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7/23/2019 J. Audited Fin. Statements and Projections ( 999
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Daughters of Charity Health System
Unaudited Financial Report and Utilization Statistics
For the Nine Months Ended March 31, 2015
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PAGE #
Management's Discussion and Analysis 3-9
Financial Statements
Balance Sheet
As of March 31, 2015 10
As of March 31, 2014 11
Statement of Operations and Changes in Net Assets
For the Nine Months Ended March 31, 2015 12
For the Nine Months Ended March 31, 2014 13
Statement of Cash Flows
For the Nine Months Ended March 31, 2015 14
For the Nine Months Ended March 31, 2014 15
Utilization Statistics
FOR THE NINE MONTHS ENDED MARCH 31, 2015 AND 2014 16
Supplemental Schedules
Consolidating Balance Sheet
As of March 31, 2015 17-18
As of March 31, 2014 19-20
Consolidating Statement of Operations
For the Nine Months Ended March 31, 2015 21-22
For the Nine Months Ended March 31, 2014 23-24
Consolidating Statement of Cash Flows
For the Nine Months Ended March 31, 2015 25-26
For the Nine Months Ended March 31, 2014 27-28
DAUGHTERS OF CHARITY HEALTH SYSTEM
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DAUGHTERS OF CHARITY HEALTH SYSTEMMANAGEMENTS DISCUSSION AND ANALYSIS
FOR THE NINE MONTHS ENDEDMARCH 31, 2015
The Daughters of Charity Health System (DCHS) is a California nonprofit religious corporationthat operates as the parent organization of a health care system consisting of six acute carehospitals and other facilities (see list below) located in the State of California (collectively, theSystem). DCHS is sponsored by the Daughters of Charity of St. Vincent de Paul, a religiouscommunity of the Roman Catholic Church.
The System consists of DCHS* and the following:
OConnor Hospital*
Saint Louise Regional Hospital*
St. Francis Medical Center*
St. Vincent Medical Center*
Seton Medical Center*
Seton Medical Center Coastside (a division of Seton Medical Center)*
Caritas Business Services
Marillac Insurance Company, Ltd.
OConnor Hospital Foundation
Saint Louise Regional Hospital Foundation
St. Francis Medical Center Foundation
St. Vincent Medical Center Foundation
Seton Health Services Foundation
St. Vincent de Paul Ethics Corporation
St. Vincent Dialysis Center DePaul Ventures, LLC
DCHS Medical Foundation
* Member of the Obligated Group
DCHS is exempt from federal income taxation as an organization described in Section 501(c)(3)of the Internal Revenue Code of 1986.
The financial information summarized herein represents consolidated financial information forDCHS, not financial information solely for the Obligated Group. This summarized financial
information includes the operations of all Obligated Group Members, as well as the results ofoperations of other entities that are not Members of the Obligated Group. For the nine monthsended March 31, 2015, the entities that are not Members of the Obligated Group had revenuesand investment income totaling $59.4 million (after the elimination of $31.1 million of inter-company revenues from Members of the Obligated Group) representing 5.4% of DCHSconsolidated revenues and investment income. Additional financial information pertaining to theentities that are not Members of the Obligated Group can be found in the accompanyingunaudited financial statements.
The financial information for the nine months ended March 31, 2015 is unaudited but includesall adjustments which DCHS management considers necessary to fairly present such information
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in conformity with United States (U.S.) generally accepted accounting principles. Operatingresults for the nine months ended March 31, 2015 are not necessarily indicative of the results thatmay be expected in future periods.
CALIFORNIA HOSPITAL FEE PROGRAMCalifornia legislation established a program that imposes a Quality Assurance Fee (QA Fee) oncertain general acute-care hospitals in order to make supplemental and grant payments andincreased capitation payments (Supplemental Payments) to hospitals up to the aggregate upperpayment limit for various periods. There have been four such programs since inception(collectively, the Programs). The first two programs were the 21-month program (21-MonthProgram) covering the period April 1, 2009 to December 31, 2010, and the six-month program(Six-Month Program) covering the period January 1, 2011 to June 30, 2011. The third programwas a 30-month program covering the period from July 1, 2011 to December 31, 2014 (the 30-Month Program). The 30-Month Program was signed into law by the Governor of California inSeptember 2011. The fourth program is a 3-year program covering the period from January 1,
2014 to December 31, 2016 (the 3-Year Program). The fourth program was signed into law bythe Governor of California is October 2013 (SB239). The 3-Year Program was approved byCMS on December 10, 2014 for the Fee-For-Service portion only. The Managed Care portion isstill under review by CMS. The Programs are designed to make supplemental inpatient andoutpatient Medi-Cal payments to private hospitals, including additional payments for certainfacilities that provide high-acuity care and trauma services to the Medi-Cal population. Thishospital QA Fee program provides a mechanism for increasing payments to hospitals that serveMedi-Cal patients, with no impact on the states General Fund (GF). Payments are made directlyby the state or Medi-Cal managed care plans, which will receive increased capitation rates fromthe state in amounts equal to the Supplemental Payments. Outside of the legislation, theCalifornia Hospital Association (CHA) has created a private program, operated by the CaliforniaHealth Foundation and Trust (CHFT), which was established to alleviate disparities potentiallyresulting from the implementation of the Programs.
For the nine months ended March 31, 2014, DCHS recognized payments to the CaliforniaDepartment of Health Care Services (DHCS) for the QA Fee in the amount of $33.4 million andpledge payments to the CHFT of approximately $1.6 million within purchased services and otherexpenses. DCHS recognized Supplemental Payment revenue for the nine months ended March31, 2014, in the amount of $49.6 million pertaining to the 30-Month Program within net patientservice revenues.
For the nine months ended March 31, 2015, DCHS recognized payments to the CaliforniaDepartment of Health Care Services (DHCS) for the QA Fee in the amount of $105.3 millionand pledge payments to the CHFT of approximately $1.7 million within purchased services andother expenses. DCHS recognized Supplemental Payment revenue for the nine months endedMarch 31, 2015, in the amount of $169.3 million. These amounts include the final six -monthsof the 30-Month Program related to the managed care portion (July 1, 2013 through December31, 2014) and fifteen-months of the 3-Year Program related to the fee-for-service portion(January 1, 2014 through March 31, 2015). Payments to DHCS for the QA fee are $8.8 millionand $96.5 million, respectively for the 30-Month Program and 3-Year Program. Supplementalpayments are $20.4 million and $148.9 million, respectively for the 30-Month Program and 3-Year Program.
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VOLUMESPatient discharges for the nine months ended March 31, 2015 increased 0.9% as compared tothe same period of the prior year. Adjusted discharges for the nine months ended March 31,2015 increased 2.8% compared to the same period of the prior year.
Total deliveries decreased 1.2% during the nine months ended March 31, 2015 as compared tothe same period of the prior year.
Inpatient surgeries for the nine months ended March 31, 2015 decreased 8.1% as compared tothe same period of the prior year. Outpatient surgeries for the nine months ended March 31,2015 increased 1.9% as compared to the same period of the prior year.
Emergency department visits for the nine months ended March 31, 2015 increased 9.4%compared to the same period of the prior year.
REVENUES
Net Patient Service Revenue Less Provision for Bad DebtsNet patient service revenue of $959.4 million for the nine months ended March 31, 2015represents a net increase of $131.9 million or 16.0% as compared to the same period of theprior year. Net patient service revenue during the nine months ended March 31, 2015 included$34.7 million in net patient service revenue from the DCHS Medical Foundation as comparedto $35.7 million for the nine months ended March 31, 2014. The net overall increase in netpatient service revenue was impacted by an increase of $119.7 million in Hospital Fee Programrevenue. Net patient service revenue per adjusted discharge (excluding premium revenue, otherrevenue, contributions and investment earnings) of $16,523 for the nine months ended March31, 2015 increased 12.8% as compared to the same period of the prior year. This increase innet patient service revenue per adjusted discharge is primarily due to the increase in the amountof Hospital Fee Program revenue recognized into income related to the 3-Year Program for thenine months ended March 31, 2015.
Premium Revenues, Other Revenues, and ContributionsPremium and other revenues of $129.8 million for the nine months ended March 31, 2015increased $23.5 million or 32.6% from the same period of the prior year and includes $29.3million in premium and other revenue from the DCHS Medical Foundation as compared to$26.6 million related to the DCHS Medical Foundation for the nine months ended March 31,2014. St. Francis Medical Centers capitated members increased by approximately 4,400 whencomparing the nine months ended March 31, 2015 to March 31, 2014 which is contributing tothe overall increase in premium revenues and other revenues between these two periods.Contributions of $6.4 million during the nine months ended March 31, 2015 decreased $146.6million from the same period of the prior year. This decrease in contributions is related to therestricted donation from the Daughters of Charity Foundation (DOCF), an organizationseparate and independent from DCHS, for the redemption of the Series 2008A Bonds.
Investment EarningsFor the nine months ended March 31, 2015, investment earnings totaled $3.7 million comparedto earnings of $13.7 million during the same period of the prior year. DCHS includes bothrealized and unrealized gains/losses as part of investment income. Historically, the majority ofDCHS investments were held in a pooled investment fund administered by AscensionInvestment Management in its Alpha Fund through the end of March 31, 2014. Beginning
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January 1, 2014, DCHS moved all of its investments in the Alpha Fund to short term liquidfunds, such as cash and cash equivalents. As of September 2014, Ascension InvestmentManagement no longer manages any funds on behalf of DCHS. DCHS invests in cash, equitysecurities, domestic and foreign, U.S. federal and corporate obligations.
EXPENSES
Total Operating ExpensesTotal operating expenses of $1,150.9 million for the nine months ended March 31, 2015represents an increase of $80.8 million or 7.6% as compared to the same period of the prioryear. The net increase in operating expenses is primarily due to an increase of $71.9 million inHospital Fee Program expenses. In addition, the DCHS Medical Foundation operatingexpenses increased by $5.6 million for the nine months ended March 31, 2014 as compared tothe same period of the prior year. Total expense per adjusted discharge of $19,822 for the ninemonths ended March 31, 2015 increased 4.6% as compared to the same period of the prioryear. This increase expense per adjusted discharge is impacted by the 3-Year Program recorded
in the nine months ended March 31, 2015.
Salaries, Wages, and BenefitsSalaries, wages and benefits (SWB) expense of $605.3 million for the nine months endedMarch 31, 2015 increased $4.7 million or 0.8% as compared to the same period of the prioryear. The increase in SWB expense was due in part to the inclusion of $52.5 million in SWBexpense from the DCHS Medical Foundation as compared to $47.9 million during the ninemonths ended March 31, 2014. SWB as a percent of net patient revenue (excluding premiumrevenue) for the nine months ended March 31, 2015 was 63.1%, which was below the 72.6%for the same period of the prior year. This was impacted by the 3-Year Program recorded inthe nine months ended March 31, 2015.
SuppliesSupplies expense of $125.2 million for the nine months ended March 31, 2015 is a decrease of$6.8 million or 5.1% from the prior year. The overall decrease in supply expense is primarilydue to an overall decrease in inpatient surgeries. Supply expenses for the DCHS MedicalFoundation of $6.2 million slightly decreased as compared to $6.6 million during the ninemonths ended March 31, 2014. Supplies expense as a percent of net patient revenue for thenine months ended March 31, 2015 was 13.0% compared to 16.0% for the nine months endedMarch 31, 2014. The decrease in supplies expense as a percentage of net patient revenue wasimpacted by the 3-Year Program recorded in the nine months ended March 31, 2015.
Purchased Services/OtherPurchased services and other expenses for the nine months ended March 31, 2015 of $359.9million increased $87.5 million or 32.2% as compared to the same period of the prior year.The increase in purchased services and other expenses is primarily due to an increase of $71.9million in Hospital Fee Program expenses for the 3-Year Program. Purchased servicesexpenses for the DCHS Medical Foundation of $25.1 million for the nine months ended March31, 2014 increased to $26.2 million for the nine months ended March 31, 2015.
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Depreciation ExpenseDepreciation expense of $45.5 million for the nine months ended March 31, 2015 is a decreaseof $3.8 million or 7.6% as compared to the same period of the prior year.
Interest Expense - NetInterest expense of $15.2 million for the nine months ended March 31, 2015 is a decrease of
$0.9 million or 5.3% as compared to the same period of the prior year.
RESULTS FROM OPERATIONS
Operating IncomeFor the nine months ended March 31, 2015, DCHS recorded an operating loss of $55.3 million(including contributions), equating to a negative operating margin of 5.1%. This compares toan operating gain of $16.7 million and a positive operating margin of 1.5% for the same periodof the prior year. The operating performance for the nine months ended March 31, 2015 andMarch 31, 2014 included $63.9 million and $16.2M of income related to the Hospital FeeProgram, respectively. In addition, the operating gain for the nine months ended March 31,
2014 included $130 million contribution related to the redemption of the Series 2008A Bonds.Operating performance was unfavorably impacted during the nine months ended March 31,2015 due to DCHS payer mix, lower than historical reimbursement rate increases, and lossesrelated to the DCHS Medical Foundation.
Excess of Revenues Over Expenses (Net Income)For the nine months ended March 31, 2015, DCHS recorded a net loss of $51.6 million,equating to a negative net margin of 4.7%. The net gain for the nine months ended March 31,2014 was $30.4 million.
FINANCIAL POSITION
LiquidityTotal cash and marketable securities of $145.5 million as of March 31, 2015 reflect a decreaseof $50.5 million from March 31, 2014. Total unrestricted cash and marketable securitiesdecreased to $79.3 million as of March 31, 2015 compared to $120.3 million as of March 31,2014, while unrestricted days cash on hand decreased to 20 days as of March 31, 2015compared to 32 days as of March 31, 2014.
The following table summarizes DCHS cash position:
As ofMarch
31, 2014($s in 000s)
As ofMarch
31, 2015($s in 000s)
Cash and Cash Equivalents $82,822 $83,069Marketable Securities 113,192 62,455
Subtotal 196,014 145,524
Less: Restricted Portion of Cash andMarketable Securities 75,755 66,242
Total Unrestricted Cash andMarketable Securities $120,259 $79,282
Unrestricted Days Cash on Hand 32 20
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Patient Accounts ReceivableNet patient accounts receivable of $159.9 million as of March 31, 2015 is a decrease of $12.1million or 7.0% from March 31, 2014. Days in net patient accounts receivable decreased to45.7 days as of March 31, 2015 compared to 57.0 days as of March 31, 2014. This decrease innet patient accounts receivable follows an overall decrease in the gross patient accounts
receivable.
Other Current Restricted AssetsAs of March 31, 2015 other current restricted assets is $79.4 million. This represents the un-drawn portion of Series 2014 Bonds as of March 31, 2015 that has been deposited with theTrustee. Please refer to Short-Term Debt below for further discussion.
Short-Term DebtOn July 30, 2014, DCHS borrowed $110,000,000 from the California Statewide DevelopmentCorporation (CSCDA) in two series of bonds: the $100,000,000 California StatewideCommunities Development Authority Revenue Bonds (Daughters of Charity Health System)
Series 2014A (2014 Series A Bonds) and the $10,000,000 California Statewide CommunitiesDevelopment Authority Revenue Bonds (Daughters of Charity Health System) Series 2014 B(2014 Series B Bonds). On August 28, 2014, DCHS borrowed an additional $15,000,000from the CSCDA pursuant to the 2014 Series C Bond issue (collectively the Series 2014Bonds). The Series 2014 Bonds are supported by Obligations issued pursuant to the DCHSMaster Trust Indenture dated as of December 1, 2001.
The Series 2014 Bonds are secured by: (1) a first priority lien on the accounts receivable of St.Francis Medical Center, St. Vincent Medical Center, OConnor Hospital, Saint LouiseRegional Hospital, Seton Medical Center and Seton Coastside as a division of Seton MedicalCenter; and (2) first priority Deeds of Trust and related Subordination Agreements with theMaster Trustee on certain property of St. Francis Medical Center and Saint Louise RegionalHospital (collectively the 2014 Priority Assets). The Master Trustee has subordinated itsinterest in the 2014 Priority Assets to the Series 2014 Bond Trustee. The Series 2014 Bondsare also secured by a parity lien under the master indenture.
The Series 2014 Bonds have a maturity date of July 10, 2015 and have been recorded as shortterm debt on the DCHS balance sheet. Interest accrues at the rate of 600 basis points (6%) andis paid on a monthly basis. The total proceeds of the Series 2014 bonds have been depositedwith the Trustee, with funds made available to DCHS subject to the satisfaction of certainconditions. As of March 31, 2015, DCHS has drawn down $45.6 million of funds from theSeries 2014 Bonds.
Long-Term DebtNet of current portion, long-term debt as of March 31, 2015 was $285.0 million for theObligated Group. Net of current portion, long-term debt as of March 31, 2014 was $290.5million for the Obligated Group.
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OTHER EVENTS
Redemption of Series 2008A BondsIn October 2013, the Daughters of Charity Foundation (DOCF), an organization separate andindependent from DCHS, made a restricted donation of $130.0 million for the benefit of DCHS
by depositing sufficient funds with the bond trustee to redeem the $143.7 million principalamount of the California Statewide Development Authority Revenue Bonds Series 2008ABonds. The Series 2008A Bonds were redeemed at par on October 25, 2013. The Series2008A Bonds included a debt service reserve fund of $13.7 million, which was released as partof the redemption. Additionally, in September 2013, the DOCF informed DCHS that it hadforgiven the outstanding balance of $12.4 million on a note payable owed to DOCF by DCHS.
Debt Service Irrevocable PrepaymentDuring the nine months ended March 31, 2014 DCHS made prepayments totaling $8.5 millionto its bond trustee for DCHS Series 2005 and 2008 bonds. These Irrevocable Depositscovered the scheduled debt payments due for the months of January through June 2014. The
Irrevocable Deposit affects the calculation of the DCHS Master Trust Indenture Annual DebtService coverage ratio requirements by removing from the Annual Debt Service calculation theamount of principal and interest payable from such Irrevocable Deposit. For the nine monthsended March 31, 2015 DCHS has not made any such prepayments.
SUBSEQUENT EVENT
Sale AnnouncementOn October 10, 2014 DCHS executed an agreement to replace the sole corporate member of itsfive hospitals, DCHS Medical Foundation and to transfer control of its other affiliates to PrimeHealthcare Services and Prime Healthcare Foundation (Prime Healthcare) of Ontario, CA. OnMarch 10, 2015, Prime Healthcare terminated the definitive agreement. The DCHS Board ofDirectors continues to evaluate all options with respect to the hospitals.
Going ConcernThe consolidated audited financial statements for the year ended June 30, 2014 have beenprepared in conformity with U.S. generally accepted accounting principles applicable goingconcern. In the audited financial statements dated November 21, 2014, it has been noted thatuncertainties surrounding future cash and liquidity position raise substantial doubt regardingDCHS ability to continue as a going concern. Please refer to the audited financial statementsfor further details.
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DAUGHTERS OF CHARITY HEALTH SYSTEM
BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2015
In thousands)
ASSETS
CURRENT ASSETS:
Cash and cash equivalents $71,721 $11,348 - $83,069
Subtotal $71,721 $11,348 - $83,069
Net patient accounts receivable 153,258 6,650 - 159,908
Due from government agencies 17,691 - - 17,691
Due from related organizations 29,203 3,910 (33,113) -
Pending Trades Receivable - 468 - 468
Other current assets 175,904 16,264 (7,800) 184,368
Other restricted assets 79,357 - - 79,357
Total current assets 527,134 38,640 (40,913) 524,861
ASSETS LIMITED AS TO USE:
Other investments 3,050 59,405 - 62,455
Under bond indenture agreements 25,603 - - 25,603
Total assets limited as to use 28,653 59,405 - 88,058
PROPERTY AND EQUIPMENT, Net 299,207 5,967 - 305,174
OTHER LONG-TERM ASSETS 8,783 3,726 (69) 12,440
TOTAL ASSETS $863,777 $107,738 ($40,982) $930,533
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES:
Accounts payable $34,600 $4,382 - $38,982
Current portion of long-term debt 5,171 690 - 5,861
Short-term debt 125,000 - - 125,000
Due to government agencies 9,272 - - 9,272
Accrued liabilities/other 200,351 9,954 (19) 210,286
Pending Trades Payable - 589 - 589
Due to related organizations 3,910 29,203 (33,113) -
Total current liabilities 378,304 44,818 (33,132) 389,990
OTHER LIABILITIES
Pension and other long-term liabilities 240,181 42,730 (7,850) 275,061
OTHER LIABILITIES 240,181 42,730 (7,850) 275,061
LONG-TERM DEBT, Net of current portion 284,990 99 - 285,089
Total liabilities 903,475 87,647 (40,982) 950,140
NET ASSETS:
Unrestricted (43,397) (1,340) - (44,737)
Temporarily restricted 945 15,928 - 16,873
Permanently restricted 2,754 5,503 - 8,257
Total net assets (39,698) 20,091 - (19,607)
TOTAL LIABILITIES AND NET ASSETS $863,777 $107,738 ($40,982) $930,533
- - - -
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
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DAUGHTERS OF CHARITY HEALTH SYSTEM
BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2014
In thousands)
ASSETS
CURRENT ASSETS:
Cash and cash equivalents $69,476 $12,442 - $81,918
Interest in pooled investment fund - short-term 7 897 - 904Subtotal $69,483 $13,339 - 82,822
Net patient accounts receivable 162,422 9,562 - 171,984
Due from government agencies 18,249 - - 18,249
Due from related organizations 29,756 1,941 (31,697) -
Pending Trades Receivable - 580 - 580
Other current assets 37,076 22,615 (7,329) 52,362
Total current assets 316,986 48,037 (39,026) 325,997
ASSETS LIMITED AS TO USE:
Interest in pooled investment fund - long-term 38,939 15,138 - 54,077
Other investments 1,746 57,369 - 59,115
Under bond indenture agreements 25,861 - - 25,861Total assets limited as to use 66,546 72,507 - 139,053
PROPERTY AND EQUIPMENT, Net 339,655 8,069 - 347,724
OTHER LONG-TERM ASSETS 6,139 17,703 - 23,842
TOTAL ASSETS $729,326 $146,316 ($39,026) $836,616
LIABILITIES AND NET ASSETS
CURRENT LIABILITIES:
Accounts payable $46,944 $5,661 - $52,605
Current portion of long-term debt 5,888 - - 5,888
Due to government agencies 13,789 - - 13,789
Accrued liabilities/other 102,742 5,569 16 108,327
Pending Trades Payable - 633 - 633
Due to related organizations 1,941 29,756 (31,697) -
Total current liabilities 171,304 41,619 (31,681) 181,242
OTHER LIABILITIES
Pension and other long-term liabilities 235,815 45,721 (7,345) 274,191
OTHER LIABILITIES 235,815 45,721 (7,345) 274,191
LONG-TERM DEBT, Net of current portion 290,520 1,312 - 291,832
Total liabilities 697,639 88,652 (39,026) 747,265
NET ASSETS:
Unrestricted 24,882 27,017 - 51,899Temporarily restricted 3,944 24,370 - 28,314
Permanently restricted 2,861 6,277 - 9,138
Total net assets 31,687 57,664 - 89,351
TOTAL LIABILITIES AND NET ASSETS $729,326 $146,316 ($39,026) $836,616
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
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DAUGHTERS OF CHARITY HEALTH SYSTEMSTATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
In thousands)
UNRESTRICTED REVENUES AND OTHER SUPPORT:
Net patient service revenue $946,472 $37,917 - $984,389
Provision and write-off for doubtful accounts (25,133) 174 - ($24,959)
Net patient service revenue less provision and write off for doubtful accounts 921,339 38,091 - 959,430
Premium revenue 67,110 26,019 275 93,404
Other revenue 38,038 25,726 (27,399) 36,365
Contributions 6,138 282 - 6,420
Total unrestricted revenues and other support 1,032,625 90,118 (27,124) 1,095,619
EXPENSES:
Salaries and benefits 549,093 66,786 (10,589) 605,290
Supplies 118,073 7,182 (65) 125,190
Purchased services and other 339,064 37,154 (16,367) 359,851
Depreciation 43,215 2,348 (103) 45,460
Interest, net 14,863 290 - 15,153
Total expenses 1,064,308 113,760 (27,124) 1,150,944
OPERATING LOSS (31,683) (23,642) - (55,325)
NVESTMENT INCOME (LOSS) 7,264 446 (4,000) 3,710
DEFICIT OF REVENUES OVER EXPENSES ($24,419) ($23,196) ($4,000) ($51,615)
Net unrealized gains on investments - (4) - (4)
Net assets released from restrictions used for purchase
of property and equipment 2,679 - - 2,679
Other (11,438) 9,980 4,000 2,542
DECREASE IN UNRESTRICTED NET ASSETS (33,178) (13,220) - (46,398)
TEMPORARILY RESTRICTED NET ASSETS
Contributions 135 722 - 857
Net realized and unrealized gains on investments - (4) - (4)
Net assets released from restrictions:
Operations (72) (6,053) - (6,125)
Property, plant and equipment - (2,679) - (2,679)
Other (363) (2,877) - (3,240)
DECREASE IN TEMPORARILY RESTRICTED NET ASSETS (300) (10,891) - (11,191)
PERMANENTLY RESTRICTED NET ASSETS
Net realized and unrealized gains on investments - 5 - 5
Other (205) (697) - (902)
DECREASE IN PERMANENTLY RESTRICTED NET ASSETS (205) (692) - (897)
DECREASE IN NET ASSETS (33,683) (24,803) - (58,486)
NET ASSETS AS OF JUNE 30, 2014 (6,015) $44,894 - $38,879
NET ASSETS AS OF March 31, 2015 ($39,698) $20,091 - ($19,607)
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
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DAUGHTERS OF CHARITY HEALTH SYSTEMSTATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
In thousands)
UNRESTRICTED REVENUES AND OTHER SUPPORT:
Net patient service revenue $822,100 $39,233 - $861,333
Provision and write-off for doubtful accounts (33,738) (158) - (33,896)
Net patient service revenue less provision and write off for doubtful accounts 788,362 39,075 - 827,437
Premium revenue 37,664 24,575 - 62,239
Other revenue 44,972 23,673 (24,602) 44,043
Contributions 152,517 540 - 153,057
Total unrestricted revenues and other support 1,023,515 87,863 (24,602) 1,086,776
EXPENSES:
Salaries and benefits 548,613 62,434 (10,441) 600,606
Supplies 124,298 7,773 (92) 131,979
Purchased services and other 249,445 36,814 (13,949) 272,310
Depreciation 47,067 2,263 (108) 49,222
Interest, net 16,006 - - 16,006
Total expenses 985,429 109,284 (24,590) 1,070,123
OPERATING INCOME (LOSS) 38,086 (21,421) (12) 16,653
NVESTMENT INCOME (LOSS) 16,211 2,542 (5,006) 13,747
EXCESS (DEFICIT) OF REVENUES OVER EXPENSES $54,297 ($18,879) ($5,018) $30,400
Net unrealized gains on investments - 26 - 26
Net assets released from restrictions used for purchase
of property and equipment 2,446 (1,445) - 1,001
Change in pension obligations - - -
Other (25,162) 19,968 5,000 (194)
NCREASE (DECREASE) IN UNRESTRICTED NET ASSETS 31,581 (330) (18) 31,233
TEMPORARILY RESTRICTED NET ASSETS
Contributions 130,107 4,308 - 134,415
Net realized and unrealized gains on investments - 329 - 329
Net assets released from restrictions:
Operations (137,286) (2,475) - (139,761)
Property, plant and equipment (7) (994) - (1,001)
Other 3 341 - 344
NCREASE (DECREASE) IN TEMPORARILY RESTRICTED NET ASSETS (7,183) 1,509 - (5,674)
PERMANENTLY RESTRICTED NET ASSETS
Net realized and unrealized gains on investments 88 31 - 119
Other - (261) - (261)
NCREASE (DECREASE) IN PERMANENTLY RESTRICTED NET ASSETS 88 (230) - (142)
NCREASE (DECREASE) IN NET ASSETS 24,486 949 (18) 25,417
NET ASSETS AS OF JUNE 30, 2013 7,201 $56,715 $18 $63,934
NET ASSETS AS OF March 31, 2014 $31,687 $57,664 - $89,351
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
7/23/2019 J. Audited Fin. Statements and Projections ( 999
14/28
DAUGHTERS OF CHARITY HEALTH SYSTEM
STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
In thousands)
CASH FLOWS FROM OPERATING ACTIVITIES
Changes in net assets ($33,683) ($24,803) - ($58,486)
Depreciation 43,215 2,348 (103) 45,460
Provision for doubtful accounts 25,133 (174) - 24,959
Patient accounts receivable (22,216) 918 - (21,298)Due to/from government agencies 1,627 - - 1,627
Due to/from related organizations 567 (567) - -
Other current assets (139,408) (496) 3,953 (135,951)
Other restricted assets (79,357) - - (79,357)
Other long-term assets (1,135) 137 - (998)
Accounts payable (16,786) 799 - (15,987)
Accrued liabilities/other 90,122 562 11 90,695
Pending trades receivable/payable - 381 - 381
Pension and other long-term liabilities (2,739) 5,037 (3,964) (1,666)
Total operating cash flows (134,660) (15,858) (103) (150,621)
CASH FLOWS FROM INVESTING ACTIVITIES
Change in other investments (1,176) (2,542) - (3,718)
Change in assets under bond indenture agreements 530 - - 530Change in interest in pooled investment fund - short-term 7 914 - 921
Change in interest in pooled investment fund - long-term 11,363 15,518 - 26,881
Additions to property and equipment (10,685) (613) 103 (11,195)
Total investing cash flows 39 13,277 103 13,419
CASH FLOWS FROM FINANCING ACTIVITIES
Short-term debt 125,000 - - 125,000
Long-term debt (4,738) (346) - (5,084)
Total financing cash flows 120,262 (346) - 119,916
NET DECREASE IN CASH (14,359) (2,927) - (17,286)
CASH AS OF JUNE 30, 2014 86,080 14,275 - 100,355
CASH AS OF MARCH 31, 2015 $71,721 $11,348 - $83,069
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
7/23/2019 J. Audited Fin. Statements and Projections ( 999
15/28
DAUGHTERS OF CHARITY HEALTH SYSTEM
STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
In thousands)
CASH FLOWS FROM OPERATING ACTIVITIES
Changes in net assets $24,486 $949 ($18) $25,417
Depreciation 47,067 2,263 (108) 49,222
Provision for doubtful accounts 33,738 158 - 33,896
Patient accounts receivable (47,510) (4,519) - (52,029)Due to/from government agencies (2,287) - - (2,287)
Due to/from related organizations (734) 734 - -
Other current assets 68,287 (4,954) 3,659 66,992
Other long-term assets 3,726 (3,380) - 346
Accounts payable 11,476 3,895 - 15,371
Accrued liabilities/other (21,459) (7,516) 18 (28,957)
Pending trades receivable/payable - 53 - 53
Pension and other long-term liabilities (7,236) 3,831 (3,659) (7,064)
Total operating cash flows 109,554 (8,486) (108) 100,960
CASH FLOWS FROM INVESTING ACTIVITIES
Change in other investments (64) 4,440 - 4,376
Change in assets under bond indenture agreements 14,998 - - 14,998
Change in interest in pooled investment fund - short-term 60,702 872 - 61,574
Change in interest in pooled investment fund - long-term 60,068 (1,263) - 58,805
Additions to property and equipment (25,663) (1,861) 108 (27,416)
Total investing cash flows 110,041 2,188 108 112,337
CASH FLOWS FROM FINANCING ACTIVITIES
Long-term debt (160,751) (1,788) - (162,539)
Total financing cash flows (160,751) (1,788) - (162,539)
NET INCREASE (DECREASE) IN CASH 58,844 (8,086) - 50,758
CASH AS OF JUNE 30, 2013 10,632 20,528 - 31,160
CASH AS OF MARCH 31, 2014 $69,476 $12,442 - $81,918
OBLIGATED
GROUP
NON-
OBLIGATED
GROUP
ELIMINATIONS DCHS TOTAL
7/23/2019 J. Audited Fin. Statements and Projections ( 999
16/28DAU
GHTERSOFCHARITYHEALTHSYSTEM
UTIL
IZATIONSTATISTICS-UNAUDITED
FOR
THENINEMONTHSENDEDMARCH31,2015AND2014
FORTHENINE
MONTHSENDED
MARCH31,2014
FORTHENINE
MONTHSENDED
MARCH31,2015
FORTHENINE
MONTHSENDED
MARCH31,2014
FORTHENINE
MONTHSENDED
MARCH31,2015
FORTHENINE
MONTHSENDED
MARCH31,2014
FORTHENINE
M
ONTHSENDED
M
ARCH31,2015
FORTHENINE
MONTHSENDED
MARCH31,2014
FORTHENINE
MONTHSENDED
MARCH31,2015
FOR
THENINE
MON
THSENDED
MAR
CH31,2014
FORTHENINE
MONTHSENDED
MARCH31,2015
FORTHENINE
MONTHSENDED
MARCH31,2014
FOR
THENINE
MONT
HSENDED
MARC
H31,2015
FORTHENINE
MONTHSENDED
MARCH31,2014
FORTHENINE
MONTHSENDED
MARCH31,2015
Acut
eLicensedBeds
Acut
eAvailableBeds
Acut
eDischarges
Acut
ePatientDays
Acut
eAverageLengthofStay
DCHS
Total
O'Connor
Hospital
SaintLouiseRegionalHospital
St.Fran
cis
MedicalC
enter
St.Vincent
MedicalCenter
Seton
MedicalCenter
SetonMedicalCenterCoastside
7/23/2019 J. Audited Fin. Statements and Projections ( 999
17/28DAU
GHTERSOFCHARITYHEALTHSYSTEM
BAL
ANCESHEET-UNAUDITED
ASOFMARCH31,2015
(Int
housands)
O'Conn
or
Hospital
SaintLouise
Regional
Hospital
St.Francis
MedicalCenter
St.Vincent
MedicalCenter
SetonMedical
Center
SetonMedical
Center
Coastside
DCHSSystem
Office
ASS
ETS
CU
RRENTASSETS:
Ca
shandcashequivalents
$11,952
$4,454
$25,404
$6,649
$9,914
$194
$13,154
Interestinpooledinvestmentfund-short-term
-
-
-
-
-
-
-
S
ubtotal
$11,952
$4,454
$25,404
$6,649
$9,914
$194
$13,154
Ne
tpatientaccountsreceivable
31,414
10,848
56,709
23,111
28,759
2,417
-
Du
efromgovernmentagencies
1,848
904
10,718
3,257
964
-
-
Du
efromrelatedorganizations
8,101
5,790
187,342
13,574
21,313
163
39,158
Pe
ndingTradesReceivable
Ot
hercurrentassets
24,118
7,716
96,905
25,080
16,159
287
5,639
Ot
herrestrictedassets
16,657
14,744
-
37,901
9,769
286
-
Totalcurrentassets
94,090
44,456
377,078
109,572
86,878
3,347
57,951
ASS
ETSLIMITEDASTO
USE:
Interestinpooledinvestmentfund-long-term
-
-
-
-
-
-
-
Ot
herinvestments
-
-
-
3,050
-
-
-
Un
derbondindentureagreements
-
25,603
Totalassetslimitedastouse
-
-
-
3,050
-
-
25,603
PRO
PERTYANDEQUIPMENT,Net
48,387
20,325
114,221
74,619
39,799
1,799
57
OTH
ERLONG-TERMA
SSETS
49
166
449
752
52
4
7,311
TOT
ALASSETS
$142,526
$64,947
$491,748
$187,993
$126,729
$5,150
$90,922
LIABILITIESANDNETASSETS
CU
RRENTLIABILITIES:
Ac
countspayable
$7,849
$1,857
$7,230
$7,138
$5,872
$274
$4,380
Cu
rrentportionoflong-termdebt
372
365
3,470
225
739
-
-
Pe
nsionPlanLiability-shortterm
-
-
-
-
-
-
-
Sh
ort-termdebt
26,238
23,225
-
59,700
15,387
450
-
Du
etogovernmentagencies
1,632
247
1,223
5,304
269
597
-
Pe
ndingTradesPayable
Ac
cruedliabilities/other
36,666
9,903
88,214
31,338
31,480
1,348
1,402
Du
etorelatedorganizations
65,502
36,236
30
86,296
28,261
16,187
17,636
Totalcurrentliabilities
138,259
71,833
100,167
190,001
82,008
18,856
23,418
OTH
ERLIABILITIES
Pe
nsionandotherlong-terml
iabilities
55,670
6,592
84,220
69,154
2,848
165
21,532
Totalotherliabilities
55,670
6,592
84,220
69,154
2,848
165
21,532
LON
G-TERMD
EBT,Netofcurrentportion
55,841
30,323
76,498
56,489
61,358
-
4,481
Totalliabilities
249,770
108,748
260,885
315,644
146,214
19,021
49,431
NET
ASSETS:
Un
restricted
(10
7,244)
(43,801)
230,754
(131,241)
(19,485)
(13,871)
41,491
Te
mporarilyrestricted
-
-
109
836
-
-
-
Pe
rmanentlyrestricted
-
-
-
2,754
-
-
-
Totalnetassets
(10
7,244)
(43,801)
230,863
(127,651)
(19,485)
(13,871)
41,491
TOT
ALLIABILITIESANDNETASSETS
$142,526
$64,947
$491,748
$187,993
$126,729
$5,150
$90,922
(continued)
7/23/2019 J. Audited Fin. Statements and Projections ( 999
18/28DAU
GHTERSOFCHARITYHEALTHSYSTEM
BAL
ANCESHEET-UNAUDITED
ASOFMARCH31,2015
(Int
housands)
ASS
ETS
CU
RRENTASSETS:
Ca
shandcashequivalents
Interestinpooledinvestmentfund-short-term
S
ubtotal
Ne
tpatientaccountsreceivable
Du
efromgovernmentagencies
Du
efromrelatedorganizations
Pe
ndingTradesReceivable
Ot
hercurrentassets
Ot
herrestrictedassets
Totalcurrentassets
ASS
ETSLIMITEDASTO
USE:
Interestinpooledinvestmentfund-long-term
Ot
herinvestments
Un
derbondindentureagreements
Totalassetslimitedastouse
PRO
PERTYANDEQUIPMENT,Net
OTH
ERLONG-TERMA
SSETS
TOT
ALASSETS
LIABILITIESANDNETASSETS
CU
RRENTLIABILITIES:
Ac
countspayable
Cu
rrentportionoflong-termdebt
Pe
nsionPlanLiability-shortterm
Sh
ort-termdebt
Du
etogovernmentagencies
Pe
ndingTradesPayable
Ac
cruedliabilities/other
Du
etorelatedorganizations
Totalcurrentliabilities
OTH
ERLIABILITIES
Pe
nsionandotherlong-terml
iabilities
Totalotherliabilities
LON
G-TERMD
EBT,Netofcurrentportion
Totalliabilities
NET
ASSETS:
Un
restricted
Te
mporarilyrestricted
Pe
rmanentlyrestricted
Totalnetassets
TOT
ALLIABILITIESANDNETASSETS
Eliminations
ObligatedGroup
Subtotal
Marillac
Insurance
Company
Caritas
Business
Services
AllOther
Entities
Eliminations
DCHSTotal
-
$71,721
$3,785
$2,675
$4,888
-
$83,069
-
-
-
-
-
-
-
-
$71,721
$3,785
$2,675
$4,888
-
$83,069
-
153,258
-
-
6,650
-
$159,908
-
17,691
-
-
-
-
$17,691
(24
6,238)
29,203
-
1,003
2,907
(33,113)
-
-
468
$468
-
175,904
10,343
130
5,791
(7,800)
$184,368
-
79,357
-
-
-
-
$79,357
(24
6,238)
527,134
14,596
3,808
20,236
(40,913)
524,861
-
-
-
-
-
-
-
-
3,050
43,558
-
15,847
-
62,455
-
25,603
-
-
-
-
25,603
-
28,653
43,558
-
15,847
-
88,058
-
299,207
-
314
5,653
-
305,174
-
8,783
-
121
3,605
(69)
12,440
($24
6,238)
$863,777
$58,154
$4,243
$45,341
($40,982)
$930,533
-
$34,600
-
$164
$4,218
-
$38,982
-
5,171
-
-
690
-
5,861
-
-
-
-
-
-
-
-
125,000
-
-
-
-
125,000
-
9,272
-
-
-
-
9,272
-
589
589
-
200,351
110
1,820
8,024
(19)
210,286
(24
6,238)
3,910
-
135
29,068
(33,113)
-
(24
6,238)
378,304
699
2,119
42,000
(33,132)
389,990
-
240,181
42,453
-
277
(7,850)
275,061
-
240,181
42,453
-
277
(7,850)
275,061
-
284,990
-
-
99
-
285,089
-
(24
6,238)
903,475
43,152
2,119
42,376
(40,982)
950,140
-
(43,397)
15,002
2,124
(18,466)
-
(44,737)
-
945
-
-
15,928
-
16,873
-
2,754
-
-
5,503
-
8,257
-
(39,698)
15,002
2,124
2,965
-
(19,607)
($24
6,238)
$863,777
$58,154
$4,243
$45,341
($40,982)
930,533
(concluded)
7/23/2019 J. Audited Fin. Statements and Projections ( 999
19/28
7/23/2019 J. Audited Fin. Statements and Projections ( 999
20/28
7/23/2019 J. Audited Fin. Statements and Projections ( 999
21/28
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22/28
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23/28
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24/28
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25/28
DA
UGHTERSOFCHARITYHEALTHSYSTEM
ST
ATEMENTOFCASHFLOWS-UNAUDITED
FO
RTHENINEMONTHSENDEDMARCH
31,2015
(In
thousands)
O'Connor
Hospital
SaintLouise
Regional
Hos
pital
St.Francis
Medical
Center
St.Vincent
Medical
Center
Seton
Medical
Center
Seton
Medical
Center
Coastside
DCHS
System
Office
CA
SHFLOWSFROMOPERATINGACTIVITIES
C
hangesinnetassets
($38,201)
($9,197)
$54,230
($34,852)
($13,738)
($1,834)
$9,90
9
D
epreciation
8,443
4,275
13,639
9,448
7,168
223
1
9
P
rovisionfordoubtfulaccounts
6,303
1,940
7,170
3,695
5,219
806
-
P
atientaccountsreceivable
(5,928)
(897)
(8,785)
(3,365)
(2,718)
(523)
-
D
ueto/fromgovernmentagencies
565
(725)
2,555
(493)
(275)
-
-
D
ueto/fromrelatedorganizations
42,720
1,887
(44,364)
14,016
6,263
1,511
(21,466
)
O
thercurrentassets
(17,371)
(6,084)
(85,720)
(16,737)
(11,699)
(151)
(1,646
)
O
therrestrictedassets
(16,657)
(14,744)
-
(37,901)
(9,769)
(286)
-
O
therlong-termassets
64
293
(213)
353
(15)
(2)
(1,615
)
A
ccountspayable
(3,290)
(681)
(1,569)
(2,788)
(3,259)
133
(5,332
)
A
ccruedliabilities/other
11,046
3,043
51,349
12,993
12,452
(177)
(584
)
P
endingtradesreceivable/payable
P
ensionandotherlong-terml
iabilities
(1,385)
(134)
(803)
(330)
(139)
(1)
5
3
To
taloperatingcashflows
(13,691)
(21,024)
(12,511)
(55,961)
(10,510)
(301)
(20,662
)
CA
SHFLOWSFROMINVESTINGACTIVIT
IES
C
hangeinotherinvestments
-
-
-
(1,176)
-
-
-
C
hangeinassetsunderbondindentureag
reements
-
-
-
-
-
-
53
0
C
hangeininterestinpooledinvestmentfu
nd-short-term
-
-
5
-
2
-
-
C
hangeininterestinpooledinvestmentfu
nd-long-term
200
278
3,446
6,190
323
-
92
6
A
dditionstopropertyandequipment
(1,811)
(510)
(1,912)
(4,420)
(2,081)
(20)
6
9
To
talinvestingcashflows
(1,611)
(232)
1,539
594
(1,756)
(20)
1,52
5
CA
SHFLOWSFROMFINANCINGACTIVITIES
S
hort-termdebt
26,238
23,225
-
59,700
15,387
450
-
L
ong-termdebt
(576)
(273)
(2,560)
(506)
(554)
-
(269
)
To
talfinancingcashflows
25,662
22,952
(2,560)
59,194
14,833
450
(269
)
NE
TINCREASE(DECREASE)INCASH
10,360
1,696
(13,532)
3,827
2,567
129
(19,406
)
CA
SHASOFJUNE30,2014
1,592
2,758
38,936
2,822
7,347
65
32,56
0
CA
SHASOFMARCH31,2015
$11,952
$4,454
$25,404
$6,649
$9,914
$194
$13,15
4
7/23/2019 J. Audited Fin. Statements and Projections ( 999
26/28
DA
UGHTERSOFCHARITYHEALTHSYSTEM
ST
ATEMENTOFCASHFLOWS-UNAUDITED
FO
RTHENINEMONTHSENDEDMARCH
31,2015
(In
thousands)
CA
SHFLOWSFROMOPERATINGACTIVITIES
C
hangesinnetassets
D
epreciation
P
rovisionfordoubtfulaccounts
P
atientaccountsreceivable
D
ueto/fromgovernmentagencies
D
ueto/fromrelatedorganizations
O
thercurrentassets
O
therrestrictedassets
O
therlong-termassets
A
ccountspayable
A
ccruedliabilities/other
P
endingtradesreceivable/payable
P
ensionandotherlong-terml
iabilities
To
taloperatingcashflows
CA
SHFLOWSFROMINVESTINGACTIVIT
IES
C
hangeinotherinvestments
C
hangeinassetsunderbondindentureag
reements
C
hangeininterestinpooledinvestmentfu
nd-short-term
C
hangeininterestinpooledinvestmentfu
nd-long-term
A
dditionstopropertyandequipment
To
talinvestingcashflows
CA
SHFLOWSFROMFINANCINGACTIVITIES
S
hort-termdebt
L
ong-termdebt
To
talfinancingcashflows
NE
TINCREASE(DECREASE)INCASH
CA
SHASOFJUNE30,2014
CA
SHASOFMARCH31,2015
Eliminations
Oblig
ated
Gro
up
Subtotal
RobertF.
Kennedy
Medical
Center
RobertF.
Kennedy
Medical
Center
Foundation
Marillac
Insurance
Company
Caritas
Business
Services
AllOther
Entities
Eliminations
DCHSTotal
-
($33,683)
-
-
($1,701)
-
($23,102
)
-
($58,486)
-
43,215
-
-
-
103
2,24
5
(103)
45,460
-
25,133
-
-
-
-
(174
)
-
24,959
-
(22,216)
-
-
-
-
91
8
-
(21,298)
-
1,627
-
-
-
-
-
-
1,627
-
567
-
-
-
425
(992
)
-
-
-
(139,408)
-
-
(6,041)
20
5,52
5
3,953
(135,951)
-
(79,357)
-
-
-
-
-
-
(79,357)
-
(1,135)
-
-
-
(1)
13
8
-
(998)
-
(16,786)
-
-
-
104
69
5
-
(15,987)
-
90,122
-
-
(21)
(164)
74
7
11
90,695
-
381
381
-
(2,739)
-
-
5,294
-
(257
)
(3,964)
(1,666)
-
(134,660)
-
-
(2,088)
487
(14,257
)
(103)
(150,621)
-
(1,176)
-
-
(904)
-
(1,638
)
-
(3,718)
-
530
-
-
-
-
-
-
530
-
7
-
-
-
1
91
3
-
921
-
11,363
-
-
-
-
15,51
8
-
26,881
-
(10,685)
-
-
-
1
(614
)
103
(11,195)
-
39
-
-
(904)
2
14,17
9
103
13,419
-
1
25,000
-
-
-
-
-
-
125,000
-
(4,738)
-
-
-
-
(346
)
-
(5,084)
-
1
20,262
-
-
-
-
(346
)
-
119,916
-
(14,359)
-
-
(2,992)
489
(424
)
-
(17,286)
-
86,080
-
-
6,777
2,186
5,31
2
-
100,355
-
$
71,721
-
-
$3,785
$2,675
$4,88
8
-
$83,069
7/23/2019 J. Audited Fin. Statements and Projections ( 999
27/28
DA
UGHTERSOFCHARITYHEALTHSYSTEM
ST
ATEMENTOFCASHFLOWS-UNAUDITED
FO
RTHENINEMONTHSENDEDMARCH
31,2014
(In
thousands)
O'Connor
Hospital
SaintL
ouise
Regional
Hospital
St.Francis
Medical
Center
St.Vincent
Medical
Center
Seton
Medical
Center
Seton
Medical
Center
Coastside
DCHS
System
Office
CA
SHFLOWSFROMOPERATINGACTIVITIES
C
hangesinnetassets
($17,715)
$7,662
$32,071
$4,686
$15,647
($1,631)
($16,234
)
D
epreciation
9,756
4,394
14,693
9,244
7,884
260
836
P
rovisionfordoubtfulaccounts
9,698
2,726
8,633
3,869
7,583
1,229
-
P
atientaccountsreceivable
(8,830)
(4,339)
(27,097)
(1,913)
(4,265)
(1,066)
-
D
ueto/fromgovernmentagencies
1,285
(3,635)
2,834
(1,336)
(1,481)
46
-
D
ueto/fromrelatedorganizations
(498)
6,877
(71,943)
24,673
4,629
1,621
33,907
O
thercurrentassets
9,109
3,421
33,232
2,581
7,757
32
12,155
O
therlong-termassets
1,709
245
(104)
190
(4)
(1)
1,691
A
ccountspayable
4,189
1,356
2,629
3,313
2,465
15
(2,491
)
A
ccruedliabilities/other
(4,522)
(2,260)
(135)
(6,513)
(4,111)
(345)
(3,573
)
P
endingtradesreceivable/payable
P
ensionandotherlong-terml
iabilities
(1,044)
(106)
(1,188)
(557)
(23)
3
(4,321
)
To
taloperatingcashflows
3,137
16,341
(6,375)
38,237
36,081
163
21,970
CA
SHFLOWSFROMINVESTINGACTIVIT
IES
C
hangeinotherinvestments
-
-
-
(64)
-
-
-
C
hangeinassetsunderbondindentureag
reements
-
-
-
-
-
-
14,998
C
hangeininterestinpooledinvestmentfu
nd-short-term
14,128
819
30,760
3,852
6,789
-
4,354
C
hangeininterestinpooledinvestmentfu
nd-long-term
9,654
(22)
51,042
(503)
(27)
-
(76
)
A
dditionstopropertyandequipment
(6,500)
(1,169)
(5,600)
(10,169)
(5,453)
(77)
3,305
To
talinvestingcashflows
17,282
(372)
76,202
(6,884)
1,309
(77)
22,581
CA
SHFLOWSFROMFINANCINGACTIVITIES
L
ong-termdebt
(26,500)
(1
5,980)
(29,902)
(29,532)
(32,335)
-
(26,502
)
To
talfinancingcashflows
(26,500)
(1
5,980)
(29,902)
(29,532)
(32,335)
-
(26,502
)
NE
TINCREASE(DECREASE)INCASH
(6,081)
(11)
39,925
1,821
5,055
86
18,049
CA
SHASOFJUNE30,2013
9,336
1,714
(2,886)
(417)
3,181
(61)
(235
)
CA
SHASOFMARCH31,2014
$3,255
$1,703
$37,039
$1,404
$8,236
$25
$17,814
(continued)
7/23/2019 J. Audited Fin. Statements and Projections ( 999
28/28
RSOFCHARITYHEALTHSYSTEM
TOFCASHFLOWS-UNAUDITED
INEMONTHSENDEDMARCH
31,2014
ds)
WSFROMOPERATINGACTIVITIES
nnetassets
on
ordoubtfulaccounts
countsreceivable
mgovernmentagencies
mrelatedorganizations
entassets
-termassets
payable
abilities/other
adesreceivable/payable
ndotherlong-terml
iabilities
tingcashflows
WSFROMINVESTINGACTIVIT
IES
otherinvestments
assetsunderbondindentureag
reements
interestinpooledinvestmentfu
nd-short-term
interestinpooledinvestmentfu
nd-long-term
opropertyandequipment
tingcashflows
WSFROMFINANCINGACTIVITIES
debt
cingcashflows
ASE(DECREASE)INCASH
FJUNE30,2013
FMARCH31,2014
Eliminations
Oblig
ated
Gro
up
Subtotal
Marillac
Insurance
Company
Caritas
Business
Services
AllOther
Entities
Eliminations
DCHSTotal
-
$
24,486
($2,861)
$11
$3,799
($18)
$25,417
-
47,067
-
108
2,155
(108)
49,222
-
33,738
-
-
158
-
33,896
-
(4
7,510)
-
-
(4,519)
-
(52,029
)
-
(2,287)
-
-
-
-
(2,287
)
-
(734)
-
(366)
1,100
-
-
-
68,287
(3,957)
2
(999)
3,659
66,992
-
3,726
-
-
(3,380)
-
346
-
11,476
-
96
3,799
-
15,371
-
(2
1,459)
(8,218)
(238)
940
18
(28,957
)
-
53
53
-
(7,236)
3,841
-
(10)
(3,659)
(7,064
)
-
109,554
(11,142)
(387)
3,043
(108)
100,960
-
(64)
4,811
-
(371)
-
4,376
-
14,998
-
-
-
-
14,998
-
60,702
-
927
(55)
-
61,574
-
60,068
-
-
(1,263)
-
58,805
-
(2
5,663)
-
(17)
(1,844)
108
(27,416
)
-
110,041
4,811
910
(3,533)
108
112,337
-
(16
0,751)
-
-
(1,788)
-
(162,539
)
-
(16
0,751)
-
-
(1,788)
-
(162,539
)
-
58,844
(6,331)
523
(2,278)
-
50,758
-
10,632
11,162
1,415
7,951
-
31,160
-
$69,476
$4,831
$1,938
$5,673
-
$81,918
(concluded)