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 Prepaid expenses 1,977 4,141 Estimated receivable from third parties 4,578 2,882 Amounts receivable under JOA 4,094 30,537 Due from affiliates other 3,527 Other current assets 1,949 1,864 Total current assets 60,895 86,397 Assets limited as to use: Board designated investments 83,467 71,283 Other investments 20,549 19,705 Assets limited as to use 104,016 90,988 Property and equipment, net 229,222 226,916 Intangible assets, net 9,068 9,426 Other assets 2,955 2,915 Total assets $ 406,156 $ 416,642
Consolidated Balance Sheet (continued) At June 30, At December 31, Liabilities and net assets Current liabilities: Accounts payable $ 6,980 $ 12,109 Accrued expenses 7,804 7,830 Current portion of long-term debt 4,847 4,997 Estimated payable to third parties 4,613 5,448 Due to affiliates other 3,171 Other current liabilities 1,438 3,716 Total current liabilities 28,853 34,100 Long-term debt, less current portion 195,614 196,045 Reserve for professional liability 4,898 4,672 Pension obligation 1,959 1,085 Interest Rate swap liability 17,578 20,417 Other liabilities 2,992 8,529 Total liabilities 251,894 264,848 Net assets: Unrestricted 144,568 142,706 Temporarily restricted 5,424 4,932 Permanently restricted 4,270 4,156 Total net assets 154,262 151,794 Total liabilities and net assets $ 406,156 $ 416,642
Consolidated Statement of Operations Three Months Ended Six Months Ended June 30, June 30, Operating revenue Net patient revenue $ 59,680 $ 51,490 $ 117,940 $ 102,976 Provision for uncollectible accounts (803) (697) (1,498) (1,475) Net patient revenue less provision 58,877 50,793 116,442 101,501 for uncollectible accounts Other operating revenue 3,132 2,586 6,455 5,492 Total operating revenue 62,009 53,379 122,897 106,993 Operating expenses Salaries and wages 27,416 23,974 53,534 47,668 Employee benefits 6,002 5,524 11,866 11,468 Supplies 12,077 10,280 23,642 21,401 Purchased services, insurance, and other 11,037 10,302 22,581 20,502 Hospital franchise tax 1,022 950 2,045 1,882 Depreciation and amortization 5,605 5,469 11,119 11,050 Interest 1,307 1,505 2,662 2,971 Total operating expenses 64,466 58,004 127,449 116,942 Loss from operations (2,457) (4,625) (4,552) (9,949) Income (expense) allocation related to joint operating agreement (1,419) 6,766 4,094 14,992 Non-operating gains (losses), net 5,110 (650) 2,409 (4,412) Excess of revenue over expenses $ 1,234 $ 1,491 $ 1,951 $ 631
Consolidated Statement of Changes in Net Assets Six Months Ended June 30, Change in net assets Excess of revenue over expenses $ 1,951 $ 631 Transfer from (to) affiliates (75) 10 Allocation of the gain on sale of discontinued operations relating to the Joint Operating Agreement (1) Net gains on temporarily restricted and permanantly restricted net assets and other 592 257 Increase in net assets 2,468 897 Net assets at beginning of period 151,794 156,648 Net assets at end of period $ 154,262 $ 157,545
Consolidated Statement of Cash Flows Six Months Ended June 30, Operating activities Increase in net assets $ 2,468 $ 897 Adjustments to reconcile change in net assets to net cash provided by operating activities: Depreciation and amortization 11,119 11,050 Provision for uncollectible accounts 1,498 1,475 Change in the valuation of swap agreement liability (2,840) 5,819 Unrealized (gains) losses on assets limited as to use 226 (1,900) Loss on disposal of assets 69 Net change in assets and liabilities: Accounts receivable (4,987) 4,107 Assets limited as to use (13,254) 5,722 Other assets 31,809 (13,137) Accounts payable and other accruals (2,002) 849 Estimated payable to third parties (2,531) 2,527 Other liabilities 1,965 (8,332) Net cash provided by operating activities 23,540 9,077 Investing activities Proceeds from the sale of assets, net of closing costs 75 Purchases of property and equipment (21,767) (14,198) Net cash used in investing activities (21,692) (14,198) Financing activities Repayment of long-term debts and capital leases (726) (1,766) Net cash used in financing activities (726) (1,766) Increase (decrease) in cash and short-term investments 1,122 (6,887) Cash and short-term investments at beginning of period 11,242 17,364 Cash and short-term investments at end of period $ 12,364 $ 10,477
Atrium Health System Hospital Utilization Statistics June 30, 2015 Three Months Ended June 30, Six Months Ended June 30, Licensed Beds 328 328 328 328 Beds in Service (1) 230 262 230 262 Admissions (1) 2,484 2,626 5,072 5,259 Patient Days (1) (2) 9,473 10,808 20,315 22,218 Average Length of Stay (In Days) (1) 3.81 4.12 4.01 4.22 Average Occupancy (1) 45.3% 45.3% 48.8% 46.9% Observation Days 1,316 1,550 2,857 3,281 Outpatient Visits(Excl Emergency) (3) 31,529 30,362 61,755 58,980 Emergency Visits 13,930 14,491 27,333 28,117 Inpatient Surgeries 538 533 1,068 1,084 Outpatient Surgeries (3) 2,286 1,482 4,655 2,893 Case Mix Index - Medicare 1.74 1.66 1.75 1.73 Case Mix Index - All Payor 1.52 1.46 1.50 1.49 (1) includes newborns (2) includes re-addmissions (3) includes Bidwell Surgery Center and Southwest Ambulatory Surgery Center, which was acquired in September 2014.