FISCAL YEAR 2012 FINANCIAL STATEMENTS

Transcripción

1 FINANCIAL STATEMENTS APRIL 2012 FINANCIAL SERVICES

2 TABLE OF TENTS 2 Balanced Scorecard Comparison...3 Executive Summary of Key Indicators...4 Key Variance MTD & YTD...5 Balance Sheet...8 Income Statement Month-to-Date...10 Year-to-Date...11 Current vs. Prior Year-to-Date...12 Fiscal Year Projection...13 Monthly Trend...14 Cash Flow Statement Consolidated...15 Financial Report Narrative...16 Key Statistical Indicators...19 Year-to-Date Supplies Expense by Account...22 Bond Covenant Ratios...23 Budget Comparison Graphs Statistical Indicators...24 Payor Mix...41 Case Mix Index Graphs...42 Budget Comparison Graphs Adjusted Discharges...45 Cash Collections...51 HealthWoRx Dashboard...52 Supplemental Information Flash Report...54

3 BALANCED SCORECARD COMPARISON 3 January February March April YTD 2012 Actual Actual Actual Actual Budget Variance %Actual to Budget Actual Budget Variance PPH Indicators: %Actual to Budget 8.62% 8.41% 8.93% 5.89% 9.35% (3.46%) 63.0% OEBITDA Margin w/prop Tax 9.39% 10.39% (1.00%) 90.4% $ 12, $ 12, $ 12, $ 13, $ 12, $ (917.30) 107.5% Expenses/Adj Discharge $ 12, $ 12, $ (347.30) 102.9% $ 7, $ 7, $ 7, $ 8, $ 7, $ (922.47) 112.4% SWB/Adj Discharge $ 7, $ 7, $ (359.53) 104.9% (0.39) 105.9% Prod FTE's/Adj Occupied Bed (0.05) 100.8% 3,363 3,259 3,572 3,176 3,400 (224) 93.4% Adjusted Discharges 33,532 34,562 (1,030) 97.0% PPH North Indicators: 7.70% 10.25% 7.09% 0.46% 9.19% (8.73%) 5.0% OEBITDA Margin w/prop Tax 9.04% 10.27% (1.23%) 88.0% $ 11, $ 11, $ 11, $ 12, $ 11, $ (689.09) 106.0% Expenses/Adj Discharge $ 11, $ 11, $ (326.65) 102.9% $ 6, $ 6, $ 6, $ 6, $ 5, $ (703.26) 111.8% SWB/Adj Discharge $ 6, $ 5, $ (387.08) 106.6% (0.33) 106.2% Prod FTE's/Adj Occupied Bed (0.10) 101.9% 2,397 2,382 2,547 2,298 2,428 (130) 94.6% Adjusted Discharges 24,068 24,668 (600) 97.6% PPH South Indicators: 8.70% (0.36%) 11.66% 14.55% 6.65% 7.90% % OEBITDA Margin w/prop Tax 8.03% 7.68% 0.35% 104.6% $ 13, $ 13, $ 12, $ 14, $ 13, $ (933.53) 107.0% Expenses/Adj Discharge $ 13, $ 13, $ (120.22) 100.9% $ 6, $ 7, $ 6, $ 7, $ 6, $ (688.15) 110.2% SWB/Adj Discharge $ 6, $ 6, $ (183.01) 102.8% (0.67) 110.4% Prod FTE's/Adj Occupied Bed (0.30) 104.7% , (91) 90.4% Adjusted Discharges 9,268 9,681 (413) 95.7%

4 EXECUTIVE SUMMARY OF KEY INDICATORS 4 April 2012 FY 12 April 2012 Actual Budget Variance Actual Budget Variance Statistics: Adjusted Discharges 3,176 3,400 (224) 33,532 34,562 (1,030) Acute Admissions 2,008 2,179 (171) 21,447 22,155 (708) Acute Patient Days 7,888 8,440 (552) 84,403 85,805 (1,402) Acute ALOS Acute ADC (18.40) (5.54) Case Mix Index (w/o Births) Total Surgeries 1,508 1,538 (30) 15,108 15,641 (533) Births (54) 3,932 4,171 (239) E/R Visits & Admissions 8,063 8, ,232 81, ER to Admit Rate 14.3% 15.5% (1.2%) 15.2% 15.6% (0.4%) Productivity % 95.1% 100.0% (4.9%) 97.6% 100.0% (2.4%) Moody Benchmark Income Statement: Net Patient Revenue 40,528,986 41,836,495 (1,307,509) 420,740, ,144,818 (4,404,770) Total Net Revenue 41,568,009 42,712,848 (1,144,839) 430,519, ,908,348 (3,388,623) Sal., Wages, Cont. Lbr 20,835,430 19,751,352 (1,084,078) 200,583, ,004,120 (3,579,077) Supplies 6,260,073 5,971,932 (288,141) 62,814,383 60,710,562 (2,103,821) Total Expenses 41,954,159 41,794,313 (159,846) 418,673, ,530, ,067 Net Inc. (Loss) before Non-Op (386,150) 918,535 (1,304,685) 11,845,920 14,377,476 (2,531,556) Net Income (Loss) 954,624 1,887,626 (933,002) 24,116,721 24,068,386 48,335 Cash Flow: Cash Collections 41,600,000 42,000,000 (400,000) 384,100, ,000,000 (35,900,000) Days Cash on Hand Ratios: OEBITDA w/ Prop. Tax 5.89% 9.35% (3.46%) 9.39% 10.39% (1.00%) Net Income Margin 2.30% 4.42% (2.12%) 5.60% 5.55% 0.05% Bad Debt % of Net Patient Revenue 13.6% 12.4% (1.2%) 14.8% 12.4% (2.4%) 7.1% Return On Assets 1.7% 1.7% 0.0% 2.2% Annual Debt Service Coverage Cushion Ratio

5 KEY VARIANCE EXPLANATIONS 5 Actual Budget Month-to Date Variance Detail Variance Actual Budget Year-to Date Variance Detail Variance (386,150) 918,535 (1,304,685) Net Income From Operations 11,845,920 14,377,476 (2,531,556) (1,307,509) Total Net Patient Revenue (4,404,770) (1,307,509) Net Patient Revenue (4,404,770) 162,670 Other Operating Revenue 1,016, ,070 Rebates and Refunds 816,776 (1,400) Other 199,371 (685,753) Salaries & Wages (1,080,985) 1,285,246 Volume Variance 5,797,338 (1,970,999) Rate & Efficiency (6,878,323) (182,247) Benefits (955,926) (147,210) Pension (1,488,172) (35,037) Other 532,246 (398,325) Contract Labor (2,498,092) 16,020 Volume Variance 73,684 (414,345) Rate & Efficiency (2,571,776) 13,311 Professional Fees 571,044 13,311 Professional Fees 571,044

6 KEY VARIANCE EXPLANATIONS 6 Actual Budget Month-to Date Variance Detail Variance Actual Budget Year-to Date Variance Detail Variance (288,141) Supplies (2,103,821) 393,445 Volume Variance 1,809,267 (681,586) Rate & Efficiency (3,913,088) Breakdown of Variance: (149,497) Surgery General (1,183,875) 62,696 Prosthesis (645,251) (201,340) Other (274,695) 339,120 Purchased Services 1,089, ,140 Biomed (108,002) (64,117) Patient Financial Services - contra to revenue (449,369) 141,097 Other 1,646, ,235 Depreciation 2,118, ,235 Depreciation 2,118, ,954 Other Direct Expenses 3,716, ,954 Other Direct 3,716,668 (386,150) 918,535 (1,304,685) Net Income From Operations 11,845,920 14,377,476 (2,531,556)

7 KEY VARIANCE EXPLANATIONS 7 Month-to Date Year-to Date Actual Budget Variance Actual Budget Variance (386,150) 918,535 (1,304,685) Net Income From Operations 11,845,920 14,377,476 (2,531,556) 1,340, , ,683 Non-Operating Income 12,270,801 9,690,910 2,579,891 1,083,333 1,083,334 (1) Property Tax 10,851,017 10,833,340 17, , , ,612 Investment Income (Loss) 2,173,334 2,171,420 1,914 Breakdown: 118,110 58,333 59,777 Pacific Income Advisors 518, ,333 (65,002) 194,707 97,917 96,790 Legg Mason / Clearbridge 960, ,167 (18,189) 11,183 9,417 1,766 LAIF 148,176 94,173 54,003 62,754 51,475 11,279 Other 545, ,747 31, , , ,170 Interest Expense 2,374,780 3,684,150 1,309,370 82,932 37,030 45,902 Other 1,621, ,300 1,250, ,624 1,887,626 (933,002) Net Income 24,116,721 24,068,386 48,335

8 BALANCE SHEET SOLIDATED (INCLUDES G.O. BONDS) 8 Current Prior Prior Fiscal Current Prior Prior Fiscal Month Month Year End Month Month Year End Assets Liabilities Current Assets Current Liabilities Cash on Hand $10,283,816 $6,001,282 $11,960,791 Accounts Payable $25,486,168 $23,292,008 $56,116,169 Cash Marketable Securities 150,823, ,461, ,340,613 Accrued Payroll 12,449,511 13,752,204 13,216,614 Total Cash & Cash Equivalents 161,107, ,462, ,301,404 Accrued PTO 18,099,712 17,892,736 17,284,147 Accrued Interest Payable 16,218,286 13,012,957 9,490,711 Patient Accounts Receivable 266,827, ,727, ,412,396 Current Portion of Bonds 9,311,650 9,311,650 8,366,793 Allowance on Accounts (167,467,748) (183,877,560) (117,860,257) Est Third Party Settlements 3,012,688 3,292,710 3,353,441 Net Accounts Receivable 99,359, ,850,292 79,552,139 Other Current Liabilities 25,477,093 26,100,461 28,049,558 Total Current Liabilities 110,055, ,654, ,877,433 Inventories 7,058,484 7,099,637 7,175,585 Prepaid Expenses 2,616,319 4,839,507 2,742,378 Long Term Liabilities Other 9,390,234 18,196,414 8,014,960 Other LT Liabilities 1,725,356 1,752,948 1,637,734 Total Current Assets 279,531, ,448, ,786,466 Bonds & Contracts Payable 1,130,815,483 1,129,355,187 1,125,514,469 1,132,540,839 1,131,108,135 1,127,152,203 Non-Current Assets Restricted Assets 138,335, ,848, ,559,885 General Fund Balance Restricted by Donor 325, , ,613 Unrestricted 430,723, ,316, ,096,646 Board Designated 9,258,782 9,796,883 0 Restricted for Other Purpose 325, , ,613 Total Restricted Assets 147,920, ,970, ,877,498 Board Designated 9,258,782 9,796,883 0 Total Fund Balance 440,308, ,439, ,414,259 Property Plant & Equipment 427,690, ,258, ,894,261 Accumulated Depreciation (265,533,249) (263,733,235) (251,051,249) Total Liabilities / Fund Balance $1,682,904,418 $1,676,202,117 $1,669,443,895 Construction in Process 1,062,312,116 1,045,198, ,800,710 Net Property Plant & Equipment 1,224,469,239 1,208,723,699 1,061,643,722 Investment in Related Companies 2,758,061 2,791,099 2,884,377 Deferred Financing Costs 23,289,636 23,404,761 24,441,044 Other Non-Current Assets 4,935,649 4,862,920 2,810,788 Total Non-Current Assets 1,403,372,646 1,384,753,377 1,383,657,429 Total Assets $1,682,904,418 $1,676,202,117 $1,669,443,895

9 BALANCE SHEET SOLIDATED (EXCLUDES G.O. BONDS) 9 Current Prior Prior Fiscal Current Prior Prior Fiscal Month Month Year End Month Month Year End Assets Liabilities Current Assets Current Liabilities Cash on Hand $10,283,816 $6,001,282 $11,960,791 Accounts Payable $25,486,168 $23,292,008 $56,116,169 Cash Marketable Securities 150,823, ,461, ,340,613 Accrued Payroll 12,449,511 13,752,204 13,216,614 Total Cash & Cash Equivalents 161,107, ,462, ,301,404 Accrued PTO 18,099,712 17,892,736 17,284,147 Accrued Interest Payable 13,086,454 10,892,011 4,428,990 Patient Accounts Receivable 266,827, ,727, ,412,396 Current Portion of Bonds 7,080,000 7,080,000 6,715,000 Allowance on Accounts (167,467,748) (183,877,560) (117,860,257) Est Third Party Settlements 3,012,688 3,292,710 3,353,441 Net Accounts Receivable 99,359, ,850,292 79,552,139 Other Current Liabilities 25,477,093 26,100,461 28,049,558 Total Current Liabilities 104,691, ,302, ,163,919 Inventories 7,058,484 7,099,637 7,175,585 Prepaid Expenses 2,616,319 4,839,507 2,742,378 Long Term Liabilities Other 10,338,358 16,114,478 7,917,214 Other LT Liabilities 1,725,356 1,752,948 1,637,734 Total Current Assets 280,479, ,366, ,688,720 Bonds & Contracts Payable 593,796, ,740, ,310, ,522, ,493, ,947,868 Non-Current Assets Restricted Assets 123,518, ,311, ,605,560 General Fund Balance Restricted by Donor 325, , ,613 Unrestricted 949,492, ,878, ,793,870 Board Designated 9,258,782 9,796,883 0 Restricted for Other Purpose 325, , ,613 Total Restricted Assets 133,103, ,434, ,923,173 Board Designated 9,258,782 9,796,883 0 Total Fund Balance 959,077, ,001, ,111,483 Property Plant & Equipment 427,690, ,258, ,894,261 Accumulated Depreciation (265,533,249) (263,733,235) (251,051,249) Total Liabilities / Fund Balance $1,659,290,788 $1,653,796,242 $1,644,223,270 Construction in Process 1,062,312,116 1,045,198, ,800,710 Net Property Plant & Equipment 1,224,469,239 1,208,723,699 1,061,643,722 Investment in Related Companies 2,758,061 2,791,099 2,884,377 Deferred Financing Costs 13,544,859 13,617,622 14,272,490 Other Non-Current Assets 4,935,649 4,862,920 2,810,788 Total Non-Current Assets 1,378,810,892 1,364,429,438 1,358,534,550 Total Assets $1,659,290,788 $1,653,796,242 $1,644,223,270

10 INCOME STATEMENT: MONTH-TO-DATE SOLIDATED ADJUSTED DISCHARGES 10 Variance $/Adjusted Discharges Actual Budget Variance Volume Rate/Eff Actual Budget Variance Statistics: Admissions - Acute 2,008 2,179 (171) Admissions - SNF Patient Days - Acute 7,888 8,440 (552) Patient Days - SNF 6,124 6,173 (49) ALOS - Acute ALOS - SNF Adjusted Discharges 3,176 3,400 (224) Revenue: Gross Revenue $ 163,742,001 $ 159,356,038 $ 4,385,963 F $ (10,498,751) $ 14,884,714 $ 51, $ 46, $ 4, Deductions from Rev (123,213,015) (117,519,543) (5,693,472) U 7,742,464 (13,435,936) (38,795.03) (34,564.57) (4,230.46) Net Patient Revenue 40,528,986 41,836,495 (1,307,509) U (2,756,287) 1,448,778 12, , Other Oper Revenue 1,039, , ,670 F (57,736) 220, Total Net Revenue 41,568,009 42,712,848 (1,144,839) U (2,814,023) 1,669,184 13, , Expenses: Salaries, Wages & Contr Labor 20,835,430 19,751,352 (1,084,078) U 1,301,266 (2,385,344) 6, , (751.05) Benefits 5,679,529 5,497,282 (182,247) U 362,174 (544,421) 1, , (171.42) Supplies 6,260,073 5,971,932 (288,141) U 393,445 (681,586) 1, , (214.61) Prof Fees & Purch Svc 5,633,283 5,985, ,431 F 394,353 (41,922) 1, , (13.20) Depreciation 1,750,513 1,991, ,235 F 131, , Other 1,795,331 2,596, ,954 F 171, , Total Expenses 41,954,159 41,794,313 (159,846) U 2,753,508 (2,913,354) 13, , (917.30) Net Inc Before Non-Oper Income (386,150) 918,535 (1,304,685) U (60,515) (1,244,170) (121.58) (391.74) 1 Property Tax Revenue 1,083,333 1,083,334 (1) U (71,373) 71, Non-Operating Income 257,441 (114,243) 371,684 F 7, , (33.60) Net Income (Loss) $ 954,624 $ 1,887,626 $ (933,002) U $ (124,361) $ (808,641) $ $ $ (254.61) Net Income Margin 2.30% 4.42% (2.12%) OEBITDA Margin w/o Prop Tax 3.28% 6.81% (3.53%) OEBITDA Margin with Prop Tax 5.89% 9.35% (3.46%) F= Favorable variance U= Unfavorable variance 1= Property Tax Revenue does not include G.O. Bonds Levy 2= Interest Expense does not include G.O. Bonds Interest

11 INCOME STATEMENT: YEAR-TO-DATE SOLIDATED ADJUSTED DISCHARGES 11 Variance $/Adjusted Discharges Actual Budget Variance Volume Rate/Eff Actual Budget Variance Statistics: Admissions - Acute 21,447 22,155 (708) Admissions - SNF 1, Patient Days - Acute 84,403 85,805 (1,402) Patient Days - SNF 62,206 62,753 (547) ALOS - Acute ALOS - SNF Adjusted Discharges 33,532 34,562 (1,030) Revenue: Gross Revenue $ 1,665,328,959 $ 1,619,897,853 $ 45,431,106 F $ (48,275,412) $ 93,706,518 $ 49, $ 46, $ 2, Deductions from Rev (1,244,588,911) (1,194,753,035) (49,835,876) U 35,605,452 (85,441,328) (37,116.45) (34,568.40) (2,548.05) Net Patient Revenue 420,740, ,144,818 (4,404,770) U (12,669,960) 8,265,190 12, , Other Oper Revenue 9,779,677 8,763,530 1,016,147 F (261,166) 1,277, Total Net Revenue 430,519, ,908,348 (3,388,623) U (12,931,127) 9,542,504 12, , Expenses: Salaries, Wages & Contr Labor 200,583, ,004,120 (3,579,077) U 5,871,021 (9,450,098) 5, , (281.82) Benefits 56,315,148 55,359,222 (955,926) U 1,649,789 (2,605,715) 1, , (77.71) Supplies 62,814,383 60,710,562 (2,103,821) U 1,809,267 (3,913,088) 1, , (116.70) Prof Fees & Purch Svc 58,806,361 60,467,022 1,660,661 F 1,802,009 (141,348) 1, , (4.22) Depreciation 17,746,562 19,865,124 2,118,562 F 592,011 1,526, Other 22,408,154 26,124,822 3,716,668 F 778,559 2,938, Total Expenses 418,673, ,530, ,067 F 12,502,656 (11,645,589) 12, , (347.30) Net Inc Before Non-Oper Income 11,845,920 14,377,476 (2,531,556) U (428,471) (2,103,085) (62.72) 1 Property Tax Revenue 10,851,017 10,833,340 17,677 F (322,850) 340, Non-Operating Income 1,419,784 (1,142,430) 2,562,214 F 34,046 2,528, (33.05) Net Income (Loss) $ 24,116,721 $ 24,068,386 $ 48,335 F $ (717,274) $ 765,609 $ $ $ Net Income Margin 5.60% 5.55% 0.05% OEBITDA Margin w/o Prop Tax 6.87% 7.89% (1.02%) OEBITDA Margin with Prop Tax 9.39% 10.39% (1.00%) F= Favorable variance U= Unfavorable variance 1= Property Tax Revenue does not include G.O. Bonds Levy 2= Interest Expense does not include G.O. Bonds Interest

12 INCOME STATEMENT: CURRENT VS. PRIOR YEAR-TO-DATE SOLIDATED ADJUSTED DISCHARGES Variance 12 $/Adjusted Discharges April 12 YTD April 11 YTD Variance Volume Rate/Eff Actual FY12 Actual FY11 Variance Statistics: Admissions - Acute 21,447 21,935 (488) Admissions - SNF 1, Patient Days - Acute 84,403 86,414 (2,011) Patient Days - SNF 62,206 62,616 (410) ALOS - Acute ALOS - SNF (4.73) Adjusted Discharges 33,532 33,710 (178) Revenue: Gross Revenue $ 1,665,328,959 $ 1,530,240,191 $ 135,088,768 F $ (8,080,177) $ 143,168,945 $ 49, $ 45, $ 4, Deductions from Rev (1,244,588,911) (1,130,709,890) (113,879,021) U 5,970,524 (119,849,545) (37,116.45) (33,542.27) (3,574.18) Net Patient Revenue 420,740, ,530,301 21,209,747 F (2,109,653) 23,319,400 12, , Other Oper Revenue 9,779,677 8,845, ,509 F (46,705) 981, Total Net Revenue 430,519, ,375,469 22,144,256 F (2,156,358) 24,300,614 12, , Expenses: Salaries, Wages & Contr Labor 200,583, ,098,763 (11,484,434) U 998,504 (12,482,938) 5, , (372.27) Benefits 56,315,148 52,620,628 (3,694,520) U 277,854 (3,972,374) 1, , (118.47) Supplies 62,814,383 61,391,686 (1,422,697) U 324,168 (1,746,865) 1, , (52.10) Prof Fees & Purch Svc 58,806,361 53,176,318 (5,630,043) U 280,789 (5,910,832) 1, , (176.27) Depreciation 17,746,562 17,667,803 (78,759) U 93,292 (172,051) (5.13) Other 22,408,154 22,342,554 (65,600) U 117,976 (183,576) (5.47) Total Expenses 418,673, ,297,752 (22,376,053) U 2,092,584 (24,468,637) 12, , (729.71) Net Inc Before Non-Oper Income 11,845,920 12,077,717 (231,797) U (63,774) (168,023) (5.01) 1 Property Tax Revenue 10,851,017 10,683, ,687 F (56,412) 224, Non-Operating Income 2 1,419, ,045 1,166,739 F (1,336) 1,168, Net Income (Loss) $ 24,116,721 $ 23,014,092 $ 1,102,629 F $ (121,522) $ 1,224,151 $ $ $ Net Income Margin 5.60% 5.64% (0.04%) OEBITDA Margin w/o Prop Tax 6.87% 7.28% (0.41%) OEBITDA Margin with Prop Tax 9.39% 9.90% (0.51%) F= Favorable variance U= Unfavorable variance 1= Property Tax Revenue does not include G.O. Bonds Levy 2= Interest Expense does not include G.O. Bonds Interest

13 INCOME STATEMENT: FISCAL YEAR PROJECTION SOLIDATED ADJUSTED DISCHARGES 13 Variance $/Adjusted Discharges 10 Act + 2 Bud FY 12 Budget Variance Volume Rate/Eff Actual Budget Variance Statistics: Admissions - Acute 25,876 26,584 (708) Admissions - SNF 1,239 1, Patient Days - Acute 101, ,961 (1,402) Patient Days - SNF 74,752 75,299 (547) Adjusted Discharges 40,434 41,464 (1,030) Revenue: Gross Revenue $ 1,989,540,594 $ 1,944,109,488 $ 45,431,106 F $ (48,293,285) $ 93,724,391 $ 49, $ 46, $ 2, Deductions from Rev (1,483,692,389) (1,433,856,513) (49,835,876) U 35,618,180 (85,454,056) (36,694.18) (34,580.76) (2,113.42) Net Patient Revenue 505,848, ,252,975 (4,404,770) U (12,675,105) 8,270,335 12, , Other Oper Revenue 11,532,383 10,516,236 1,016,147 F (261,232) 1,277, Total Net Revenue 517,380, ,769,211 (3,388,623) U (12,936,337) 9,547,714 12, , Expenses: Salaries, Wages & Contr Labor 240,801, ,222,454 (3,579,077) U 5,892,802 (9,471,879) 5, , (234.26) Benefits 67,501,107 66,545,182 (955,926) U 1,653,037 (2,608,962) 1, , (64.52) Supplies 74,976,709 72,872,888 (2,103,821) U 1,810,223 (3,914,044) 1, , (96.80) Prof Fees & Purch Svc 70,898,971 72,559,632 1,660,661 F 1,802,441 (141,780) 1, , (3.51) Depreciation 21,730,058 23,848,620 2,118,562 F 592,419 1,526, Other 27,633,118 31,349,786 3,716,668 F 778,755 2,937, Total Expenses 503,541, ,398, ,067 F 12,529,677 (11,672,609) 12, , (288.68) Net Inc Before Non-Oper Income 13,839,094 16,370,649 (2,531,556) U (406,660) (2,124,895) (52.55) 1 Property Tax Revenue 13,017,685 13,000,008 17,677 F (322,931) 340, Non-Operating Income 1,191,298 (1,370,916) 2,562,214 F 34,055 2,528, (33.06) Net Income (Loss) $ 28,048,077 $ 27,999,741 $ 48,335 F $ (695,537) $ 743,873 $ $ $ F= Favorable variance U= Unfavorable variance 1= Property Tax Revenue does not include G.O. Bonds Levy 2= Interest Expense does not include G.O. Bonds Interest

14 INCOME STATEMENT: MONTHLY TREND SOLIDATED ADJUSTED DISCHARGES 14 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr YTD Statistics: Admissions - Acute 2,121 2,280 2,188 2,096 2,168 2,204 2,131 2,053 2,198 2,008 21,447 Admissions - SNF ,058 Patient Days - Acute 8,197 8,388 8,232 8,619 8,428 8,749 8,866 8,032 9,004 7,888 84,403 Patient Days - SNF 6,174 6,325 6,139 6,288 6,093 6,304 6,357 6,043 6,359 6,124 62,206 ALOS - Acute ALOS - SNF Adjusted Discharges 3,334 3,514 3,399 3,211 3,275 3,428 3,363 3,259 3,572 3,176 33,532 Revenue: Gross Revenue $ 155,393,449 $ 166,103,989 $ 161,234,847 $ 170,586,964 $ 167,125,136 $ 168,704,378 $ 173,541,065 $ 163,203,707 $ 175,693,424 $ 163,742,001 $ 1,665,328,959 Deductions from Rev (114,548,915) (122,862,300) (119,724,189) (127,741,102) (125,413,158) (125,273,854) (131,424,654) (122,886,881) (131,500,841) (123,213,015) (1,244,588,911) Net Patient Revenue 40,844,534 43,241,689 41,510,658 42,845,862 41,711,978 43,430,524 42,116,411 40,316,826 44,192,583 40,528, ,740,048 Other Oper Revenue 830, ,270 1,385,488 1,006, ,986 1,105, , , ,606 1,039,023 9,779,677 Total Net Revenue 41,675,110 44,077,959 42,896,146 43,851,978 42,583,964 44,536,354 43,012,730 41,215,289 45,102,189 41,568, ,519,725 Expenses: Salaries, Wages & Contr Labor 19,549,232 19,771,982 19,149,834 19,809,340 19,638,785 20,359,334 20,497,235 19,674,969 21,297,055 20,835, ,583,197 Benefits 5,727,318 5,672,364 5,408,660 5,621,446 5,425,500 5,729,743 5,675,522 5,507,140 5,867,925 5,679,529 56,315,148 Supplies 6,138,762 6,222,648 6,340,266 6,186,979 6,162,802 6,711,095 6,273,748 5,799,051 6,718,960 6,260,073 62,814,383 Prof Fees & Purch Svc 5,728,447 5,938,803 5,818,583 6,038,706 5,924,010 6,190,737 5,806,359 5,913,798 5,813,634 5,633,283 58,806,361 Depreciation 1,811,075 1,797,915 1,789,316 1,795,535 1,795,429 1,801,732 1,728,752 1,737,997 1,738,299 1,750,513 17,746,562 Other 2,143,909 2,429,088 2,341,764 2,494,794 2,492,820 2,177,737 2,133,883 1,938,844 2,459,983 1,795,331 22,408,154 Total Expenses 41,098,743 41,832,800 40,848,423 41,946,800 41,439,346 42,970,378 42,115,499 40,571,799 43,895,856 41,954, ,673,805 Net Inc Before Non-Oper Income 576,367 2,245,159 2,047,723 1,905,178 1,144,618 1,565, , ,490 1,206,333 (386,150) 11,845,920 1 Property Tax Revenue 1,083,333 1,083,333 1,083,333 1,097,779 1,086,607 1,083,297 1,083,333 1,083,333 1,083,333 1,083,333 10,851, Non-Operating Income 599,642 (93,181) (488,961) 283,172 83, , ,583 (208,076) (261,787) 257,441 1,419,784 Net Income (Loss) $ 2,259,342 $ 3,235,311 $ 2,642,095 $ 3,286,129 $ 2,315,031 $ 3,485,420 $ 2,392,147 $ 1,518,747 $ 2,027,879 $ 954,624 $ 24,116,721 Net Income Margin 5.42% 7.34% 6.16% 7.49% 5.44% 7.83% 5.56% 3.68% 4.50% 2.30% 5.60% OEBITDA Margin w/o Prop Tax 5.73% 9.17% 8.94% 8.44% 6.90% 7.56% 6.11% 5.78% 6.53% 3.28% 6.87% OEBITDA Margin with Prop Tax 8.33% 11.63% 11.47% 10.94% 9.46% 9.99% 8.62% 8.41% 8.93% 5.89% 9.39% 1= Property Tax Revenue does not include G.O. Bonds Levy 2= Interest Expense does not include G.O. Bonds Interest

15 CASH FLOW STATEMENT 15 April YTD CASH FLOWS FROM OPERATING ACTIVITIES: Income (Loss) from operations (386,150) 11,845,920 Adjustments to reconcile change in net assets to net cash provided by operating activities: Depreciation Expense 1,750,513 17,746,562 Provision for bad debts 5,521,750 62,256,824 Changes in operating assets and liabilities: Patient accounts receivable (3,030,891) (82,064,117) Property Tax and other receivables 1,026,952 (27,328,739) Inventories 41, ,101 Prepaid expenses and other current assets 2,244,648 (1,559,566) Accounts payable 2,194,160 (30,630,001) Accrued compensation (1,095,717) 48,462 Estimated settlement amounts due third-party payors (280,022) (340,753) Other current liabilities 1,328,223 16,736,151 Net cash provided by operating activities 9,314,619 (33,172,152) CASH FLOWS FROM INVESTING ACTIVITIES: Net (purchases) sales of investments (311,041) 169,474,564 Income (Loss) on investments 386,754 2,173,335 Investment in affiliates 32,584 1,685,079 Net cash used in investing activities 108, ,332,978 CASH FLOWS FROM NON-CAPITAL FINANCING ACTIVITIES: Receipt of G.O. Bond Taxes 4,280,060 13,545,870 Receipt of District Taxes 3,438,990 11,325,349 Net cash used in non-capital financing activities 7,719,050 24,871,219 CASH FLOWS FROM CAPITAL AND RELATED FINANCING ACTIVITIES: Acquisition of property plant and equipment (12,576,555) (130,848,790) Deferred Financing Costs 115,125 1,151,408 G.O. Bond Interest paid 0 (12,032,382) Revenue Bond Interest paid (398,002) (16,612,464) Payments of Long Term Debt 0 (8,366,793) Net cash used in activities (12,859,432) (166,709,021) NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 4,282,534 (1,676,975) CASH AND CASH EQUIVALENTS - Beginning of period 6,001,282 11,960,791 CASH AND CASH EQUIVALENTS - End of period 10,283,816 10,283,816

16 FINANCIAL REPORT NARRATIVE STATISTICS 16 Mar vs Apr Apr Act vs Bud Mar Apr % Change Budget % Variance SOLIDATED Patient Days Acute 9,004 7,888 (12.4%) 8,440 (6.5%) Patient Days SNF 6,359 6,124 (3.7%) 6,173 (0.8%) ADC Acute (9.5%) (6.5%) ADC SNF (0.5%) (0.8%) Surgeries CVS Cases 9 8 (11.1%) 9 (11.1%) Surgeries Total 1,649 1,508 (8.6%) 1,538 (2.0%) Number of Births (4.8%) 410 (13.2%) NORTH Patient Days Acute 6,797 6,092 (10.4%) 6,285 (3.1%) Patient Days SNF 2,541 2, % 2, % ADC Acute (7.4%) (3.1%) ADC SNF % % SOUTH Patient Days Acute 2,207 1,796 (18.6%) 2,155 (16.7%) Patient Days SNF 3,818 3,527 (7.6%) 3,612 (2.4%) ADC Acute (15.9%) (16.7%) ADC SNF (4.5%) (2.4%)

17 FINANCIAL REPORT NARRATIVE BALANCE SHEET 17 Current Cash & Cash Equivalents increased $1.6 million from $159.5 million in March to $161.1 million in April. Total Cash and Investments are $170.7 million in April, compared to $169.6 million in March. Days Cash on Hand increased from days in March to days in April. Net Accounts Receivable decreased $2.5 million from $101.9 million in March to $99.4 million in April. Gross A/R days decreased from 51.0 days in March to 47.9 days in April. YTD collections, including capitation, are $384.1 million compared to budget of $420.0 million. Other Current Liabilities decreased $0.6 million from $26.1 million in March to $25.5 million in April. The decrease is due to the realization of deferred property tax revenue of $1.1 million which was partially offset by an increase in the capitation liability of $0.4 million and an increase in Other of $0.1 million. Construction-in-Progress increased $17.1 million from $1.05 billion in March to $1.06 billion in April. The increase is attributed to Building Expansion construction, equipment and interest costs of $17.0 million and Other of $0.1 million.

18 FINANCIAL REPORT NARRATIVE INCOME STATEMENT Gross Patient Revenue reflects a YTD favorable budget variance of $45.4 million. 18 North South Outreach Consolidated Total $ 55,777,977 $ (11,942,746) $ 1,595,875 $ 45,431,106 Routine 9,066,109 (5,828,129) - 3,237,980 IP Ancillary 13,274,207 (9,550,377) - 3,723,830 Outpatient 33,437,661 3,435,760 1,595,875 38,469,296 Net Capitation reflects a YTD favorable budget variance of $2.2 million. Capitation Premium and Out of Network Claim expense both show a favorable variance of $2.5 million and $2.0 million, respectively. The favorable variance in Capitation Premium is due to retro 2011 and 2010 premium adjustments in July and August. This favorable amount is offset by a $2.3 million increase in In-Network Claim expense. Salaries, Wages & Contract Labor reflect a YTD unfavorable budget variance of $3.6 million. YTD Actual YTD Budget Variance Consolidated $ 200,583,197 $ 197,004,120 $ (3,579,077) North 118,086, ,688,356 (5,397,993) South 49,553,411 50,357, ,016 Central 25,693,195 27,720,083 2,026,888 Outreach 7,250,242 6,238,254 (1,011,988) Employee Benefits Expense reflects a YTD unfavorable budget variance of $1.0 million due to an unfavorable budget variance in Pension of $1.5 million which was partially offset by favorable budget variances in Other of $0.5 million. Supplies reflect a YTD unfavorable budget variance of $2.1 million due to unfavorable budget variances in Surgery General of $1.2 million, Prosthesis of $0.6 million and Other of $0.3 million. Professional Fees, Purchased Services and Other Direct reflect a combined YTD favorable budget variance of $5.4 million. Ratios & Margins: All required Bond Covenant Ratios were achieved in April 2012.

19 KEY STATISTICAL INDICATORS YEAR-TO-DATE 19 ACTUAL BUDGET VARIANCE FY 2011 ADMISSIONS - Acute: Palomar Medical Center 16,168 16,550 (382) 16,484 Pomerado Hospital 5,279 5,605 (326) 5,451 Total: 21,447 22,155 (708) 21,935 ADMISSIONS - SNF: Palomar Medical Center Pomerado Hospital (23) 535 Total: 1, PATIENT DAYS - Acute: Palomar Medical Center 64,215 63, ,610 Pomerado Hospital 20,188 21,910 (1,722) 21,804 Total: 84,403 85,805 (1,402) 86,414 PATIENT DAYS- SNF: Palomar Medical Center 25,781 26,034 (253) 25,843 Pomerado Hospital 36,425 36,719 (294) 36,773 Total: 62,206 62,753 (547) 62,616

20 KEY STATISTICAL INDICATORS YEAR-TO-DATE 20 ACTUAL BUDGET VARIANCE FY 2011 EMERGENCY ROOM VISITS & TRAUMA CASES: Palomar Medical Center 48,110 47, ,934 Pomerado Hospital 21,613 21,705 (92) 21,703 Total: 69,723 69, ,637 EMERGENCY & TRAUMA ADMISSIONS: Palomar Medical Center 9,307 9,365 (58) 9,067 Pomerado Hospital 3,202 3,365 (163) 3,255 Total: 12,509 12,730 (221) 12,322 SURGERIES: Palomar Medical Center 9,987 10,361 (374) 9,279 Pomerado Hospital 5,121 5,280 (159) 5,231 Total: 15,108 15,641 (533) 14,510 BIRTHS: Palomar Medical Center 2,976 3,186 (210) 3,042 Pomerado Hospital (29) 937 Total: 3,932 4,171 (239) 3,979

21 KEY STATISTICAL INDICATORS YEAR-TO-DATE 21 ACTUAL BUDGET VARIANCE FY 2011 ADJUSTED DISCHARGES Palomar Medical Center 24,068 24,668 (600) 23,996 Pomerado Hospital 9,268 9,681 (413) 9,486 Other Activities (17) 228 Total: 33,532 34,562 (1,030) 33,710 AVERAGE LENGTH OF STAY- Acute: Palomar Medical Center Pomerado Hospital (0.05) 3.94 Total: AVERAGE LENGTH OF STAY - SNF: Palomar Medical Center Pomerado Hospital Total:

22 SUPPLIES EXPENSE YEAR-TO-DATE 22 Account Description Actual Budget Variance Supplies Surgery General 6,430,389 5,246,514 (1,183,875) Prosthesis 15,475,296 14,830,045 (645,251) Supplies Food Other 2,380,905 2,075,973 (304,932) Supplies Oxygen/Gas 252,763 74,903 (177,860) Supplies Surgical Pack 1,926,925 1,789,731 (137,194) Sutures/Surgical Needles 1,909,808 1,809,904 (99,904) Supplies IV Solutions 481, ,304 (62,413) Supplies Anesthesia Material 90,278 42,814 (47,464) Supplies Employee Apparel 204, ,922 (42,942) Supplies Other Medical 12,020,275 12,004,858 (15,417) Supplies Food/Meat 520, ,566 (10,459) Supplies Cleaning 409, ,337 (8,386) Other Minor Equipment 1,459,182 1,459, Supplies Linen 24,557 28,545 3, Supplies X-ray Material 12,439 20,744 8, Supplies Radioactive 534, ,412 48, Supplies Office/Administration 851, ,684 78, Supplies Forms 275, ,792 94, Supplies Pharmaceutical 9,772,175 9,879, , Instruments/Minor Equipment 750, , , Other Non Medical 7,030,431 7,180, ,712 Total 62,814,383 60,710,562 (2,103,821)

23 (1) The 2010 Certificates of Participation interest is pre-funded through November 1, 2012, therefore, by definition, they are excluded from the maximum annual debt service total for these ratios. FISCAL YEAR 2012 BOND COVENANT RATIOS 23 Cushion Ratio Jun-10 Jun-11 Apr-12 Cash and Cash Equivalents 171,574, ,301, ,107,302 Board Designated Reserves - - 9,258,782 Trustee-held Funds (Revenue Fund only) 3,085 20,275 28,107 Total 171,577, ,321, ,394,191 Divided by: Maximum Annual Debt Service (excludes GO Bonds) (1) 13,766,910 13,769,523 29,699,638 (Fiscal Year 6/30/2040) Cushion Ratio REQUIREMENT Achieved Achieved Achieved Days Cash on Hand Jun-10 Jun-11 Apr-12 Cash and Cash Equivalents 171,574, ,301, ,107,302 Board Designated Reserves - - 9,258,782 Trustee-held Funds (Revenue Fund only) 3,085 20,275 28,107 Total 171,577, ,321, ,394,191 Divide Total by Average Adjusted Expenses per Day Total Expenses 451,348, ,493, ,673,805 Less: Depreciation 21,358,985 21,345,777 17,746,562 Adjusted Expenses 429,989, ,147, ,927,243 Number of days in period Average Adjusted Expenses per Day 1,178,053 1,252,459 1,314,516 Days Cash on Hand REQUIREMENT Achieved Achieved Achieved Debt Service Coverage Ratio Jun-10 Jun-11 Apr-12 Excess of revenues over expenses YTD 24,487,453 30,967,811 24,116,721 (General Funds) ADD: Depreciation and Amortization 21,358,985 21,345,777 17,746,562 Interest Expense 4,628,028 3,805,187 2,374,780 Market Value Adj - Auction Rate Securities 7,570,218 (4,859,396) 0 Income Available for Debt Service 58,044,684 51,259,379 44,238,063 Divided by: Maximum Annual Debt Service (excludes GO Bonds) (1) 14,724,311 13,768,652 24,749,698 (Fiscal Year 6/30/2040) Debt Service Coverage Ratio REQUIREMENT Achieved Achieved Achieved

24 Statistical Indicators Discharges - Acute 24 2,500 2,000 1,500 1, 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-YTD 1,595 1,697 1,645 1,564 1,606 1,648 1,589 1,548 1,689 1, ,108 16, ,319 5,695 2,151 2,255 2,187 2,080 2,130 2,247 2,134 2,015 2,239 1, ,427 22,314

25 Statistical Indicators Patient Days - Acute 25 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - 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-YTD 6,057 6,462 6,315 6,623 6,476 6,556 6,651 6,186 6,797 6, ,215 63,895 2,140 1,926 1,917 1,996 1,952 2,193 2,215 1,846 2,207 1, ,188 21,910 8,197 8,388 8,232 8,619 8,428 8,749 8,866 8,032 9,004 7, ,403 85,805

26 Statistical Indicators Average Length of Stay - Acute 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-YTD

27 Statistical Indicators Average Daily Census - Acute 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-YTD

28 Statistical Indicators Patient Days 28 JUN - MAY - APR 1, , , MAR 1, , , , FEB , , JAN 1, , , DEC 1, , , NOV 1, , OCT 1, , , SEP , AUG 1, , , JUL 1, , PY AVG 1, , ,000 4,000 6,000 8,000 10,000 ICU/CCU Telemetry IMC Med-Oncology Surg-Ortho Med Surg Labor Delivery Recovery Rehb Acute MHU NICU JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN YTD B-YTD 6,057 6,462 6,315 6,623 6,476 6,556 6,651 6,186 6,797 6, ,215 63,895 2,140 1,926 1,917 1,996 1,952 2,193 2,215 1,846 2,207 1, ,188 21,910 8,197 8,388 8,232 8,619 8,428 8,749 8,866 8,032 9,004 7, ,403 85,805

29 Statistical Indicators Surgeries (Inpatient only) 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-YTD ,074 5, ,679 1, ,753 6,810

30 Statistical Indicators Surgeries (Outpatient only) 30 1,200 1, 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-YTD ,829 5, ,442 3, ,271 8,735

31 Statistical Indicators Surgeries CVS ( only) 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-YTD

32 Statistical Indicators Total Surgeries 32 1,800 1,600 1,400 1,200 1, 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-YTD 908 1,013 1, , , , ,987 10, ,121 5,280 1,391 1,546 1,520 1,507 1,512 1,523 1,497 1,455 1,649 1, ,108 15,641

33 Statistical Indicators Outpatient Registrations (excludes Lab) 33 7,000 6,000 Oct-11 registrations are high as recurring encounters were discharged on Sep 30, New encounters were created on Oct 1, ,000 4,000 3,000 2,000 1,000 - 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-YTD 2,180 2,677 2,862 3,473 2,733 2,449 2,744 2,639 3,083 2, ,656 24,082 1,862 2,164 2,004 2,293 1,931 2,130 1,992 2,019 2,155 2, ,580 20,995 4,042 4,841 4,866 5,766 4,664 4,579 4,736 4,658 5,238 4, ,236 45,077

34 Statistical Indicators ER Visits (includes Trauma, Outpatient only) 34 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - 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-YTD 4,864 4,816 4,779 5,004 4,393 4,560 5,190 4,719 5,055 4, ,110 47,431 2,118 2,241 1,966 2,113 2,104 2,099 2,311 2,241 2,241 2, ,613 21,705 6,982 7,057 6,745 7,117 6,497 6,659 7,501 6,960 7,296 6, ,723 69,136 /DAY

35 Statistical Indicators ER Admissions (includes Trauma, Inpatient only) 35 1,600 1,400 1,200 1, 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-YTD ,307 9, ,202 3,365 1,265 1,237 1,243 1,225 1,245 1,287 1,347 1,219 1,287 1, ,509 12,730

36 Statistical Indicators Total ER Visits (includes Trauma & Admissions) 36 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - 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-YTD 5,830 5,731 5,699 5,930 5,321 5,478 6,164 5,632 6,023 5, ,417 56,796 2,417 2,563 2,289 2,412 2,421 2,468 2,684 2,547 2,560 2, ,815 25,070 8,247 8,294 7,988 8,342 7,742 7,946 8,848 8,179 8,583 8, ,232 81,866

37 Statistical Indicators ER Conversion (ER Admits as % of ER Visits) 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-YTD

38 Statistical Indicators Trauma Cases ( only) 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-YTD , ,

39 Statistical Indicators Trauma Admissions ( only) 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-YTD

40 Statistical Indicators Deliveries 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-YTD ,976 3, ,932 4,171

41 Payor Mix Based on Gross Revenue 41 JUN MAY APR MAR FEB JAN DEC NOV OCT SEP AUG JUL PY AVG % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% MEDICARE MCAR MGD MEDI-CAL MCAL MGD SELF PAY MGD CARE CAP OTHER

42 Case Mix Index 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 YTD

43 Case Mix Index by Region (excludes Deliveries) 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 YTD

44 Case Mix Index by Region Medicare 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 YTD

45 Adjusted Discharges Gross Patient Revenue per Adjusted Discharges 45 54,000 Dollars per Adjusted Discharge 52,000 50,000 48,000 46,000 44,000 42,000 40,000 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 YTD B-YTD 47,313 47,614 48,486 54,048 52,585 49,986 52,317 50,139 49,736 51, ,370 46,883 44,683 46,267 44,417 50,420 46,584 47,171 49,619 49,894 47,619 50, ,627 46,829 46,609 47,269 47,436 53,126 51,031 49,214 51,603 50,078 49,186 51, ,664 46,869

46 Adjusted Discharges Net Patient Revenue per Adjusted Discharges 46 15,250 Dollars per Adjusted Discharge 14,250 13,250 12,250 11,250 10,250 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 YTD B-YTD 11,579 11,921 11,768 12,729 12,318 12,112 11,810 11,941 11,707 11, ,932 11,713 13,377 12,788 12,741 14,273 13,040 13,462 13,625 12,817 13,362 15, ,483 13,304 12,251 12,306 12,213 13,343 12,736 12,669 12,523 12,371 12,372 12, ,547 12,301

47 Adjusted Discharges Salaries per Adjusted Discharges 47 6,500 Dollars per Adjusted Discharge 6,000 5,500 5,000 4,500 4,000 3,500 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 YTD B-YTD 4,875 4,564 4,542 4,956 4,957 5,017 5,077 4,919 4,930 5, ,906 4,568 5,379 5,086 5,164 5,576 5,099 5,166 5,394 5,557 5,294 5, ,347 5,202 5,864 5,627 5,634 6,169 5,997 5,939 6,095 6,037 5,962 6, ,982 5,700

48 Adjusted Discharges Supplies per Adjusted Discharges 48 2,200 Dollars per Adjusted Discharge 2,100 2,000 1,900 1,800 1,700 1,600 1,500 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 YTD B-YTD 1,599 1,882 1,831 1,823 1,768 1,952 1,816 1,700 1,915 1, ,824 1,688 1,801 1,878 1,760 1,846 2,215 1,770 1,824 1,798 1,782 1, ,852 1,784 1,841 1,771 1,865 1,927 1,882 1,958 1,866 1,779 1,881 1, ,873 1,757

49 Adjusted Discharges Total Expenses per Adjusted Discharges 49 15,000 Dollars per Adjusted Discharge 14,000 13,000 12,000 11,000 10,000 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 YTD B-YTD 11,385 11,162 10,888 11,947 12,022 11,823 11,566 11,549 11,553 12, ,591 11,265 13,488 12,538 13,335 13,551 13,663 12,782 13,335 13,874 12,653 14, ,321 13,201 12,327 11,905 12,018 13,063 12,653 12,535 12,523 12,449 12,289 13, ,486 12,139

50 Adjusted Discharges Net Operating Income per Adjusted Discharges 50 2,500 2,000 Dollars per Adjusted Discharge 1,500 1, (500) (1,000) (1,500) (2,000) (2,500) 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 YTD B-YTD , (515) (62) 298 (536) 788 (579) (984) 769 1, (122)

51 PFS MONTHLY CASH COLLECTIONS 51 Millions $44.0 $40.0 $36.0 $32.0 $28.0 $24.0 $20.0 PPH Monthly Collections in Millions July Aug. Sept. Oct. Nov. Dec. Jan. Feb. March April May June FY12 Goal $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 $42.0 Curr. Yr Actual $33.8 $39.5 $37.0 $41.6 $36.4 $37.7 $38.2 $37.3 $41.0 $41.6 Pr. Yr Actual $37.1 $36.9 $33.7 $37.8 $39.7 $43.7 $39.1 $39.3 $44.0 $34.1 $37.7 $43.7

52 HEALTHWORX DASHBOARD REVENUE CYCLE KEY INDICATORS 52

53 SUPPLEMENTAL INFORMATION 53

54 WEEKLY FLASH REPORT 54 Volume 5/10/2012 5/17/2012 5/24/2012 5/31/2012 MTD Total MTD Budget % Variance Palomar Medical Center Average daily census (1.73) Acute Patient Days 1,441 1,441 1,466 (1.73) PCCC Days Acute Discharges (9.97) Observation Discharges Births OP Visits w/o Lab Lab Registrations (31.98) ED Visits 1,329 1,329 1, Trauma Admits Trauma Outpatient (75.00) Inpatient surgeries (5.71) Outpatient surgeries (0.99) Pomerado Hospital Average daily census (10.51) Acute Patient Days (10.51) VP Days (0.62) Acute Discharges (7.63) Observation Discharges Births OP Visits w/o Lab (2.07) Lab Registrations (13.10) ED visits Inpatient surgeries (6.67) Outpatient surgeries (17.65)

55 WEEKLY FLASH REPORT 55 Financial and Acuity 5/10/2012 5/17/2012 5/24/2012 5/31/2012 MTD Total MTD Budget % Variance Palomar Medical Center Gross Inpatient Charges $ 19,282,991 $ 19,282,991 $ 18,752, Gross Outpatient Charges $ 8,951,578 $ 8,951,578 $ 7,789, Average Length of Stay Acute Case Mix Index 1.33 Pomerado Hospital Gross Inpatient Charges $ 6,609,051 $ 6,609,051 $ 6,677,214 (1.02) Gross Outpatient Charges $ 3,916,608 $ 3,916,608 $ 3,723, Average Length of Stay (3.12) Acute Case Mix Index 1.36 Productivity and Cash Cash Collection 15,303,486 15,303,486 18,000,000 (14.98) Dollars Held in Billing Edits 2,866,513 2,866,513 3,000, Days Cash on Hand Productivity Hrs (PP 23) 235, , ,005 (7.45) 133, , ,778 (6.77) 58,937 58,937 56,559 (4.20) Others 43, ,164 37,668 (14.59) Productivity $$$ (PP 23) 8,460,130 8,460,130 8,103,968 (4.39) 4,780,407 4,780,407 4,628,567 (3.28) 2,017,680 2,017,680 1,979,885 (1.91) Others 1,662, ,662,043 1,495,516 (11.14)