 18 Provident Hospital........................... 19 Bureau of Health............................ 20 Department of Public Health................... 21 Cermak.................................... 22 8. Disclosure Checklist.............................. 23 2

COOK COUNTY HEALTH & HOSPITALS SYSTEM MISSION STATEMENT The Cook County Health and Hospitals System will deliver integrated health services with dignity and respect regardless of a patient's ability to pay; and, Foster partnerships with other health providers and communities to enhance the health of the public; and, Advocate for policies, which promote and protect the physical, mental and social well being of the people of Cook County. 3

Board of Directors Cook County Health and Hospitals System The accompanying financial statements of Cook County Health and Hospitals System and the related Management's Discussion and Analysis for the month ended February 28, 2014 have been prepared by Management who is responsible for their presentation and disclosure. The statements have not been compiled, reviewed or audited by independent accountants. CCHHS maintains an internal control structure designed to provide reasonable assurance that assets are safeguarded and that transactions are properly executed, recorded and summarized to produce reliable records and reports, To the best of Management's knowledge and belief the statements were prepared in conformity with generally accepted accounting principles and governmental accounting standards using the accrual basis of accounting and are based on recorded transactions and Management's best estimates and judgment. John Cookinham, Chief Financial Officer Dorothy M. Loving, Executive Director of Finance 4

MANAGEMENT S DISCUSSION AND ANALYSIS INTRODUCTION This discussion and analysis provides the readers of the monthly unaudited financial statements of the Cook County Health and Hospital System (CCHHS) with an overview of the financial activities for the month ended February 28, 2014. This discussion focuses on the significant financial issues and major financial activities during the current month. It should be read in conjunction with the accompanying financial statements of the CCHHS. The CCHHS includes the following entities: John H. Stroger Jr. Hospital (JSH), Oak Forest Health Center (OFC) Provident Hospital (PHCC), the Department of Public Health (DPH), the Ambulatory and Community Health Network (ACHN), the Bureau of Health Services (BHS), CORE Center (for reporting purposes part of Stroger Hospital), and Cermak Health Services (CHS). Starting this fiscal year 2013, we have added the Medicaid Expansion. Collectively, these entities provide primary, intermediate, acute, and tertiary medical care to patients, without regard to their ability to pay. The Bureau of Health Services oversees the operational, planning, and policy activities of the CCHHS. The CCHHS is included in the reporting entity of the Cook County, Illinois, as an enterprise fund. As an enterprise fund, the CCHHS financial statements are prepared using proprietary fund accounting that focuses on the determination of changes in net assets, financial position, and cash flows in a manner similar to private sector businesses. The financial statements are prepared on an accrual basis of accounting, which recognizes revenue when earned and expenses when incurred. In 2008 the Cook County Health and Hospital System Board was created by the Cook County Board of Commissioners to provide independent oversight of health care operations, and in 2010 the Cook County Board of Commissioners voted to make the Cook County Health and Hospital System Board permanent. In 2012 the Cook County Health and Hospitals System and Cook County Board Officials collaborated to cut Medicaid costs, help county taxpayers, and transform Cook County s hospital system by jump-starting national health care reform in Cook County. In November, 2012 the federal governmnent approved the 1115 Medicaid Waiver for Cook County, allowing CCHHS to enroll more than 115,000 individuals who will be eligible for Medicaid in 2014 into a Cook County network with no cost to the state of Illinois. Medicaid Expansion allows the Cook County s Health System to early enroll certain uninsured patients into Medicaid. Specifically, these are patients who are not currently eligible for Medicaid, but who will be eligible in 2014 under the Accountable Care Act. Many of these individuals are patients who already are being treated by our system without compensation. The Waiver is funded entirely by the federal government. 5

FINANCIAL HIGHLIGHTS (IN THOUSANDS) The Cook County Health and Hospitals System finished the three months with overall revenue of $302,950 and overall expenses was $283,452. Net Patient revenue for the three months was $249,761. Net Patient revenue consists of all charges including automated contractual allowances and bad debt adjustments. Write-off of Bad Debt is a CCHHS Board approved policy. Other revenue was $1,417. Other revenue consists primarily of parking revenue. Patient Accounts Receivable General As compared to November 30, 2013, Total Patient Accounts Receivable at the end of February-2014 increased by 3 to 108 days. Additionally, there was a 2 day increase in this figure, as compared to the previous month s figure. Days of Revenue Outstanding measures the average number of days charges remain in accounts receivable after service has been rendered before collection activities have been completed, including charity care and bad debt write-offs. Days of Revenue Outstanding is measured in charges, not cash collections. Days of Revenue Outstanding is a useful tool to measure collection efforts over time (i.e., whether this number is growing or decreasing). This number will be large due to the large number of Self-Pay patients CCHHS services and the processes CCHHS must complete before patient accounts are collected or written-off to bad debt. These processes include, but are not limited to, the following: Making an effort to attain third-party insurance coverage, including the Medicaid Expansion Program and MANG applications; Processing charity care applications; Sending three (3) monthly statements before accounts are turned over to collections; Placing accounts bi-monthly with the collection agency; and Permitting patients to pay their account balances over time (time payment). Total billed accounts declined by $10.986M (-3.4%) as compared to the November-2013 balance. As compared to the previous month, this figure increased by $10.073M (3.4%). The growth in this figure indicates a decreasing number of accounts are completing the collection process, which includes charity care and bad debt write-offs. The change in this figure does not translate dollar-for-dollar into actual cash receipts, as Medicaid pays CCHHS claims on a per-diem and Medicare pays CCHHS claims based upon the diagnosis, regardless of charges on the patient accounts. Additionally, charity 6

care and bad debt write-offs are part of the collection process and will not result in actual cash collections. Finally, the reimbursement for Medicaid Expansion Program patients is made through a per-member-per-month payment, not a claim-by-claim basis. Inpatient Accounts Receivable Discharged Not Final Billed Inpatient discharged but not final billed accounts at the end of February-2014 increased by $5.907M (69.8%), as compared the November 30, 2013 balance and increased by $1.805M (14.4%), as compared to the previous month s balance. This indicates that fewer inpatient accounts are moving to a Billed status, as compared to the previous month. The change in this figure does not translate dollar-for-dollar into actual cash receipts, as Medicaid pays CCHHS claims on a per-diem and Medicare pays CCHHS claims based upon the diagnosis, regardless of charges on the patient accounts. Additionally, charity care and bad debt write-offs are part of the collection process and will not result in actual cash collections. Finally, the reimbursement for Medicaid Expansion Program patients is made through a per-member-per-month payment, not a claim-by-claim basis. Billed Inpatient Accounts Billed inpatient accounts at the end of February-2014 increased by $7.483M (4.7%) as compared to the November 30, 2013 balance. This figure grew by $8.604M (5.4%) compared to the previous month s total. The increase in this number indicates fewer accounts had the collection process completed than in the previous month and that a lower number of accounts are being removed from active accounts receivable. CCHHS collection process includes charity care and bad debt write-offs. The change in this figure does not translate dollar-for-dollar into actual cash receipts, as Medicaid pays CCHHS claims on a per-diem and Medicare pays CCHHS claims based up on the diagnosis, regardless of charges on the patient accounts. Additionally, charity care and bad debt write-offs are part of the collection process and will not result in actual cash collections. Finally, the reimbursement for Medicaid Expansion Program patients is made through a per-member-per-month payment, not a claim-by-claim basis. Outpatient Accounts Receivable Unbilled Outpatient Accounts The balance of unbilled outpatient accounts increased by $0.887M (8.2%) by the end of February-2014, as compared to the level of unbilled accounts as of November 30, 2013. This balance was $0.507M (-4.1%) less than the previous month s balance. This change indicates that more outpatient accounts are moving to a Billed status, as compared to the previous month. 7

The change in this figure does not translate dollar-for-dollar into actual cash receipts due to Medicaid s and Medicare s reimbursement configuration. Billed Outpatient Accounts The billed outpatient accounts receivable at the end of February-2014 decreased by $18.469M (-11.5%), as compared to the balance as of November 30, 2013. This figure is $1.469M (1.0%) greater than last month s figure. The growth in this figure indicates that fewer Out-Patient accounts had their collection and write-off related activities completed, as compared to the prior month. The change in this figure does not translate dollar-for-dollar into actual cash receipts due to Medicaid and Medicare s reimbursement configuration and to charity care and bad debt write-offs. Carelink Program Activities (Charity Care) The volume and dollar amounts written-off to charity care are as follows: Cumulative Number of Accounts Through February-2014 Cumulative Value of Accounts Through February-2014 Number of Accounts for February-2014 Value of Accounts for February-2014 In-Patient 378 $ 6.861M 1,195 $ 17.056M Out-Patient 18,051 $ 9.653M 56,946 $ 28.218M Totals 18,429 $ 16.514M 58,141 $ 45.274M The above data does not include bad-debt write-offs; it includes only the amounts written-off directly to charity care. Operating Expenses at the end of the three months was $283.452M broken down as follows: Salaries and Wages - $119.448M Benefits - $33.063M Supplies - $33.910M Purchased Services, Rental, and Other - $81.155M Insurance - 6.174M Depreciation - $8.395M Utilities - $1.308M Nonoperating Revenue was $49.726M. The largest portions of this are attributed to cigarette tax in the amount of $18.172 and property tax in the amount of $9.128M. For 8

the current fiscal year, Nonoperating revenues allocated to CCHHS are Cigarette Tax, Other Tobacco products and Firearms Tax. There is no Sales Tax allocated to CCHHS for the current fiscal year. Taxes collected for the Health to date have been fully credited to the Health Fund. OVERVIEW OF THE FINANCIAL STATEMENTS This discussion and analysis are intended to serve as an introduction to the CCHHS financial statements. CCHHS basic monthly unaudited financial statements are comprised of fund financial statements. A fund is a grouping of related accounts that is used to maintain control over resources that have been segregated for specific activities or objectives. The CCHHS, like other state and local governments, uses fund accounting to ensure and demonstrate compliance with finance-related legal requirements. 9

Accounts Receivable Comparison Cook County Health and Hospitals System Fiscal Year 2014 December-2013 January-2014 February-2014 BEPA BEPA BEPA Inpatient In-House $ 10,796,900.99 $ 13,917,134.62 $ 14,385,690.34 Discharged Not Final Billed $ 8,255,685.28 $ 12,566,390.00 $ 14,371,169.91 Billed $ 159,968,730.29 $ 158,273,172.95 $ 166,876,862.34 Total Inpatient Asccounts Receivable $ 179,021,316.56 $ 184,756,697.57 $ 195,633,722.59 Outpatient Unbilled $ 9,889,776.46 $ 12,239,462.73 $ 11,731,988.48 Billed $ 141,634,392.86 $ 140,498,326.88 $ 141,967,209.93 Total Outpatient Accounts Receivable $ 151,524,169.32 $ 152,737,789.61 $ 153,699,198.41 Combined Inpatient and Outpatient A/R Unbilled $ 28,942,362.73 $ 38,722,987.35 $ 40,488,848.73 Billed $ 301,603,123.15 $ 298,771,499.83 $ 308,844,072.27 Total IP and OP Accounts Receivable $ 330,545,485.88 $ 337,494,487.18 $ 349,332,921.00 Average Daily Revenue $ 3,268,842.00 $ 3,170,975.00 $ 3,223,209.00 Days of Revenue Outstanding 101 106 108 10

ASSETS CURRENT ASSETS: Cash and cash equivalents: Stroger Hospital ACHN (Clinics) Medicaid Expansion Cook County Health Facilities Combining Balance Sheet of General Funds (Unaudited) February 28, 2014 Stroger, ACHN & Medicaid Exp O F C (Oak Forest) Provident Hospital Bureau of Health Hospitals Total Dept of Public Health Cermak Intra-Activity Eliminations Grand Total Cash in banks 1,268 0 1,268 23 218 1,510 1,510 Cash held by Cook Co Treas 730,306 46,480 776,786 96,787 135,516 1,009,089 136,367 (1,136,941) 8,515 Due from working cash fund 60,540 34,607 95,147 95,147 95,147 Total cash & cash equivalent 792,114 34,608 46,480 873,202 96,810 135,735 1,105,746 136,367 (1,136,941) 105,172 Property taxes receivable: Tax levy - current year 2,671 2,515 5,186 265 376 708 6,535 386 2,810 9,731 Tax levy - prior year 25,693 30,278 55,972 3,411 4,585 2,596 66,564 7,391 73,955 Total property taxes rec 28,365 32,794 61,158 3,676 4,961 3,304 73,099 7,777 2,810 83,687 Receivables: Patient AR-net of allowances 55,417 6,419 61,836 2,372 64,209 64,209 Third-party settlements 3,060 3,060 3,060 3,060 Other receivables 699 15 0 713 0 564 9 1,287 0 1,287 Due from State 1,769 1,949 102,693 106,411 524 853 169 107,958 717 1,468 110,142 Due from Restricted Funds 3,462 3,462 Total receivables 60,944 1,963 109,113 172,020 524 3,790 178 176,513 4,179 1,468 182,160 Inventories 2,518 2,518 219 597 3,334 575 3,909 TOTAL CURRENT ASSETS 883,941 69,364 155,593 1,108,898 101,229 145,082 3,482 1,358,692 148,323 4,854 (1,136,941) 374,928 CAPITAL ASSETS: Depreciable assets - net 348,066 5,493 353,560 26,901 23,366 14,240 418,067 33 588 418,688 TOTAL ASSETS 1,232,007 74,857 155,593 1,462,458 128,130 168,448 17,722 1,776,759 148,356 5,441 (1,136,941) 793,615 11

LIABILITIES & NET POSITION CURRENT LIABILITIES: Stroger Hospital ACHN (Clinics) Medicaid Expansion Cook County Health Facilities Combining Balance Sheet of General Funds (Unaudited) February 28, 2014 Stroger, ACHN & Medicaid Exp O F C (Oak Forest) Provident Hospital Bureau of Health Hospitals Total Dept of Public Health Cermak Intra-Activity Eliminations Due to Cook County Treasurer 75,936 75,936 956,703 1,032,639 104,301 (1,136,941) Grand Total Accounts payable 17,748 437 13,767 31,952 728 2,324 20,417 55,420 387 224 56,032 Claims Payable 40,840 40,840 40,840 40,840 Accrued salaries, wages, & other liabilities 11,926 1,425 323 13,674 244 1,211 1,792 16,921 370 1,595 18,886 Compensated absences 4,187 488 64 4,740 56 469 584 5,848 160 404 6,412 Deferred revenue 73,949 73,949 2,612 76,562 76,562 Third-party settlements 33,500 33,500 45 33,545 33,545 Advance from State 30,051 30,051 30,051 30,051 Due to other co govt funds 21 21 10 5 36 7 43 Due to others 347 347 19 366 366 Interacct payable (receivabl) 167,432 28,965 (29,472) 166,925 6,390 43,979 (225,601) (8,306) 2 8,305 TOTAL CURRENT LIABILITIES 275,611 107,251 89,074 471,936 7,446 50,646 753,894 1,283,922 926 114,829 (1,136,941) 262,737 LONG-TERM LIABILITIES: Compensated absences longterm 23,727 2,767 365 26,859 316 2,658 3,308 33,141 906 2,287 36,334 Reserve-tax objection suits 3,979 4,690 8,669 741 709 401 10,520 1,144 11,665 TOTAL LIABILITIES 303,317 114,709 89,439 507,464 8,503 54,013 757,604 1,327,584 2,976 117,116 (1,136,941) 310,736 NET POSITION: Investment in capital assets 348,066 5,493 353,560 26,901 23,366 14,240 418,067 33 588 418,688 Unrestricted 580,624 (45,344) 66,154 601,434 92,727 91,069 (754,122) 31,108 145,346 (112,263) 64,192 TOTAL NET POSITION 928,691 (39,851) 66,154 954,994 119,627 114,435 (739,881) 449,175 145,380 (111,675) 482,880 TOTAL LIABILITIES & NET POSITION 1,232,007 74,857 155,593 1,462,458 128,130 168,448 17,722 1,776,759 148,356 5,441 (1,136,941) 793,615 12

Cook County Health Facilities Combining Income Statement of General Funds (Unaudited) February 28, 2014 Stroger Hospital ACHN (Clinics) Medicaid Expansion Stroger, ACHN & Medicaid Exp O F C (Oak Forest) Provident Hospital Bureau of Health Hospitals Total Dept of Public Health Cermak Grand Total REVENUE: Net patient service revenue 66,504 34,492 144,983 245,980 1 3,779 249,761 249,761 Grant revenue 402 402 EHR incentive program revenue 1,370 1,370 275 1,644 1,644 Other revenue 1,191 45 1,236 71 54 1,361 55 1 1,417 Total Revenue: 69,065 34,537 144,983 248,586 73 4,108 252,766 457 1 253,224 OPERATING EXPENSES: Salaries and wages 75,035 9,009 2,382 86,427 1,578 8,108 11,146 107,259 2,493 9,695 119,448 Employee benefits 20,669 2,740 382 23,792 418 2,107 3,034 29,350 978 2,735 33,063 Supplies 5,819 4,932 11,423 22,175 187 390 11,092 33,844 15 51 33,910 Purchased svs, rental & other 11,740 755 54,688 67,184 374 1,406 11,775 80,739 176 239 81,155 Insurance expense 3,890 502 58 4,449 79 382 591 5,501 136 537 6,174 Depreciation 5,524 198 5,722 584 460 1,564 8,330 5 60 8,395 Utilities 694 19 714 193 137 257 1,301 6 1 1,308 TOTAL OPERATING EXPENSES 123,373 18,156 68,933 210,462 3,414 12,989 39,459 266,324 3,809 13,319 283,452 GAIN (LOSS) FROM OPERATIONS (54,308) 16,381 76,050 38,124 (3,341) (8,882) (39,459) (13,558) (3,352) (13,318) (30,228) NONOPERATING REVENUE: Property taxes 2,466 2,272 4,738 227 339 687 5,991 327 2,810 9,128 Sales taxes 1,769 1,949 3,717 524 853 169 5,264 717 1,468 7,449 Cigarette taxes 6,247 7,365 13,612 1,017 1,114 631 16,375 1,797 18,172 Other Tobacco Product taxes 231 273 504 38 41 23 606 67 673 Fire Arms taxes 93 93 93 93 Interest income 0 0 0 0 0 0 0 0 0 Retirement plan contribution 8,796 1,209 207 10,211 177 933 1,229 12,550 564 1,096 14,210 TOTAL NONOPERATING REVENUE 19,603 13,067 207 32,876 1,983 3,281 2,740 40,880 3,471 5,374 49,726 INCOME (LOSS) (34,705) 29,448 76,257 71,000 (1,358) (5,600) (36,719) 27,323 119 (7,944) 19,498 Capital contributions 502 502 251 753 753 Change In net position (34,202) 29,448 76,257 71,503 (1,358) (5,600) (36,468) 28,076 119 (7,944) 20,251 Net Position at beginning of year 962,893 (69,299) (10,103) 883,492 120,985 120,035 (703,413) 421,099 145,261 (103,731) 462,628 Net Position at end of year 928,691 (39,851) 66,154 954,994 119,627 114,435 (739,881) 449,175 145,380 (111,675) 482,880 13

Cook County Health Facilities Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 141,221 108,540 249,761 Grant revenue 402 402 EHR incentive program revenue 0 1,644 1,644 Other revenue 1,113 304 1,417 Total Revenue 142,736 110,488 253,224 OPERATING EXPENSES: Salaries and wages 79,830 39,618 119,448 Employee benefits 22,037 11,026 33,063 Supplies 22,401 11,508 33,910 Purchased svs, rental & other 58,033 23,122 81,155 Insurance expense 4,116 2,058 6,174 Depreciation 5,629 2,766 8,395 Utilities 137 1,171 1,308 TOTAL OPERATING EXPENSES 192,183 91,269 283,452 GAIN (LOSS) FROM OPERATIONS (49,447) 19,219 (30,228) NONOPERATING REVENUE: Property taxes 6,028 3,100 9,128 Sales taxes 4,978 2,471 7,449 Cigarette taxes 10,607 7,565 18,172 Other tobacco product taxes 392 281 673 Fire Arms taxes 43 50 93 Interest income 0 0 0 Retirement plan contribution 9,473 4,737 14,210 TOTAL NONOPERATING REVENUE 31,523 18,203 49,726 NET INCOME (LOSS) (17,924) 37,422 19,498 14

Stroger Hospital Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 55,484 11,021 66,504 EHR incentive program revenue 0 1,370 1,370 Other revenue 942 249 1,191 Total Revenue 56,426 12,639 69,065 OPERATING EXPENSES: Salaries and wages 49,980 25,056 75,035 Employee benefits 13,779 6,890 20,669 Supplies 4,032 1,787 5,819 Purchased svs, rental & other 8,442 3,299 11,740 Insurance expense 2,593 1,297 3,890 Depreciation 3,683 1,841 5,524 Utilities 0 694 694 TOTAL OPERATING EXPENSES 82,509 40,863 123,373 GAIN (LOSS) FROM OPERATIONS (26,084) (28,224) (54,308) NONOPERATING REVENUE: Property taxes 1,625 841 2,466 Sales taxes 1,182 587 1,769 Cigarette taxes 3,617 2,630 6,247 Other tobacco product taxes 134 98 231 Fire Arms taxes 43 50 93 Interest income 0 0 0 Retirement plan contribution 5,864 2,932 8,796 TOTAL NONOPERATING REVENUE 12,465 7,138 19,603 NET INCOME (LOSS) (13,619) (21,086) (34,705) 15

ACHN (Clinics) Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 23,387 11,106 34,492 Other revenue 45 45 Total Revenue 23,432 11,106 34,537 OPERATING EXPENSES: Salaries and wages 6,046 2,963 9,009 Employee benefits 1,827 913 2,740 Supplies 3,373 1,559 4,932 Purchased svs, rental & other 640 115 755 Insurance expense 335 167 502 Depreciation 132 66 198 Utilities 4 15 19 TOTAL OPERATING EXPENSES 12,357 5,799 18,156 GAIN (LOSS) FROM OPERATIONS 11,075 5,307 16,381 NONOPERATING REVENUE: Property taxes 1,492 780 2,272 Sales taxes 1,302 646 1,949 Cigarette taxes 4,265 3,100 7,365 Other tobacco product taxes 158 115 273 Interest income 0 0 0 Retirement plan contribution 806 403 1,209 TOTAL NONOPERATING REVENUE 8,022 5,045 13,067 NET INCOME (LOSS) 19,096 10,351 29,448 16

Medicaid Expansion Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 59,387 85,596 144,983 Total Revenue 59,387 85,596 144,983 OPERATING EXPENSES: Salaries and wages 1,551 831 2,382 Employee benefits 255 127 382 Supplies 6,078 5,345 11,423 Purchased svs, rental & other 39,080 15,608 54,688 Insurance expense 38 19 58 TOTAL OPERATING EXPENSES 47,003 21,930 68,933 GAIN (LOSS) FROM OPERATIONS 12,384 63,666 76,050 NONOPERATING REVENUE: Retirement plan contribution 138 69 207 TOTAL NONOPERATING REVENUE 138 69 207 NET INCOME (LOSS) 12,522 63,735 76,257 17

Oak Forest Health Center Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 0 1 1 Other revenue 54 17 71 Total Revenue 54 19 73 OPERATING EXPENSES: Salaries and wages 1,056 522 1,578 Employee benefits 279 139 418 Supplies 140 47 187 Purchased svs, rental & other 34 340 374 Insurance expense 53 26 79 Depreciation 389 195 584 Utilities 193 193 TOTAL OPERATING EXPENSES 1,950 1,463 3,414 GAIN (LOSS) FROM OPERATIONS (1,897) (1,444) (3,341) NONOPERATING REVENUE: Property taxes 148 79 227 Sales taxes 350 174 524 Cigarette taxes 674 343 1,017 Other tobacco product taxes 25 13 38 Interest income 0 0 0 Retirement plan contribution 118 59 177 TOTAL NONOPERATING REVENUE 1,315 668 1,983 NET INCOME (LOSS) (582) (776) (1,358) 18

Provident Hospital Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue 2,963 816 3,779 Other revenue 37 17 54 Total Revenue 3,000 1,108 4,108 OPERATING EXPENSES: Salaries and wages 5,596 2,513 8,108 Employee benefits 1,399 707 2,107 Supplies 261 128 390 Purchased svs, rental & other 823 583 1,406 Insurance expense 255 127 382 Depreciation 306 153 460 Utilities 137 137 TOTAL OPERATING EXPENSES 8,641 4,349 12,989 GAIN (LOSS) FROM OPERATIONS (5,641) (3,241) (8,882) NONOPERATING REVENUE: Property taxes 223 117 339 Sales taxes 570 283 853 Cigarette taxes 645 469 1,114 Other tobacco product taxes 24 17 41 Interest income 0 0 0 Retirement plan contribution 622 311 933 TOTAL NONOPERATING REVENUE 2,084 1,197 3,281 NET INCOME (LOSS) (3,556) (2,044) (5,600) 19

Bureau of Health Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Net patient service revenue Other revenue Total Revenue OPERATING EXPENSES: Salaries and wages 7,468 3,677 11,146 Employee benefits 2,022 1,011 3,034 Supplies 8,485 2,608 11,092 Purchased svs, rental & other 8,761 3,014 11,775 Insurance expense 394 197 591 Depreciation 1,043 521 1,564 Utilities 129 129 257 TOTAL OPERATING EXPENSES 28,302 11,157 39,459 GAIN (LOSS) FROM OPERATIONS (28,302) (11,157) (39,459) NONOPERATING REVENUE: Property taxes 456 231 687 Sales taxes 113 56 169 Cigarette taxes 365 266 631 Other tobacco product taxes 13 10 23 Retirement plan contribution 819 410 1,229 TOTAL NONOPERATING REVENUE 1,768 972 2,740 NET INCOME (LOSS) (26,534) (10,185) (36,719) 20

Dept of Public Health Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Grant revenue 402 402 Other revenue 35 20 55 Total Revenue 437 20 457 OPERATING EXPENSES: Salaries and wages 1,661 832 2,493 Employee benefits 652 326 978 Supplies 14 0 15 Purchased svs, rental & other 138 38 176 Insurance expense 90 45 136 Depreciation 36 (31) 5 Utilities 3 3 6 TOTAL OPERATING EXPENSES 2,596 1,214 3,809 GAIN (LOSS) FROM OPERATIONS (2,159) (1,193) (3,352) NONOPERATING REVENUE: Property taxes 212 115 327 Sales taxes 479 238 717 Cigarette taxes 1,041 757 1,797 Other tobacco product taxes 38 28 67 Interest income 0 0 Retirement plan contribution 376 188 564 TOTAL NONOPERATING REVENUE 2,146 1,325 3,471 NET INCOME (LOSS) (13) 132 119 Note: The decrease in depreciation expenses is due to correction made on the depreciation of a building that was transferred to Homeland Security on fiscal year 2013. 21

Cermak Comparative Income Statement of General Funds (Unaudited) Year to Date February 28, 2014 January 31, 2014 Inc (Dec) February 28, 2014 REVENUE: Other revenue 0 0 1 Total Revenue 0 0 1 OPERATING EXPENSES: Salaries and wages 6,471 3,224 9,695 Employee benefits 1,823 912 2,735 Supplies 17 35 51 Purchased svs, rental & other 114 125 239 Insurance expense 358 179 537 Depreciation 40 20 60 Utilities 1 1 1 TOTAL OPERATING EXPENSES 8,824 4,495 13,319 GAIN (LOSS) FROM OPERATIONS (8,824) (4,494) (13,318) NONOPERATING REVENUE: Property taxes 1,873 937 2,810 Sales taxes 981 487 1,468 Interest income 0 0 0 Retirement plan contribution 731 365 1,096 TOTAL NONOPERATING REVENUE 3,585 1,789 5,374 NET INCOME (LOSS) (5,239) (2,705) (7,944) 22

OBJECTIVE: COOK COUNTY HEALTH AND HOSPITALS SYSTEM FINANCIAL STATEMENT DISCLOSURE CHECKLIST Fiscal Year 2013 The object of this checklist is to help determine if the form and contents of the financial statements are in conformity with the accounting standards applicable to financial statement basis of accounting. DISCLOSURE PRINCIPLES: Note: Management can comply with a disclosure principle by making disclosure in body of financial statements or in the notes accompanying the financial statements. In a compilation engagement, management's election to omit substantially all disclosures applies to all disclosure principles in GAAP financial statements. Yes, N/A, No? If no, state reason (immaterial, estimated, etc.) FINANCIAL STATEMENT REFERENCES: 1. Do the financial statements reference footnotes (MD&A) or selected information? Yes GENERAL DISCLOSURES: A. Estimates: 1. General disclosure about use of estimates (MD&A)? Yes 2. Disclosure of possible changes in estimates? Yes B. Vulnerabilities do to concentrations in following areas disclosed?: 1. Customers? Yes 2. Suppliers? Yes 3. Lenders? Yes 4. Products? Yes 5. Supply of materials, labor or supplies? Yes 6. Location of assets in geographic area? Yes C. Related parties (FASB 57): 1. Known common control and economic dependency disclosure? Yes 2. Known transactions with related parties disclosed? Yes OTHER DISCLOSURE AREAS TO BE CONSIDERED: 1. Method of consolidations? Yes 2. Accounting changes including changes in GAAP and in estimates? Yes 3. Business combinations? Yes 4. Discontinues operations? Yes 5. Going concern? Yes COMMENTS: Completed by Reviewed by Date Date 23