2009-04 financials [read-only] - palomar health · balanced scorecard add g-3 financial indicators...

ADD G-1

ADD G-2Table of Contents

Balanced Scorecard Comparisons……………………………………………..………………………3Executive Summary of Key Indicators ………………………………………………………………….4Financial Report Narrative ……………………………………………………………………………..5-9Key Variance

Month-To-Date ……………………………………………………………………………….….10-12Year-To-Date...………………………………………………………………………………….. 13-15

Balance Sheet – Consolidated…………………………………………………………………………16Income Statements

Monthly Trend.……………………………………………………………………………………….17Year-To-Date..……………………………………………………………………………………… 18 Month-To-Date…………………………………………………………………………………….. 19Current vs. Prior Year-to-Date......…………………………………………………………......... 20Fiscal Year Projection……….........…………………………………………………………........ 21

Cash Flow Statement – Consolidated……………………………………………………………….. 22Summary of Key Indicators………………………………………………………………………… 23-25YTD Supplies Expense by Account……………………………………………………………………. 26Bond Covenant Ratios…………………………………………………………………………………. 27Budget Comparison Graphs

Statistical Indicators…………………………………………………………………………… 28-43Payor Mix………………………………………………………………………………………….... 44

Case Mix Index Graphs ……………………………………………………………………………. 45-47Budget Comparison Graphs – Adjusted Discharges………………………….… …………… 48-53Cash Collections ………………………………………………………………………………………...54HealthWoRx Dashboard……………………………………………………………………………..55-57

SUPPLEMENTAL INFORMATION………………………………………………...........................…………….......58Flash Report……………………………………………………………............................................................59-60

ADD G-3Balanced ScorecardFinancial Indicators

January February March

Actual Actual Actual Actual Budget Variance% Actual to Budget Actual Budget Variance

% Actual to Budget

PPH Indicators:

9.7% 8.0% 9.4% 9.4% 10.7% (1.3%) 87.9% OEBITDA Margin w/Prop Tax 9.9% 10.2% (0.3%) 97.1%10,613.27$ 11,161.27$ 11,183.33$ 10,574.82$ 10,743.39$ 168.57$ 98.4% Expenses/Adj Discharge 10,853.64$ 10,754.88$ (98.76)$ 100.9%6,313.51$ 6,713.71$ 6,846.74$ 6,363.56$ 6,427.65$ 64.09$ 99.0% SWB/Adj Discharge 6,471.55$ 6,424.15$ (47.40)$ 100.7%

6.06 6.20 6.37 6.35 6.62 0.27 95.9% Prod FTE's/Adj Occupied Bed 6.36 6.61 0.25 96.2%3,391 3,065 3,315 3,341 3,283 58 101.8% Adjusted Discharges 33,358 33,284 74 100.2%

PPH North Indicators:

12.2% 6.7% 7.9% 7.6% 11.7% (4.1%) 65.0% OEBITDA Margin w/Prop Tax 9.9% 11.2% (1.3%) 88.4%9,823.61$ 10,387.22$ 10,226.35$ 9,952.15$ 9,967.46$ 15.31$ 99.8% Expenses/Adj Discharge 10,100.08$ 9,985.90$ (114.18)$ 101.1%5,232.59$ 5,520.30$ 5,390.53$ 5,118.57$ 5,236.78$ 118.21$ 97.7% SWB/Adj Discharge 5,249.67$ 5,245.51$ (4.16)$ 100.1%

4.98 5.14 5.19 5.21 5.38 0.17 96.8% Prod FTE's/Adj Occupied Bed 5.25 5.38 0.13 97.6%2,452 2,211 2,434 2,421 2,372 49 102.1% Adjusted Discharges 24,134 24,040 94 100.4%

PPH South Indicators:

1.3% 10.2% 6.3% 11.1% 7.0% 4.1% 158.6% OEBITDA Margin w/Prop Tax 7.5% 6.5% 1.0% 115.4%11,681.76$ 11,991.44$ 13,006.85$ 11,165.51$ 11,696.69$ 531.18$ 95.5% Expenses/Adj Discharge 11,671.74$ 11,668.25$ (3.49)$ 100.0%6,002.07$ 6,116.00$ 6,568.34$ 5,980.18$ 6,022.96$ 42.78$ 99.3% SWB/Adj Discharge 5,886.06$ 5,999.95$ 113.89$ 98.10%

6.47 6.27 6.67 6.57 6.46 (0.11) 101.7% Prod FTE's/Adj Occupied Bed 6.33 6.42 0.09 98.6%909 823 845 882 890 (8) 99.1% Adjusted Discharges 8,962 9,041 (79) 99.1%

YTD 2009April

ADD G-4Financial ResultsExecutive Summary of Key Indicators

April 2009 FY 09 Y-T-D @ APRIL 2009

Actual Budget Variance Actual Budget VarianceMoody

Benchmark

Statistics:Acute Admissions 2,327 2,421 (94) 23,202 24,535 (1,333) Acute Patient Days 9,027 9,341 (314) 91,882 94,665 (2,783)

Acute ALOS 3.90 3.86 0.04 3.93 3.86 0.07

Case Mix Index (w/o Births) 1.50 1.40 0.10 1.44 1.40 0.04 Total Surgeries 1,508 1,605 (97) 15,645 16,260 (615) Births 399 440 (41) 4,249 4,454 (205) E/R Visits & Admissions 7,800 7,449 351 74,659 75,486 (827)

ER to Admit Rate 16.1% 16.5% (0.4%) 16.7% 16.5% 0.2%Productivity % 98.4% 100% (1.6%) 98.4% 100% (1.6%)

Income Statement:Net Patient Revenue 35,797,646 35,502,395 295,251 363,151,375 358,567,917 4,583,458 Total Net Revenue 36,118,025 36,109,214 8,811 369,205,565 364,866,107 4,339,458 Sal., Wages, Cont. Lbr 17,073,874 16,965,939 (107,935) 172,764,053 171,907,790 (856,263) Supplies 5,873,696 5,472,659 (401,037) 58,998,408 55,382,522 (3,615,886) Total Expenses 35,295,376 35,270,553 (24,823) 361,924,290 357,965,445 (3,958,845) Net Inc. (Loss) before Non-Op 822,649 838,661 (16,012) 7,281,275 6,900,662 380,613 Net Income (Loss) 1,460,135 2,180,611 (720,476) 18,084,746 20,320,162 (2,235,416)

Cash Flow:Cash Collections 41,500,000 36,000,000 5,500,000 350,500,000 360,000,000 (9,500,000) Days in A/R - Gross 47.3 52.4 (5.1)Days Cash on Hand 104.3 80.0 24.3

Ratios:OEBITDA w/ Prop. Tax 9.4% 10.7% (1.3%) 9.9% 10.2% (0.3%)Net Income Margin 4.0% 6.0% (2.0%) 4.9% 5.6% (0.7%)Bad Debt % of Net Revenue 15.3% 10.1% (5.2%) 13.1% 10.1% (3.0%) 7.1%Return On Assets 2.6% 3.0% 0.4% 4.3%Annual Debt Service Coverage 2.9 4.4Cushion Ratio 7.1 15.3

ADD G-5Financial ResultsExecutive Summary & Highlights

StatisticsMar vs Apr Apr Act vs Bud

CONSOLIDATED Mar Apr % Change Budget % VariancePatient Days Acute 9,242 9,027 (2.3%) 9,341 (3.4%)Patient Days SNF 6,451 6,306 (2.2%) 6,244 1.0%ADC Acute 298.12 300.89 0.9% 311.37 (3.4%)ADC SNF 208.10 210.20 1.0% 208.13 1.0%Surgeries CVS Cases 17 13 (23.5%) 13 0.0%Surgeries Total 1,553 1,508 (2.9%) 1,605 (6.0%)Number of Births 394 399 1.3% 440 (9.3%)

NORTHPatient Days Acute 6,923 6,781 (2.1%) 6,923 (2.1%)Patient Days SNF 2,650 2,705 2.1% 2,554 5.9%ADC Acute 223.32 226.02 1.2% 230.77 (2.1%)ADC SNF 85.48 90.17 5.5% 85.13 5.9%

SOUTHPatient Days Acute 2,319 2,246 (3.1%) 2,418 (7.1%)Patient Days SNF 3,801 3,601 (5.3%) 3,690 (2.4%)ADC Acute 74.81 74.87 0.1% 80.59 (7.1%)ADC SNF 122.61 120.03 (2.1%) 123.00 (2.4%)


Balance Sheet Current Cash & Cash Equivalents increased $5.7 million from $108.9 millionin March to $114.6 million in April. PPH received $3.6 million in unrestrictedproperty taxes in April. Total Cash and Investments are $118.4 million,compared to $110.2 million at March. Days Cash on Hand went from 97.1days in March to 104.3 days in April. Net Accounts Receivable decreased $5.1 million from $100.5 million in March to $95.4 million in April. Gross A/R days decreased from 51.9 days in March to 47.3 days in April. April YTD collections including capitation are $350.5 million compared tobudget of $360.0 million. Construction in Progress increased $24.9 million from $336.2 million inMarch to $361.1 million in April. The increase is attributed to BuildingExpansion A & E Services, construction and permitting costs of $24.6 millionand Other $0.3 million. Other Current Liabilities decreased $3.4 million from $25.9 million to $22.5 million. The decrease is explained by a $2.3 million decrease incapitation liability and $1.2 million realization of deferred property taxrevenue.


Income Statement Gross Patient Revenue reflects a YTD favorable budget variance of $60.4 million. The variance breakdown is as follows.

North South Outreach ConsolidatedTotal 38,199,494 20,070,039 2,118,704 60,388,237 Routine (3,189,756) (2,257,687) - (5,447,443) IP Ancillary (4,629,960) 9,106,089 - 4,476,129 OP 46,019,210 13,221,637 2,118,704 61,359,551

Deductions from Revenue reflect a YTD unfavorable budget variance of$55.8 million. Total Deductions from Revenue is 72.26% of gross revenuecompared to a budget of 71.28%. Net Capitation reflects a YTD unfavorable budget variance of $0.6 million.Cap Premium shows a favorable budget variance of $6.8 million. Thisfavorable variance is due to retro 2007 premium adjustments in July andAugust. Cap Valuation and Out of Network Claim Expense both show anunfavorable budget variance of $4.6 million and $2.8 million, respectively. Other Operating Revenue has a YTD unfavorable budget variance of$0.2 million. The breakdown is a $1.0 million favorable budget variance inRevenue Cycle Management; which is offset by a $0.6 million unfavorablebudget variance from a new department, Weight Solutions, a $0.3 millionunfavorable budget variance from Health Development and theResearch Institute combined, and Other unfavorable of $0.3 million.


Income Statement (cont’d) Salaries, Wages & Contract Labor has a YTD unfavorable budgetvariance of $0.9 million. The breakdown is as follows:

YTD Actual YTD Budget VarianceConsolidated 172,764,053 171,907,790 (856,263) North 101,992,288 101,991,590 (698) South 42,743,070 44,277,767 1,534,697 Central 21,996,418 20,452,799 (1,543,619) Outreach 6,032,277 5,185,634 (846,643)

Employee Benefits Expense has a YTD unfavorable budget variance of$1.2 million due to $1.2 million unfavorable variance in Group HealthInsurance. Supplies Expense reflects a YTD unfavorable budget variance of $3.6 million primarily due to Prosthesis expense. Professional Fees & Purchased Services reflect a YTD favorable budgetvariance of $1.1 million primarily due to Purchased Services. Non-Operating Income reflects a YTD unfavorable budget variance of$2.6 million. This is due to an unfavorable Investment Income variance of$1.5 million and unfavorable Other $1.1 million.

Ratios & Margins

All required Bond Covenant Ratios were achieved in April, 2009.


Stat MTD Budget YTD Budget PYPatient Days - Acute 9,027 9,341 91,882 94,665 95,588 Discharges - Acute 2,317 2,421 23,388 24,535 24,271 OP Registrations 4,303 3,985 42,837 40,388 40,274 ER Visits 6,543 6,220 62,174 63,026 62,416 Deliveries 399 440 4,249 4,454 4,519

Profit & Loss (in millions) MTD Budget YTD Budget PYCapitation 0.1 Breakeven -0.8 -0.2 -2.6Net Patient Revenue 35.8 35.5 363.2 358.6 344.2Total Revenue 36.1 36.1 369.2 364.9 353.0

SWB 20.9 20.7 209.2 210.2 200.9Contract Labor 0.4 0.4 6.7 3.6 9.4Supplies 5.9 5.5 59.0 55.4 55.8Total Expense 35.3 35.3 361.9 358.0 356.8

Net Income from Ops 0.8 0.8 7.3 6.9 -3.8

Net Income 1.5 2.2 18.1 20.3 10.5

ADD G-10Key Variance ExplanationsMonth-To-Date

Actual Budget Variance Detail Variance

Net Income From Operations 7,281,275 6,900,662 380,613

Total Net Revenue 4,583,458Net Patient Revenue 4,583,458

Other Operating Revenue (244,000)Revenue Cycle Management 1,000,000Weight Solutions - contra to Supplies (603,090)PPNC Health Development and Research Institute (368,010)Rent Revenue. - $117K contra to Other exp. (150,000)Corporate Health (131,902)Other 9,002

Salaries & Wages 2,212,336Volume Variance (374,214)Rate & Efficiency (Nursing & Non-Nursing) 2,586,550

Benefits (1,200,186)Group Health Ins (1,205,066)FICA (362,314)State Unemployment Insurance (357,141)Worker Comp Insurance 261,977Pension 620,141Other (157,783)

Contract Labor (3,068,599)Volume Variance (7,987) Rate & Efficiency (Nursing & Non-Nursing) (3,060,612) Breakdown of total variance:

Registered Nurse (3,157,675)Other Temp Help (243,153)Clerical/Admin (147,624)Therapist Temp 479,853

ADD G-11Key Variance ExplanationsMonth-To-Date (cont’d)


Professional Fees 4,855Revenue Cycle (FTI Consuting $111K) (85,846)Orgarnizational Development (Deborah Straka & Jane Newbauer $32K) (31,800)Physician Development (ECG Mgmt Consulting 26K) (26,414)Adm Consulting 21,250Finance Audit Fees 30,160Legal Counsel 105,409Other (7,904)

Supplies (401,037)Volume Variance (96,684)Rate & Efficiency (304,353)Breakdown of total variance:

Prosthesis (520,447) Other 119,410

Purchased Services (87,000)Finance- General accrual (371,815)Health Info Services - reduction in transcription 178,781Pt Financial Svs 207,605Other (101,571)

Depreciation 270,689Depreciation 270,689

Other Direct Expenses 346,354Radiosurgery - contra to revenue (221,500)Electricity (89,830)Gas (15,101)Marketing 75,575Insurance 147,426Rent - (note: $87k for timeshare below op inc. line) 204,403Other 245,381

Total Actual to Budget MTD Variance for April 2009 (16,012) (16,012)

ADD G-12Key Variance ExplanationsMonth-To-Date (cont’d)


Total Actual to Budget MTD Variance for April 2009 (16,012)

Non-Operating Income (Expense) 637,486 1,341,950 (704,464)

Property Tax 966,666 1,166,666 (200,000)Lower property tax receipts in April payments

Investment Income (Loss) 203,242 548,526 (345,284)Breakdown of Actual:

Salomon Bros (70% Gov't Sec, 29% Corp Bonds; 1% MMF) 87,823Pacific Income Advisers (99% Gov't Securities, 1% MMF) 30,847LAIF 23,627Other 60,945

Interest Expense 531,687 488,038 (43,649)

Other (735) 114,796 (115,531)

Net Income 1,460,135 2,180,611 (720,476)

ADD G-13Key Variance ExplanationsYear-To-Date


Net Income From Operations 7,281,275 6,900,662 380,613

Total Net Revenue 4,583,458Net Patient Revenue 4,583,458

Other Operating Revenue (244,000)Revenue Cycle Management 1,000,000Weight Solutions - contra to Supplies (603,090)PPNC Health Development and Research Institute (368,010)Rent Revenue. - $117K contra to Other exp. (150,000)Corporate Health (131,902)Other 9,002

Salaries & Wages 2,212,336Volume Variance (374,214)Rate & Efficiency (Nursing & Non-Nursing) 2,586,550

Benefits (1,200,186)Group Health Ins (1,205,066)FICA (362,314)State Unemployment Insurance (357,141)Worker Comp Insurance 261,977Pension 620,141Other (157,783)

Contract Labor (3,068,599)Volume Variance (7,987) Rate & Efficiency (Nursing & Non-Nursing) (3,060,612) Breakdown of total variance:

Registered Nurse (3,157,675)Other Temp Help (243,153)Clerical/Admin (147,624)Therapist Temp 479,853

ADD G-14Key Variance ExplanationsYear-To-Date (cont’d)


Professional Fees 7,496Pom ER Physician Fees (235,397)Pal ER Physician Fees (183,567)Foundation Consulting, Legal Fees & Audit Fees 201,681Legal Counsel 225,493Other (714)

Supplies (3,615,886)Volume Variance (123,131) Rate & Efficiency (3,492,755) Breakdown of total variance:

Prosthesis (3,808,224) Other 192,338

Purchased Services 1,066,569Medi-Cal eligibility Services (299,500)Health Info Services - reduction in transcription 179,905Pt Financial Svs 226,294Wound Care - contra to reduced Revenue 226,450Other 733,420

Depreciation 896,806 Depreciation 896,806

Other Direct Expenses (257,381)Radiosurgery - contra to pt. revenue (1,210,787)Marketing (433,096)Electricity (358,400)Rental Equipment - POM Robot (170,397)Gas (150,135)Governing Board (General Election $232K) (131,928)Physician Development.Recruiting 118,634Telephone 278,297Rent ( includes timeshare budget) 805,601Insurance - Liability 948,838Other 45,992

Total Actual to Budget YTD Variance for April 2009 380,613 380,613

ADD G-15Key Variance ExplanationsYear-To-Date (cont’d)

Total Actual to Budget YTD Variance for April 2009 380,613

Non-Operating Income (Expense) 10,803,471 13,419,500 (2,616,029)

Property Tax 11,466,660 11,666,660 (200,000) (approx one third of the over accrued amount.)

Investment Income (Loss) 4,007,894 5,485,260 (1,477,366)Breakdown of Actual:

Salomon Bros (70% Gov't Sec, 29% Corp Bonds; 1% MMF) 1,643,719Pacific Income Advisers (99% Gov't Securities, 1% MMF) 1,513,428LAIF 293,320Other 557,427

Interest Expense 4,635,400 4,880,380 244,980

Other (35,683) 1,147,960 (1,183,643)PDP Investment (775,725)Timshare Reclass from Other Direct (535,916)Other 127,998

Net Income 18,084,746 20,320,162 (2,235,416)

ADD G-16Balance SheetConsolidated

Current Prior Prior Fiscal Current Prior Prior Fiscal Month Month Year End Month Month Year End

Assets LiabilitiesCurrent Assets Current Liabilities Cash on Hand $16,319,919 $13,310,376 $12,578,422 Accounts Payable $37,409,289 $24,822,720 $44,500,881 Cash Marketable Securities 98,323,348 95,601,827 73,699,656 Accrued Payroll 17,461,927 16,653,501 12,139,225Total Cash & Cash Equivalents 114,643,267 108,912,203 86,278,078 Accrued PTO 14,211,649 14,086,802 13,977,901

Accrued Interest Payable 10,913,050 7,732,392 8,065,133Patient Accounts Receivable 213,077,025 228,540,865 173,630,766 Current Portion of Bonds 9,780,000 9,780,000 9,660,000 Allowance on Accounts (117,644,334) (128,037,042) (87,408,726) Est Third Party Settlements 3,149,479 3,112,984 807,165Net Accounts Receivable 95,432,691 100,503,823 86,222,040 Other Current Liabilities 22,523,160 25,889,696 15,815,317

Total Current Liabilities 115,448,554 102,078,095 104,965,622 Inventories 6,837,484 6,787,251 6,826,298 Prepaid Expenses 5,712,253 3,534,804 3,790,644 Long Term Liabilities Other 6,801,056 13,202,121 5,722,105 Bonds & Contracts Payable 643,468,857 638,147,558 537,979,367Total Current Assets 229,426,751 232,940,202 188,839,165

General Fund BalanceNon-Current Assets Unrestricted 329,607,926 329,568,640 292,958,146 Restricted Assets 320,922,891 327,426,292 343,067,128 Restricted for Other Purpose 310,398 310,398 303,600 Restricted by Donor 310,398 310,398 303,600 Board Designated 3,441,747 1,020,899 12,117,325 Board Designated 3,441,747 1,020,899 12,117,325 Total Fund Balance 333,360,071 330,899,937 305,379,071Total Restricted Assets 324,675,036 328,757,589 355,488,053

Total Liabilities / Fund Balance $1,092,277,482 $1,071,125,590 $948,324,060 Property Plant & Equipment 371,919,375 372,796,931 387,410,913 Accumulated Depreciation (226,271,567) (226,018,159) (226,979,355) Construction in Process 361,116,741 336,170,359 218,854,882Net Property Plant & Equipment 506,764,549 482,949,131 379,286,440

Investment in Related Companies 5,179,048 5,144,792 3,109,523 Deferred Financing Costs 20,225,827 15,403,248 15,644,785 Other Non-Current Assets 6,006,271 5,930,628 5,956,094Total Non-Current Assets 862,850,731 838,185,388 759,484,895

Total Assets $1,092,277,482 $1,071,125,590 $948,324,060

ADD G-17Income Statement: Monthly TrendConsolidated

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr YTDStatistics: Admissions - Acute 2,540 2,454 2,367 2,357 2,253 2,330 2,299 2,045 2,230 2,327 23,202 Admissions - SNF 95 107 101 87 73 82 76 83 96 85 885 Patient Days - Acute 9,587 9,491 9,098 9,345 8,802 9,397 9,381 8,512 9,242 9,027 91,882 Patient Days - SNF 6,572 6,497 6,313 6,570 6,197 6,477 6,457 5,778 6,451 6,306 63,618 LOS - Acute 3.74 3.81 3.87 3.85 3.85 4.11 3.98 4.11 4.13 3.90 3.93 LOS - SNF 67.75 60.16 67.88 69.16 78.44 84.12 83.86 67.98 71.68 85.22 72.71 Adjusted Discharges 3,600 3,481 3,293 3,416 3,231 3,209 3,391 3,065 3,315 3,341 33,358

Revenue: Gross Revenue 131,046,951$ 131,438,267$ 127,873,677$ 135,991,410$ 122,619,993$ 132,503,423$ 131,229,449$ 124,523,304$ 137,155,192$ 134,682,810$ 1,309,064,473$ Deductions from Rev (94,593,925) (94,598,259) (91,280,996) (98,599,181) (86,064,844) (96,106,528) (94,874,508) (90,747,322) (100,162,374) (98,885,164) (945,913,098) Net Patient Revenue 36,453,026 36,840,008 36,592,681 37,392,229 36,555,149 36,396,895 36,354,941 33,775,982 36,992,818 35,797,646 363,151,375 Other Oper Revenue 481,361 331,016 518,420 850,901 300,829 1,450,298 449,619 433,865 917,502 320,379 6,054,190 Total Net Revenue 36,934,387 37,171,024 37,111,101 38,243,130 36,855,978 37,847,193 36,804,560 34,209,847 37,910,320 36,118,025 369,205,565

Expenses: Salaries, Wages & Contr Labor 17,547,177 17,429,247 17,159,435 17,718,059 17,472,778 17,061,521 16,794,323 16,478,026 18,029,612 17,073,874 172,764,053 Benefits 4,496,086 4,177,042 4,146,197 4,187,628 4,239,835 4,298,735 4,614,774 4,099,486 4,667,333 4,186,780 43,113,897 Supplies 5,536,898 5,656,890 5,963,822 6,439,529 5,668,865 5,884,036 5,823,179 5,567,814 6,583,678 5,873,696 58,998,408 Prof Fees & Purch Svc 4,597,010 4,825,802 5,138,315 5,033,215 4,364,132 5,276,227 4,925,011 4,131,337 4,158,625 4,726,957 47,176,633 Depreciation 1,915,873 1,905,155 1,841,193 1,956,220 1,908,874 1,941,062 1,563,527 1,570,761 1,576,337 1,602,459 17,781,460 Other 1,975,226 2,233,503 2,382,627 2,203,375 2,392,334 2,403,317 2,251,771 2,359,127 2,056,948 1,831,610 22,089,839 Total Expenses 36,068,270 36,227,639 36,631,589 37,538,026 36,046,818 36,864,898 35,972,585 34,206,551 37,072,533 35,295,376 361,924,290

Net Inc Before Non-Oper Income 866,117 943,385 479,512 705,104 809,160 982,295 831,975 3,296 837,787 822,649 7,281,275

Property Tax Revenue 1,166,666 1,166,666 1,166,666 1,166,666 1,166,666 1,166,666 1,166,666 1,166,666 1,166,666 966,666 11,466,660 Non-Operating Income 69,375 147,884 (614,405) 75,236 831,064 513,358 (524,032) (461,359) (371,131) (329,180) (663,189)

Net Income (Loss) 2,102,158$ 2,257,935$ 1,031,773$ 1,947,006$ 2,806,890$ 2,662,319$ 1,474,609$ 708,603$ 1,633,322$ 1,460,135$ 18,084,746$

Net Income Margin 5.7% 6.1% 2.8% 5.1% 7.6% 7.0% 4.0% 2.1% 4.3% 4.0% 4.9%OEBITDA Margin w/o Prop Tax 7.5% 7.7% 6.3% 7.0% 7.4% 7.7% 6.5% 4.6% 6.4% 6.7% 6.8%OEBITDA Margin with Prop Tax 10.7% 10.8% 9.4% 10.0% 10.5% 10.8% 9.7% 8.0% 9.4% 9.4% 9.9%

ADD G-18Income Statement: Fiscal Year-to-DateConsolidated – Adjusted Discharges

VarianceActual Budget Variance Volume Rate/Eff Actual Budget Variance

Statistics: Admissions - Acute 23,202 24,535 (1,333) Admissions - SNF 885 881 4 Patient Days - Acute 91,882 94,665 (2,783) Patient Days - SNF 63,618 63,303 315 ALOS - Acute 3.93 3.86 0.07 ALOS - SNF 72.71 72.68 0.03 Adjusted Discharges 33,358 33,284 74

Revenue: Gross Revenue 1,309,064,473$ 1,248,676,236$ 60,388,237$ F 2,776,170$ 57,612,067$ 39,242.89$ 37,515.81$ 1,727.08$ Deductions from Rev (945,913,098) (890,108,319) (55,804,779) U (1,978,969) (53,825,810) (28,356.41) (26,742.83) (1,613.58) Net Patient Revenue 363,151,375 358,567,917 4,583,458 F 797,201 3,786,257 10,886.49 10,772.98 113.50 Other Oper Revenue 6,054,190 6,298,190 (244,000) U 14,003 (258,003) 181.49 189.23 (7.73) Total Net Revenue 369,205,565 364,866,107 4,339,458 F 811,203 3,528,255 11,067.98 10,962.21 105.77

Expenses: Salaries, Wages & Contr Labor 172,764,053 171,907,790 (856,263) U (382,201) (474,062) 5,179.09 5,164.88 (14.21) Benefits 43,113,897 41,913,711 (1,200,186) U (93,186) (1,107,000) 1,292.46 1,259.28 (33.19) Supplies 58,998,408 55,382,522 (3,615,886) U (123,131) (3,492,755) 1,768.64 1,663.94 (104.71) Prof Fees & Purch Svc 47,176,633 48,250,698 1,074,065 F (107,275) 1,181,340 1,414.25 1,449.67 35.41 Depreciation 17,781,460 18,678,266 896,806 F (41,527) 938,333 533.05 561.18 28.13 Other 22,089,839 21,832,458 (257,381) U (48,540) (208,841) 662.21 655.94 (6.26) Total Expenses 361,924,290 357,965,445 (3,958,845) U (795,861) (3,162,987) 10,849.70 10,754.88 (94.82)

Net Inc Before Non-Oper Income 7,281,275 6,900,662 380,613 F 15,342 365,268 218.28 207.33 10.95

Property Tax Revenue 11,466,660 11,666,660 (200,000) U 25,938 (225,938) 343.75 350.52 (6.77) Non-Operating Income (663,189) 1,752,840 (2,416,029) U 3,897 (2,419,926) (19.88) 52.66 (72.54)

Net Income (Loss) 18,084,746$ 20,320,162$ (2,235,416)$ U 45,178$ (2,280,597)$ 542.14$ 610.51$ (68.37)$

Net Income Margin 4.9% 5.6% (0.7%)OEBITDA Margin w/o Prop Tax 6.8% 7.0% (0.2%)OEBITDA Margin with Prop Tax 9.9% 10.2% (0.3%)

$/Adjusted Discharges

ADD G-19Income Statement: Month-to-DateConsolidated – Adjusted Discharges

Variance $/Adjusted DischargesActual Budget Variance Volume Rate/Eff Actual Budget Variance

Statistics: Admissions - Acute 2,327 2,421 (94) Admissions - SNF 85 86 (1) Patient Days - Acute 9,027 9,341 (314) Patient Days - SNF 6,306 6,244 62 ALOS - Acute 3.90 3.86 0.04 ALOS - SNF 85.22 73.46 11.76 Adjusted Discharges 3,341 3,283 58

Revenue: Gross Revenue 134,682,810$ 123,317,066$ 11,365,744$ F 2,178,614$ 9,187,130$ 40,312.13$ 37,562.31$ 2,749.81$ Deductions from Rev (98,885,164) (87,814,671) (11,070,493) U (1,551,401) (9,519,092) (29,597.48) (26,748.30) (2,849.17) Net Patient Revenue 35,797,646 35,502,395 295,251 F 627,213 (331,962) 10,714.65 10,814.01 (99.36) Other Oper Revenue 320,379 606,819 (286,440) U 10,721 (297,161) 95.89 184.84 (88.94) Total Net Revenue 36,118,025 36,109,214 8,811 F 637,933 (629,122) 10,810.54 10,998.85 (188.30)

Expenses: Salaries, Wages & Contr Labor 17,073,874 16,965,939 (107,935) U (299,733) 191,798 5,110.41 5,167.82 57.41 Benefits 4,186,780 4,136,031 (50,749) U (73,070) 22,321 1,253.15 1,259.83 6.68 Supplies 5,873,696 5,472,659 (401,037) U (96,684) (304,353) 1,758.07 1,666.97 (91.10) Prof Fees & Purch Svc 4,726,957 4,644,812 (82,145) U (82,059) (86) 1,414.83 1,414.81 (0.03) Depreciation 1,602,459 1,873,148 270,689 F (33,092) 303,781 479.63 570.56 90.93 Other 1,831,610 2,177,964 346,354 F (38,478) 384,832 548.22 663.41 115.18 Total Expenses 35,295,376 35,270,553 (24,823) U (623,117) 598,294 10,564.31 10,743.39 179.08

Net Inc Before Non-Oper Income 822,649 838,661 (16,012) U 14,816 (30,828) 246.23 255.46 (9.23)

Property Tax Revenue 966,666 1,166,666 (200,000) U 20,611 (220,611) 289.33 355.37 (66.03) Non-Operating Income (329,180) 175,284 (504,464) U 3,097 (507,561) (98.53) 53.39 (151.92)

Net Income (Loss) 1,460,135$ 2,180,611$ (720,476)$ U 38,524$ (759,000)$ 437.04$ 664.21$ (227.18)$


ADD G-20Income Statement: Current vs. Prior Year-to-date Consolidated – Adjusted Discharges

Variance $/Adjusted DischargesApr 09 YTD Apr 08 YTD Variance Volume Rate/Eff Actual 09 Actual 08 Variance

Statistics: Admissions - Acute 23,202 24,181 (979) Admissions - SNF 885 903 (18) Patient Days - Acute 91,882 95,588 (3,706) Patient Days - SNF 63,618 63,168 450 ALOS - Acute 3.93 3.94 (0.01) ALOS - SNF 72.71 70.74 1.97 Adjusted Discharges 33,358 33,495 (137)

Revenue: Gross Revenue 1,309,064,473$ 1,177,998,179$ 131,066,294$ F (4,818,204)$ 135,884,498$ 39,242.89$ 35,169.37$ 4,073.52$ Deductions from Rev (945,913,098) (833,793,666) (112,119,432) U 3,410,352 (115,529,784) (28,356.41) (24,893.08) (3,463.33) Net Patient Revenue 363,151,375 344,204,513 18,946,862 F (1,407,852) 20,354,714 10,886.49 10,276.30 610.19 Other Oper Revenue 6,054,190 8,775,546 (2,721,356) U (35,893) (2,685,463) 181.49 262.00 (80.50) Total Net Revenue 369,205,565 352,980,059 16,225,506 F (1,443,746) 17,669,252 11,067.98 10,538.29 529.69

Expenses: Salaries, Wages & Contr Labor 172,764,053 171,930,597 (833,456) U 703,224 (1,536,680) 5,179.09 5,133.02 (46.07) Benefits 43,113,897 38,351,057 (4,762,840) U 156,862 (4,919,702) 1,292.46 1,144.98 (147.48) Supplies 58,998,408 55,821,025 (3,177,383) U 228,317 (3,405,700) 1,768.64 1,666.55 (102.10) Prof Fees & Purch Svc 47,176,633 52,234,332 5,057,699 F 213,647 4,844,052 1,414.25 1,559.47 145.21 Depreciation 17,781,460 17,937,396 155,936 F 73,367 82,569 533.05 535.52 2.48 Other 22,089,839 20,497,895 (1,591,944) U 83,840 (1,675,784) 662.21 611.97 (50.24) Total Expenses 361,924,290 356,772,302 (5,151,988) U 1,459,257 (6,611,245) 10,849.70 10,651.51 (198.19)

Net Inc Before Non-Oper Income 7,281,275 (3,792,243) 11,073,518 F 15,511 11,058,007 218.28 (113.22) 331.49

Property Tax Revenue 11,466,660 11,250,000 216,660 F (46,014) 262,674 343.75 335.87 7.87 Non-Operating Income (663,189) 3,052,535 (3,715,724) U (12,485) (3,703,239) (19.88) 91.13 (111.02)

Net Income (Loss) 18,084,746$ 10,510,292$ 7,574,454$ F (42,989)$ 7,617,443$ 542.14$ 313.79$ 228.35$

Net Income Margin 4.9% 3.0% 1.9%OEBITDA Margin w/o Prop Tax 6.8% 4.0% 2.8%OEBITDA Margin with Prop Tax 9.9% 7.2% 2.7%

ADD G-21Income Statement: Fiscal Year ProjectionConsolidated – Adjusted Discharges

Variance10 Act + 2 Bud FY 09 Budget Variance Volume Rate/Eff Actual Budget Variance

Statistics: Admissions - Acute 28,121 29,454 (1,333) Admissions - SNF 1,058 1,054 4 Patient Days - Acute 110,873 113,656 (2,783) Patient Days - SNF 76,312 75,997 315 Adjusted Discharges 40,025 39,951 74

Revenue: Gross Revenue 1,559,620,190$ 1,499,231,953$ 60,388,237$ F 2,776,981$ 57,611,256$ 38,966.15$ 37,526.77$ 1,439.38$ Deductions from Rev (1,124,396,109) (1,068,591,330) (55,804,779) U (1,979,319) (53,825,460) (28,092.35) (26,747.55) (1,344.80) Net Patient Revenue 435,224,081 430,640,623 4,583,458 F 797,662 3,785,796 10,873.81 10,779.22 94.59 Other Oper Revenue 7,267,828 7,511,828 (244,000) U 13,914 (257,914) 181.58 188.03 (6.44) Total Net Revenue 442,491,909 438,152,451 4,339,458 F 811,576 3,527,882 11,055.39 10,967.25 88.14

Expenses: Salaries, Wages & Contr Labor 206,951,308 206,095,045 (856,263) U (381,743) (474,520) 5,170.55 5,158.70 (11.86) Benefits 51,483,869 50,283,683 (1,200,186) U (93,139) (1,107,047) 1,286.29 1,258.63 (27.66) Supplies 70,111,669 66,495,783 (3,615,886) U (123,168) (3,492,718) 1,751.70 1,664.43 (87.26) Prof Fees & Purch Svc 56,567,508 57,641,573 1,074,065 F (106,768) 1,180,833 1,413.30 1,442.81 29.50 Depreciation 21,527,756 22,424,562 896,806 F (41,536) 938,342 537.86 561.30 23.44 Other 26,479,318 26,221,940 (257,378) U (48,570) (208,808) 661.57 656.35 (5.22) Total Expenses 433,121,428 429,162,583 (3,958,845) U (794,925) (3,163,920) 10,821.27 10,742.22 (79.05)

Net Inc Before Non-Oper Income 9,370,481 8,989,868 380,613 F 16,652 363,961 234.12 225.02 9.09

Property Tax Revenue 13,799,992 13,999,992 (200,000) U 25,932 (225,932) 344.78 350.43 (5.64) Non-Operating Income (312,621) 2,103,408 (2,416,029) U 3,896 (2,419,925) (7.81) 52.65 (60.46)

Net Income (Loss) 22,857,852$ 25,093,268$ (2,235,416)$ U 46,479$ (2,281,895)$ 571.09$ 628.10$ (57.01)$


$/Adjusted Discharges

ADD G-22Cash Flow Statement

April YTD

CASH FLOWS FROM OPERATING ACTIVITIES: Income (Loss) from operations 822,649 7,281,275 Adjustments to reconcile change in net assets to net cash provided by operating activities: Depreciation Expense 1,602,459 17,781,460 Provision for bad debts 5,491,493 47,533,648

Changes in operating assets and liabilities: Patient accounts receivable (420,360) (56,744,300) Property Tax and other receivables (784,884) (24,897,401) Inventories (50,233) (11,186) Prepaid expenses and Other Non-Current assets (2,211,705) (3,991,134) Accounts payable 12,586,569 (7,091,592) Accrued compensation 933,273 5,556,450 Estimated settlement amounts due third-party payors 36,495 2,342,314 Other current liabilities (1,199,869) 25,439,863 Net cash provided by operating activities 16,805,887 13,199,405

CASH FLOWS FROM INVESTING ACTIVITIES: Net (purchases) sales of investments 1,361,032 4,971,147 Income (Loss) on investments 203,242 3,386,572 Investment in affiliates 90,806 1,281,201 Net cash used in investing activities 1,655,080 9,638,920

CASH FLOWS FROM NON-CAPITAL FINANCING ACTIVITIES: Receipt of G.O. Bond Taxes 3,370,232 10,467,074 Receipt of District Taxes 3,649,268 12,019,998 Net cash used in non-capital financing activities 7,019,500 22,487,073 CASH FLOWS FROM CAPITAL AND RELATED FINANCING ACTIVITIES: Acquisition of property plant and equipment (22,106,675) (127,510,691) Proceeds from sale of asset 0 0 Deferred Financing Costs (364,249) (122,712) G.O. Bond Interest paid 0 (13,059,705) Revenue Bond Interest paid 0 (1,230,793) Proceeds from issuance of debt 0 110,000,000 Payments of Long Term Debt 0 (9,660,000) Net cash used in activities (22,470,924) (41,583,900)

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 3,009,543 3,741,498

CASH AND CASH EQUIVALENTS - Beginning of period 13,310,376 12,578,422

CASH AND CASH EQUIVALENTS - End of period 16,319,919 16,319,919

ADD G-23Summary of Key Indicators & ResultsFiscal Year-to-Date

ACTUAL BUDGET VARIANCE FY 2008ADMISSIONS - Acute:

Palomar Medical Center 17,431 18,375 (944) 18,172

Pomerado Hospital 5,771 6,160 (389) 6,009

Total: 23,202 24,535 (1,333) 24,181

ADMISSIONS - SNF:Palomar Medical Center 356 413 (57) 433

Pomerado Hospital 529 468 61 470

Total: 885 881 4 903

PATIENT DAYS - Acute:Palomar Medical Center 68,485 70,159 (1,674) 70,869

Pomerado Hospital 23,397 24,506 (1,109) 24,719

Total: 91,882 94,665 (2,783) 95,588

PATIENT DAYS- SNF:Palomar Medical Center 26,930 25,880 1,050 25,562


Total: 63,618 63,303 315 63,168


ACTUAL BUDGET VARIANCE FY 2008

EMERGENCY ROOM VISITS & TRAUMA CASES:Palomar Medical Center 42,018 42,384 (366) 42,003


Total: 62,174 63,026 (852) 62,416

EMERGENCY & TRAUMA ADMISSIONS:Palomar Medical Center 9,215 9,265 (50) 9,162

Pomerado Hospital 3,270 3,195 75 2,943

Total: 12,485 12,460 25 12,105

SURGERIES: - Escondido Surgery Center started in Dec-07.Palomar Medical Center 9,888 10,693 (805) 8,744

Pomerado Hospital 5,757 5,567 190 5,766

Total: 15,645 16,260 (615) 14,510

BIRTHS:Palomar Medical Center 3,265 3,453 (188) 3,522

Pomerado Hospital 984 1,001 (17) 997

Total: 4,249 4,454 (205) 4,519


ACTUAL BUDGET VARIANCE FY 2008

ADJUSTED DISCHARGESPalomar Medical Center 24,134 24,040 94 23,927

Pomerado Hospital 8,962 9,041 (79) 8,906 Other Activities 262 203 59 662 Total: 33,358 33,284 74 33,495

AVERAGE LENGTH OF STAY- Acute:Palomar Medical Center 3.90 3.82 0.08 3.89

Pomerado Hospital 4.01 3.98 0.03 4.09

Total: 3.93 3.86 0.07 3.94

AVERAGE LENGTH OF STAY - SNF:Palomar Medical Center 77.39 64.22 13.17 60.86

Pomerado Hospital 69.62 79.96 (10.34) 79.51

Total: 72.71 72.68 0.03 70.74

ADD G-26Supplies ExpenseYear-to-Date

Account Description Actual Budget Variance631000 Prosthesis 15,848,493 12,040,269 (3,808,224) 641000 Supplies Other Medical 12,733,040 12,101,462 (631,578) 632000 Sutures/Surgical Needles 1,485,493 1,286,632 (198,861) 634000 Supplies Surgery General 4,248,096 4,062,629 (185,467) 647000 Supplies Employee Apparel 224,473 123,432 (101,041) 648000 Instruments/Minor Equipment 406,826 316,774 (90,052) 633000 Supplies Surgical Pack 1,713,455 1,630,569 (82,886) 645000 Supplies Cleaning 381,663 345,450 (36,213) 635000 Supplies Anesthesia Material 37,312 10,171 (27,141) 642000 Supplies Food/Meat 476,992 452,973 (24,019) 644000 Supplies Linen 23,081 32,050 8,969 637000 Supplies IV Solutions 399,709 408,993 9,284 640000 Supplies X-ray Material 4,410 22,704 18,294 643000 Supplies Food Other 2,136,851 2,202,165 65,314 639000 Supplies Radioactive 592,486 667,170 74,684 650000 Other Non Medical 5,643,183 5,737,273 94,090 636000 Supplies Oxygen/Gas 126,953 239,014 112,061 646100 Supplies Forms 366,097 505,694 139,597 638000 Supplies Pharmaceutical 10,842,239 11,130,178 287,939 646000 Supplies Office/Administration 678,456 1,042,530 364,074 649000 Other Minor Equipment 629,098 1,024,390 395,292

TOTAL 58,998,408 55,382,522 (3,615,886)

ADD G-27Bond Covenant Ratios

Cushion Ratio Jun-07 Jun-08 Apr-09

Cash and Cash Equivalents 109,213,349 86,122,696 114,643,267 Board Designated Reserves - 12,117,325 3,441,747 Trustee-held Funds (Revenue Fund only) 249,531 185,981 33,005 Total 109,462,880 98,426,002 118,118,019

Divided by:Annual Debt Service (excludes GO Bonds) 16,972,692 16,972,692 16,639,112 (Bond Year 11/1/2009)

Cushion Ratio 6.4 5.8 7.1 REQUIREMENT 1.5 1.5 1.5

Achieved Achieved Achieved

Days Cash on Hand Jun-07 Jun-08 Apr-09

Cash and Cash Equivalents 109,213,349 86,122,696 114,643,267 Board Designated Reserves - 12,117,325 3,441,747 Trustee-held Funds (Revenue Fund only) 249,531 185,981 33,005 Total 109,462,880 98,426,002 118,118,019

Divide Total by Average Adjusted Expenses per DayTotal Expenses 385,355,509 428,153,444 361,924,290 Less: Depreciation 19,453,013 21,572,031 17,781,460 Adjusted Expenses 365,902,496 406,581,413 344,142,830

Number of days in period 365 366 304 Average Adjusted Expenses per Day 1,002,473 1,110,878 1,132,049

Days Cash on Hand 109.2 88.6 104.3 REQUIREMENT 80 80 80


Net Income Available for Debt Service Jun-07 Jun-08 Apr-09

Excess of revenue over expenses Cur Mo. 2,963,446 (12,441,012) 1,460,135Excess of revenues over expenses YTD 21,974,509 (4,053,517) 18,084,746(General Funds)ADD: Depreciation and Amortization 19,453,013 21,391,200 17,781,460 Interest Expense 3,343,683 14,912,181 4,635,400 Net Income Available for Debt Service 44,771,205 32,249,864 40,501,606

Aggregate Debt Service

1999 Insured Refunding Revenue Bonds 8,249,916 8,248,018 6,876,5992006 Certificates of Participation 4,373,342 8,316,457 7,100,521 Aggregate Debt Service 12,623,258 16,564,475 13,977,120

Net Income Available for Debt Service 3.55 1.95 2.90Required Coverage 1.15 1.15 1.15


ADD G-28

PY

BUD

Statistical IndicatorsAdmissions – Acute

-

500

1,000

1,500

2,000

2,500

3,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 1,895 1,848 1,771 1,782 1,687 1,738 1,715 1,545 1,684 1,766 - - 17,431 18,375 POM 645 606 596 575 566 592 584 500 546 561 - - 5,771 6,160 CON 2,540 2,454 2,367 2,357 2,253 2,330 2,299 2,045 2,230 2,327 - - 23,202 24,535

ADD G-29

PY

BUD

Statistical IndicatorsPatient Days – Acute

-

2,000

4,000

6,000

8,000

10,000

12,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 7,138 6,920 6,757 7,101 6,440 6,848 7,217 6,360 6,923 6,781 - - 68,485 70,159 POM 2,449 2,571 2,341 2,244 2,362 2,549 2,164 2,152 2,319 2,246 - - 23,397 24,506 CON 9,587 9,491 9,098 9,345 8,802 9,397 9,381 8,512 9,242 9,027 - - 91,882 94,665

ADD G-30

PY

BUD

Statistical IndicatorsAverage Daily Census – Acute

-

50

100

150

200

250

300

350

400PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 230 223 225 229 215 221 233 227 223 226 - - 225 231 POM 79 83 78 72 79 82 70 77 75 75 - - 77 81 CON 309 306 303 301 293 303 303 304 298 301 - - 302 312

ADD G-31Statistical IndicatorsPatient Days

1,074

1,161

1,118

1,283

1,072

1,257

1,158

395

321

218

170

272

356

190

709

718

704

760

677

659

691

1,064

1,080

1,106

1,132

1,068

1,143

1,089

844

800

824

892

804

787

891

848

876

871

860

824

845

870

955

920

883

861

860

917

848

774

836

843

-

-

1,291

1,250

1,277

1,366

1,246

1,272

1,213

263

137

119

112

124

174

208

956

998

903

916

867

841

942

483

455

426

487

401

498

505

705

775

649

506

587

648

776

-

-

1,185

1,242

1,134

-

-

243

262

300

-

-

683

657

663

-

-

1,110

1,076

999

-

-

870

842

744

-

-

814

870

759

-

-

1,276

1,137

1,018

-

-

116

176

155

-

-

856

882

856

-

-

427

468

385

-

-

604

794

725

- 2,000 4,000 6,000 8,000 10,000

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

ICU/CCU NICU Telemetry IMC Med-Onology Surg-Ortho Medical Tele Med Surg Pediatrics Labor Delivery Recovery Rehb Acute MHU


ADD G-32

PY

BUD

Statistical IndicatorsSurgeries (Inpatient only)

-

100

200

300

400

500

600

700

800PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 510 514 487 495 436 457 439 409 454 409 - - 4,610 5,297 POM 212 195 182 184 174 184 169 167 184 179 - - 1,830 1,500 CON 722 709 669 679 610 641 608 576 638 588 - - 6,440 6,797

ADD G-33

PY

BUD

Statistical IndicatorsSurgeries (Outpatient only)

-

200

400

600

800

1,000

1,200

1,400PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 591 232 788 553 580 466 550 384 507 494 - - 5,145 5,267 POM 432 376 399 380 368 404 401 363 391 413 - - 3,927 4,067 CON 1,023 608 1,187 933 948 870 951 747 898 907 - - 9,072 9,334

Escondido Surgery CenterApr-09Actual Budget

MTD 324 366YTD 3,271 3,707

ADD G-34

PY

BUD

Statistical IndicatorsSurgeries – CVS (PMC only)

-

2

4

6

8

10

12

14

16

18

20


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 10 10 10 13 10 16 16 18 17 13 - - 133 129 POM - - - - - - - - - - - - - - CON 10 10 10 13 10 16 16 18 17 13 - - 133 129

ADD G-35

PY

BUD

Statistical IndicatorsTotal Surgeries

-

200

400

600

800

1,000

1,200

1,400

1,600

1,800

2,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 1,111 756 1,285 1,061 1,026 939 1,005 811 978 916 - - 9,888 10,693 POM 644 571 581 564 542 588 570 530 575 592 - - 5,757 5,567 CON 1,755 1,327 1,866 1,625 1,568 1,527 1,575 1,341 1,553 1,508 - - 15,645 16,260

Escondido Surgery CenterApr-09Actual Budget

MTD 324 366YTD 3,271 3,707

ADD G-36

PY

BUD

Statistical IndicatorsOutpatient Registrations (excludes Lab)

-

1,000

2,000

3,000

4,000

5,000

6,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N



ADD G-37

PY

BUD

Statistical IndicatorsER Visits (includes Trauma, Outpatient only)

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 4,137 4,032 4,199 3,910 4,291 4,215 4,350 4,010 4,542 4,332 - - 42,018 42,384 POM 2,081 1,895 2,184 1,906 1,956 1,929 2,014 1,871 2,109 2,211 - - 20,156 20,642 CON 6,218 5,927 6,383 5,816 6,247 6,144 6,364 5,881 6,651 6,543 - - 62,174 63,026 CON/DAY 201 191 213 188 208 198 205 210 215 218 - - 227 230

ADD G-38

PY

BUD

Statistical IndicatorsER Admissions (includes Trauma, Inpatient only)

-

200

400

600

800

1,000

1,200

1,400

1,600PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 982 925 945 964 908 918 955 811 863 944 - - 9,215 9,265 POM 364 351 360 336 327 364 289 274 292 313 - - 3,270 3,195 CON 1,346 1,276 1,305 1,300 1,235 1,282 1,244 1,085 1,155 1,257 - - 12,485 12,460

ADD G-39

PY

BUD

Statistical IndicatorsTotal ER Visits (includes Trauma & Admissions)

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N



ADD G-40

PY

BUD

Statistical IndicatorsER Conversion (ER Admits as % of ER Visits)

-

5

10

15

20

25PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 19.2 18.7 18.4 19.8 17.5 17.9 18.0 16.8 16.0 17.9 - - 18.0 17.9 POM 14.9 15.6 14.2 15.0 14.3 15.9 12.5 12.8 12.2 12.4 - - 14.0 13.4 CON 17.8 17.7 17.0 18.3 16.5 17.3 16.4 15.6 14.8 16.1 - - 16.7 16.5

ADD G-41

PY

BUD

Statistical IndicatorsTrauma Cases (PMC only)

-

20

40

60

80

100

120

140


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 103 92 112 109 116 88 101 64 91 94 - - 970 1,001 POM - - - - - - - - - - - - - - CON 103 92 112 109 116 88 101 64 91 94 - - 970 1,001

ADD G-42

PY

BUD

Statistical IndicatorsTrauma Admissions (PMC only)

-

20

40

60

80

100

120


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 95 85 106 97 99 78 87 63 85 80 - - 875 902 POM - - - - - - - - - - - - - - CON 95 85 106 97 99 78 87 63 85 80 - - 875 902

ADD G-43

PY

BUD

Statistical IndicatorsDeliveries

-

100

200

300

400

500

600PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC 401 358 334 337 306 332 305 295 292 305 - - 3,265 3,453 POM 99 113 107 96 94 84 107 88 102 94 - - 984 1,001 CON 500 471 441 433 400 416 412 383 394 399 - - 4,249 4,454

ADD G-44Payor MixBased on Gross Revenue

28

26

26

26

27

28

27

7

7

7

8

7

8

8

14

14

15

15

12

16

14

3

3

3

3

3

3

3

4

8

5

6

7

4

7

29

27

28

27

29

27

26

11

11

11

12

12

11

11

4

4

5

3

4

3

4

-

-

28

28

29

-

-

8

8

8

-

-

15

16

16

-

-

3

3

3

-

-

4

2

4

-

-

27

27

25

-

-

12

10

12

-

-

3

5

3

0% 20% 40% 60% 80% 100%

JUL

AUG

SEP

OCT

NOV

DEC

JAN

FEB

MAR

APR

MAY

JUN

MEDICARE MCAR MGD MEDI-CAL MCAL MGD SELF PAY MGD CARE CAP OTHER

ADD G-45

BUD

Case Mix Index

1.00

1.05

1.10

1.15

1.20

1.25

1.30

1.35

1.40

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTDPMC 1.21 1.21 1.26 1.26 1.25 1.28 1.31 1.32 1.32 1.30 - - 1.27 POM 1.13 1.22 1.13 1.13 1.15 1.19 1.13 1.23 1.22 1.36 - - 1.19 CON 1.19 1.21 1.23 1.23 1.22 1.26 1.27 1.29 1.30 1.31 - - 1.25

ADD G-46

BUD

Case Mix Index by Region(excludes Deliveries)

1.00

1.10

1.20

1.30

1.40

1.50

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N



ADD G-47

BUD

Case Mix Index by RegionMedicare

1.00

1.10

1.20

1.30

1.40

1.50

1.60

1.70

1.80

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N



ADD G-48

PY

BUD

Adjusted DischargesGross Patient Revenue per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e


32,500

34,500

36,500

38,500

40,500

42,500

44,500PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-49

PY

BUD

Adjusted DischargesNet Patient Revenue per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e


8,500

9,000

9,500

10,000

10,500

11,000

11,500

12,000

12,500

13,000

13,500PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-50

PY

BUD

Adjusted DischargesSalaries per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e


3,500

4,000

4,500

5,000

5,500

6,000PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-51

PY

BUD

Adjusted DischargesSupplies per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e


1,400

1,500

1,600

1,700

1,800

1,900

2,000

2,100

2,200

2,300PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-52

PY

BUD

Adjusted DischargesTotal Expenses per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e


9,100

9,600

10,100

10,600

11,100

11,600

12,100

12,600

13,100PM

C

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-53

PY

BUD

Adjusted DischargesNet Operating Income per Adjusted Discharges

Dolla

rs p

er A

djus

ted

Disc

harg

e

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTDPMC (67) 785 921 87 717 391 675 25 218 218 - - 396 464 POM 1,610 (436) (1,731) 846 (607) 436 (657) 386 (47) 529 - - 45 (96) CON 241 271 146 206 250 306 245 1 253 246 - - 218 207

(3,500)

(2,500)

(1,500)

(500)

500

1,500

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N

PMC

POM

CO

N


ADD G-54PBS Monthly Cash Collections

PPH Monthly Collections in Millions

$20.0$24.0$28.0$32.0$36.0$40.0$44.0

FY09 Goal $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0 $36.0

Pr. Yr Actual $30.2 $33.6 $30.0 $34.1 $33.4 $32.4 $34.4 $32.0 $33.6 $38.2 $35.5 $36.2

Curr. Yr Actual $32.8 $27.3 $39.3 $34.5 $30.5 $32.3 $36.3 $36.5 $39.5 $41.5

July Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May June

ADD G-55Revenue Cycle Key IndicatorsTrend Report

Source

Current Month End

Current Month End

Current Month End

Current Fiscal Year Year-to-Date

Most Recent Year End

Current Month End - Previous

FY

Period Ending 4/30/2009 3/31/2009 2/28/2009 4/30/2009 6/30/2008 4/30/2008Days in Period 30 31 28 304 366 30

Revenue Gross for Month - North & South 133,221,502 135,711,391 123,253,862 1,298,622,764$ 1,384,127,824$ 116,883,778$ (2,489,889)$ Net Revenue - North & South Financials 34,874,045 36,094,720 32,943,237 355,928,012$ 398,939,675$ 35,298,901$ (1,220,675)$ Net:Gross % Financials 26.2% 26.6% 26.7% 27.4% 28.8% 30.2% -0.4% Last 3 Month Daily Average (Gross) Financials 4,406,593 4,321,554 4,272,822 4,271,785$ 3,781,770$ 3,994,627$ 85,039$ Last 3 Month Daily Average (Net) Financials 1,167,551 1,161,723 1,156,209 1,170,816 1,089,999 1,119,748 5,827

Cash Collections Month to Date Cash Rpt 40,217,418 40,819,238 36,504,410 350,488,857$ 403,728,413$ 38,240,148$ (601,820)$ Month to Date Goal Cash Rpt 35,998,045 35,998,045 35,998,045 359,980,450 396,657,548 36,412,658 -$ Over (under) Goal 4,219,373 4,821,193 506,365 (9,491,593)$ 7,070,865$ 1,827,490$ (601,820)$ % of Goal Calc 112% 113% 101% 97.4% 101.8% 105.0% -1.7%

Point of Service Collections Cash 15 days 476,461 462,379 449,006 4,169,057$ 3,387,302$ 328,788$ 14,082$ Month to Date Goal Cash 15 days 417,000 385,000 385,000 3,667,400 3,843,000 328,000 32,000$ Over (under) Goal 59,461$ 77,379$ 64,006$ 501,657$ (455,698)$ 788$ (17,918)$ % of Goal Calc 114.3% 120.1% 116.6% 113.7% 88.1% 100.2% -5.8%

Accounts Receivable0-30 AR Comp 97,461,764 99,017,219 100,946,181 82,995,765$ 90,935,607$ (1,555,455)$ 31-60 AR Comp 28,474,652 36,155,292 39,144,713 25,895,259 24,710,568 (7,680,640) 61-90 AR Comp 22,074,504 24,109,935 23,199,732 14,408,929 19,521,705 (2,035,431) 91-180 AR Comp 31,195,307 34,610,374 37,736,455 23,299,340 25,804,767 (3,415,067) Over 180 AR Comp 24,841,284 25,924,840 25,312,913 19,271,702 24,732,333 (1,083,556) Total Calc 204,047,511$ 219,817,660$ 226,339,993$ 165,870,995$ 185,704,980$ (15,770,149)$ A/R Days (Gross) Calc 46.31 50.87 52.97 43.54 46.49 (4.56)% of AR aged over 180 days calc 12.2% 11.8% 11.2% 12% 13% 0.00Number of Accounts ATB 73,558 72,496 73,511 61,570 61,122 1,062

Credit Balance Accounts:Dollars ATB (4,973,732)$ (4,790,368)$ (7,636,183)$ (3,144,574)$ (2,365,362)$ (183,365)$

Number of Accounts ATB 9,932 9,624 10,211 4,136 2,660 308

Change from Prior Month


Source

Current Month End

Current Month End

Current Month End




FY


Accounts Receivable by Major PayerMedicare AR Comp 44,453,434 45,401,048 50,474,856 32,549,770$ 41,554,606$ (947,614)$ Last 3 months daily average revenue Lawson 1,249,648 1,211,490 1,190,711 1,066,927 1,137,871 38,158$ Gross Days revenue outstanding Calc 35.57 37.48 42.39 30.51 36.52 (1.90)

MediCal (Includes M-Cal HMO) AR Comp 36,155,967 39,004,300 39,166,139 27,638,700 27,027,305 (2,848,332) Last 3 months daily average revenue Lawson 819,659 797,259 766,732 660,788 705,986 22,401 Gross Days revenue outstanding Calc 44.11 48.92 51.08 41.83 38.28 -4.81

Comm/Managed Care (Incl Mcare HMO) AR Comp 92,046,073 98,096,668 96,549,065 78,740,548 82,989,340 (6,050,594) Last 3 months daily average revenue Lawson 2,197,066 2,137,131 2,105,778 1,908,593 1,987,454 59,935 Gross Days revenue outstanding Calc 41.89 45.90 45.85 41.26 41.76 (4.01)

Self-Pay (Incl Client Accts) AR Comp 31,392,040 37,315,645 40,149,932 26,941,976 34,133,728 (5,923,605) Last 3 months daily average revenue Lawson 140,220 180,325 209,601 172,970 163,317 (40,105) Gross Days revenue outstanding Calc 223.88 206.93 191.55 155.76 209.00 16.94

Accounts to Collections M-T-D Amount of BD to Collections Adj Rpt 9,339,230 5,667,649 5,085,625 45,429,877 9,805,788 3,966,386 3,671,580$ % of Gross Revenue (Target < 2%) 7.0% 4.2% 4.1% 0.03 8.6% 3.4% 2.8%

Charity & Undocumented Write-offs Adj Rpt M-T-D Amount 3,162,103 2,713,221 1,159,840 19,059,568 2,847,359 1,350,831 448,882$ % of Gross Revenue (Target < 2%) 2.4% 2.0% 0.9% 1.5% 2.5% 1.2% 0.4%

Administration Adjustments Adj Rpt M-T-D Amount 293,592 60,031 133,187 1,251,656 624,358 816,490 233,561$ % of Gross Revenue (Target < 1%) 0.2% 0.0% 0.1% 0.1% 0.5% 0.7% 0.2%



Source

Current Month End

Current Month End

Current Month End




FY


Discharged Not Final Billed (DNFB)DNFB Action Required HIM (Waiting for Coding) DNFB Rpt 2,467,518$ 5,183,947$ 5,130,694$ 5,423,822 6,054,125 (2,716,429)$ PBS (Correction required) DNFB Rpt 323,282 453,554 70,994 100,312 33,569 (130,272)$ Other holds requiring correction DNFB Rpt 365 - 365$

Total Action Required 2,791,165 5,637,501 5,201,688 5,524,134 6,087,694 (2,846,336) # of AR Days action Required 0.63 1.30 1.22 1.45 1.52 (0.67)

DNFB No Action Required 4 Day Standard Delay DNFB Rpt 26,798,378$ 26,182,828$ 26,304,882$ 18,224,428 23,073,072 615,550$ Other DNFB Rpt 5,375,163 3,254,135 1,135,545 1,918,384 3,715,260 2,121,028

Total No Action Required 32,173,541 29,436,963 27,440,427 20,142,812 26,788,332 2,736,578

Total DNFB 34,964,706$ 35,074,464$ 32,642,115$ 25,666,946 32,876,026 (109,758) Total Days in DNFB 7.93 8.12 7.64 6.74 8.23 (0.18)

Late Charges

Late Charges from Date of Service 5 to 20 DaysNumber of line items 5,652 7,758 15,029 112,411 8,261 6,045 (2,106)Dollar amount of Charges 403,761 1,046,626 3,684,000 16,943,290 949,778 879,861 (642,865)$ Dollar amount of Credits (527,984) (1,060,158) (3,159,187) (21,434,727) (660,172) (628,395) 532,174$ Net Dollar Amount (124,222) (13,531) 524,813 (4,491,437) 289,606 251,466 (110,691)$ Absolute Dollar Amount 931,745$ 2,106,784$ 6,843,187$ 34,690,499$ 949,778$ 879,861$ (1,175,039)$

Late Charges from Date of Service > 21 DaysNumber of line items 6,589 49,052 47,461 204,754 95,068 64,946 (42,463) Dollar amount of Charges 1,320,359 1,713,383 2,208,497 20,595,991 1,987,236 775,757 (393,024) Dollar amount of Credits (1,499,542) (2,455,328) (2,607,710) (39,326,405) (1,321,540) (1,235,648) 955,786 Net Dollar Amount (179,183) (741,945) (399,213) (18,730,414) 665,696 (459,891) 562,762 Absolute Dollar Amount 2,819,902$ 4,168,711$ 4,816,207$ 59,922,396$ 3,308,776$ 2,011,405$ (1,348,810)$


ADD G-58

SUPPLEMENTAL INFORMATION

ADD G-59Weekly Flash Report

May-09 May 1-May 7 May 8-May 14 May 15-May 21 MTD Total MTD Budget % Variance

ADC (Acute) 294 297 313 0 301 311 (3.19) PMC 224 226 231 0 227 231 (1.63) POM 70 71 82 0 74 81 (7.67) PCCC 93 90 87 0 90 85 5.39 VP 124 122 122 0 122 123 (0.43)

Patient Days (Acute) 2061 2080 2190 0 6,331 6,540 (3.19) PMC 1571 1580 1617 4,768 4,847 (1.63) POM 490 500 573 1,563 1,693 (7.67) PCCC 651 627 606 1,884 1,788 5.39 VP 866 854 852 2,572 2,583 (0.43)

Discharges 539 529 551 0 1,619 1,694 (4.43) PMC 408 416 419 1,243 1,269 (2.05) POM 131 113 132 376 425 (11.53)

Number of Surgeries 232 252 233 0 717 700 2.43 PMC 158 174 159 491 482 1.87 POM 74 78 74 226 218 3.67

Number of Births 80 94 105 0 279 308 (9.42) PMC 63 82 80 225 239 (5.86) POM 17 12 25 54 69 (21.74)

ADD G-60Weekly Flash Report

May-09 May 1-May 7 May 8-May 14 May 15-May 21 MTD Total MTD Budget % Variance

Outpatient Visits (inc. Lab 2489 1818 1870 0 6,177 6,168 0.15 PMC 1711 1232 1252 4,195 4,209 (0.33) POM 778 586 618 1,982 1,959 1.17

ER Visits 1991 1867 1896 0 5,754 5,215 10.34 PMC 1408 1284 1314 4,006 3,568 12.28 POM 583 583 582 1,748 1,647 6.13

Trauma Visits 17 27 18 0 62 69 (10.14) IP 14 24 18 56 62 (9.68) OP 3 3 0 6 7 (14.29)

Gross IP Revenue 22,030,679 22,150,264 22,684,035 66,864,978 65,885,345 1.49 Gross OP Revenue 8,592,339 9,214,245 7,870,628 25,677,212 20,411,014 25.80

Cash Collection 8,337,167 7,931,228 8,190,153 24,458,548 28,798,436 (15.07) Days cash on hand 109 115 114 114 80

Prod Hrs (PP 23) 219,694 219,694 216,578 (1.44) PMC - North 130,584 130,584 131,631 0.80 POM - South 56,418 56,418 55,530 (1.60) Others - 32,692 - - 32,692 29,417 (11.13)

Prod $ (PP 23) 7,050,712 7,050,712 7,070,779 0.28 PMC - North 4,168,639 4,168,639 4,322,047 3.55 POM - South 1,722,488 1,722,488 1,749,358 1.54 Others - 1,159,585 - - 1,159,585 999,374 (16.03)

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