broward health· · 2020. 12. 28. · broward health. north broward hospital district board of...

@ BROWARD

HEALTH· NORTH BROWARD HOSPITAL DISTRICT

BOARD OF COMMISSIONERS

FINANCE COMMITTEE MEETING

1700 NW 49th Street, Ste. 150

CALL TO ORDER:

COMMITTEE MEMBERS:

___ Commissioner Ray Berry, Chairman

Commissioner Andrew Klein ------ Commissioner Christopher Ure ___ Commissioner Steven Wellins

--- Commissioner Nancy Gregoire

PUBLIC COMMENTS:

APPROVAL OF MINUTES:

Fort Lauderdale, FL

JULY 26, 2018, 9:00 A.M.

AGENDA

1. Approval of Finance Committee Meeting Minutes from May 30, 2018

TOPIC OF DISCUSSION:

2. May Financial Overview

3. June Financial Overview

4. MMP Presentation

5. Procurement Update

ADJOURNMENT:

* Subject to change

Alan Goldsmith, EVP/Chief Financial Officer

Alan Goldsmith, EVP/Chief Financial Officer

Janice Mitchell, Admin Dir. Med Center Business Ops

Jorge Hernandez, VP of Supply Chain

1

.~.

@ BROWARD

HEALTH. NORTH BROWARD HOSPITAL DISTRICT

BOARD OF COMMISSIONERS

FINANCE COMMITTEE MEETING

1700 NW 49th Street, Ste. 150

Fort Lauderdale, FL

MAY 30, 2018

*MINUTES

MEETING CALLED TO ORDER: 2:53 p.m.

COMMITTEE MEMBERS:

Y.. Commissioner Klein

~ Commissioner Ure

v Commissioner Wellins

v Commissioner Gregoire

Y.. Commissioner Berry

PUBLIC COMMENTS: No public comments

APPROVAL OF MINUTES:

1. Approve Minutes from the Finance Committee Meeting held on April 18, 2018

MOTION: Motion was made by Commissioner Well ins to approve Minutes from the Finance Committee Meeting held on April 18, 2018. Motion was seconded by Commissioner Gregoire.

~ Motion carried unanimously.

1

~. TOPIC OF DISCUSSION:

2. Monthly Financials

CFO, Alan Goldsmith, _reported financial figures for the month of April 2018.

Mr. Goldsmith further reported stats regarding Key Operating Indicators and Key Financial Indicators reflected in the power point slides attached to the May 2018 Finance Committee

Book.

MOTION: Motion was made by Commissioner Gregoire to recommend that the April 2018 Financial Statement be put on the Consent Agenda for Board approval. Motion was seconded by Commissioner Wellins.

Motion carried unanimously.

Mr. Goldsmith reported that the institution of a forecasting model was implemented at Broward Health, in which after every quarter, the CFOs from all facilities review their volume assumptions and dollar assumptions so that they could provide projections for each year. Mr. Goldsmith stated this model is valuable to the operations team.

Mr. Goldsmith described the tax hearing process and timeline for the coming months and took questions from the Board.

MEETING ADJOURNMENT:

MOTION: Commissioner Gregoire motioned to adjourn the meeting, seconded by Commissioner Berry.

Motion carried unanimously.

Meeting was adjourned at 3:20 p.m.

AUTHENTICATION OF MINUTES: Patricia Alfaro, Special Assistant to the Executive Office.

*Audiotape available upon request.

2

Run Time 06/14/18 ,..,.--..._\

12:02

Company consolidation

NORTH BROWARD HOSPITAL DISTRICT

STAT&MENT OF NET POSTION

Page

For Period_ll Ending May 31, 2018 Fiscal Year 2018

ASSETS

CURRENT ASSETS:

cash and cash equivalents

Cash & Investments Externally

Short-term investments

Assets whose use is limited

and required for current liab

Due from patients and other

net of allowance for uncoll.

Inventories

Est. third pa.rty payer

Net Taxes Receivable

other current ASeets

Total current a5sets

ASSETS IIHOSE USE IS LIMITED:

Held by trustee under bond

indenture agreement for

Held by trustee for self-ins.

Less amount required to meet

current obligations

Investment By counter Party

Project Fund - Restricted

Total assets whose use is

limited, net

INVESTMENTS

CA"PITAL ASSETS, NET

OTHER ASSETS

TOTAL ASSETS

DEPFERED OUTFLOWS OF RESOURCES

Accumulated decrease in fair

value of hedging derivatives

LOSS ON DEBT REFUNDINGS

DEFERltli:D iENSION AMOt.lNTS

Total Outflows of Resources

Total Assets· & Deferred outflo

current Month

2018

59,282,122

14,756,793

SlS,?07,247

5,423,653

158,703,999

31,824,976

16,222,288

2,622,476

50,785,260

855,328,814

37,609,781

Year-To-Date

201.7

64,212,269

18,41.4,176

364,662, 052

5,423,653

160,108,462

31,273,370

2,183,916

2,745,726

46,460,801

695,484,425

37,062,Sn

37,609,78], 37,062,921

(5,423,653)

0

JS,671,523

(5,423,653)

25,060,000

0

------------------- -------------------

67,857,6S1

lSO,lSl,514

564,U0,176

30,609,626

1,668,387,781

0

28,233,975

20,670,957

56,699,268

146,197,435

557,079,723

36,066,256

1,491,527,107

20,942,320

9,380,447

20,670,957

------------------- -------------------48, ~04, 932 50,993,724

1,717,292,713 1,542,520,831

l

Run Time 06/14/18

12:02


NORTH BROWARD HOSPITAL DISTRICT

STATEMENT OF NET POSTION

For Period 11 Ending

LIABILITIES AND NET POSITION

CORRENT LIABILITIES:

cu=ent maturities of revenue

bonds payable

current maturities of lease

facility obligations

Advanced Funds-Property TaXes

Accounts payable and acc. exp

Acer salaries and payroll tax

Accrued personal leave

Estimated third-party payor

Interest Payable

current portion of self-ins

Total current Liabilities

REVENUE BONDS, NET OF CURRENT

LEASE FACILITY DBLIG, NET OF

SELF-INS LIAB, NET OF CURRENT

NET PENSION LIABILITI

OPEB PROGAAM LIABILITY

DERIVATIVE INSTRUMENTS

Total liabilities

DEFERRED INFLOWS OF RESOURCES

DEFl!AAED PENSION AMOUNTS

Total Deferred Inflows

NET POSITION

Net Investments in capital

Assets

Restricted net assets-donor

restrictions

unrestricted

Restrict By C011Ilter Party SHAP

Project Fund• Restricted

TOtal. Net Position

TOTAL LrAB, DEF, INFL & NET PO

May 31, 2018

current Month

2018

(4,030,000)

(107,469)

(11,543,260)

(138,089,093)

(37,565,264)

(30,165,366)

(31,676,789)

(7,427,032)

(5,423,653)

(266,027,926)

(343,751,470)

(245,752)

(26,976,227)

1,397,412

(l.08, 293,740)

0

(743,897,703)

(23,821,417)

(23,821,417)

(244,539,461)

(26,997,647)

(642,364,963)

0

(35,671,523)

(949,573, S94)

(1,717,292,714)

Page

Fiscal Year 2018

Year-To-Date

2017

(12,050,000)

(102,533)

0

(120,048, l.50)

(26,158,469)

(31i, 961,547)

(33,714,696)

(2,214,561)

(5,423,653)

(236,673,609)

(210,475,000)

(344,474)

(26,055,768)

l,397 ,412

(99,910,160)

(32,578,223)

(604,639,822)

(23, 821., 417)

(23,821,417)

(331,852,259)

(32,234,399)

(524,912,932)

(25,060,000)

0

(914,059,590)

(1,542,520,829)

2

TOT AL SYSTEM OPERATING STATEMENT

)

Internal Management Format - not for external reporting JUL - MAY

CURRENT MONTH

ACTUAL PLANNED BOOGET

OVER/ ¾ OVER/ FLEXED BUDGET

PRIOR YEAR (UNDER) (UNDER)

210 653 503 207 427 232 3,226,271 142;s72;360 149:590:667 353,525,863 357,017,699 (3,492,036)

31,538,098 33,663,531 (2,125,433) 11696162 13 OBS 941 (1,189 779)

232:626;435 220:421:345 4,205:090 276,060,695 275,170,817 889,878

15,953,920 2,967,227 6 837 872

5

) )

TOTAL SYSTEM Page 2 OPERATING STATEMENT 13- JUN-2018 3: 13 PM Internal Management Format - not for external reporting JUL - MAY

CURRENT MONTH PERIOD - TO· DATE __ ,.. ___ .. -... - ------ ---· .... -. ---· --- ---·------ --------- --------- .. -- ..... ------- ... ACTUAL PLANNED OVER/ ,: OVER/ FLEXED PRIOR ACTUAL PLANNED OVER/ % OVER FLEXED PRIOR BUDGET (UNDER) (UNDER) BUDGET YEAR BUDGET (UNDER) (UNDER) BUDGET YEAR

KEY INDICATORS: 47,428 50,624 (3,196) (6.3) 48,529 50,468 Adj Patient Days 532,721 549,939 (17,218) (3.1) 543 753 542,058 9,165 10,178 (1,013) (10.0) 9,379 9 665 AdJ Admissions 101, 169 110,953 (9,784) (8.8) 103;340 105,828

76,297 89,850 (13,553) C 15. 1) 88,459 89: 142 ED/Outp/Sate Visits 850,613 952,751 (102,138) (10.7) 945,092 940,722 4 852 5,304 (452) (8.5) 4 852 5,201 Admiss1ons 54 594 58 534 (3,940) (6.7) 54 594 57,258

2s:s97 26,664 (1,067) (4.0) 2s;s91 27,788 Patient Days 293:614 293:689 (75) 0.0 293:614 298,042 61.1% 63.7% (3)% (4.1)% 66.0% 57.7% Sal/Ben% NOR 63.4% 63.1% 0% 0.5% 64.0% 63.2% 22.5% 21.9% 1% 2.6% 20.7% ·22.0% SWelies % NOR 21.9% 21.8% 0% 0.5% 21.8% 22.3% 24.1% 22.9% 1% 5.3% 25.5% 22.3% Ot er Ex~% NOR 22.5% 22.9% 0% (1.8)% 24. r1. 22.9'/4 (7. 7)% (8.5)% 1% (10.1)% (12.3)% (2.0)% Oper EB! TDPR % NOR (7.8)% (7.8)% 0% 0.5% (10.5)% (8.3)%

7,641.3 7,998.1 (357) (4.5) 7,825.7 7,958.4 FTE's - Total 7,814.7 8,012.7 (198) (2.5) 7,981.6 7,880.7 l+.99 4.90 0 2.0 5.00 4.89 FTE's/AOB 4.91 4.88 0 0.7 4.92 4.87

147. 7 139.2 8 6.1 147.8 145.9 Hours/AA 147.9 138.2 10· 7.0 147.9 l~ti 127.9 121.2 7 5.5 128.4 127.6 Productive Hrs/AA 127.5 120.1 7 6.1 128.4 28.5 28.0 1 2.0 28.6 27.9 Hours/APO 28.1 27.9 0 0.7 28. 1 27.8 24.7 24.4 0 1.4 24.8 24.4 Productive Hrs/APD 24.2 24.2 0 (0.1) 24.4 24.2

32.96 32.37 1 1.8 32.36 32.74 Avg Hourly Rate 33.17 32.47 1 2.1 32.46 32.55

1 633 1,617 17 1.0 1,587 1,741 Total Reirrb/APO 1,651 1,631 20 1.2 1,617 1,617 1:931 1,812 119 6.6 1,790 1,960 NOR/APD 1,859 1,827 32 1. 7 1,815 1,814

941 906 35 3.9 924 915 Salaries/APO 931 906 26 2.8 912 906 434 397 37 9.3 371 431 Suppl ies/APD 407 398 9 2.3 395 404

2,169 2,058 111 5.4 2,106 2,093 Total Expense/APO 2,096 2,062 35 1. 7 2,098 2,055

38,573 35,077 3,496 10.0 36,197 38 835 GPR/AA 39,156 34,765 4,391 12.6 38,192 36,115 9 993 9 010 983 10.9 9 262 10:234 NOR/AA 9,787 9 054 733 8.1 9 550 9 293

11:226 10:237 989 9.7 10;895 10,929 Total Expense/AA 11,038 10:218 820 8.0 11:041 10:521

OPERATING INDICATORS: 825.7 860.1 (34) (4.0) 825.7 896.4 Avg Daily Census 876.5 876.7 0 0.0 876.5 889.7

5.3 5.0 0 4.9 5.3 5.3 Avg Length of Stay 5.4 5.0 0 7.2 5.4 5.2 81.8 75.7 6 8.0 81.B 89.2 Short Stay-AOC 87.2 75.7 11 15.1 87.2 79.8 1.3 1.3 0 (2.3) 1.3 1.4 Short Stay-ALOS 1 .4 1.3 0 2.4 1.4 1.4

\578 3~934 (356) (9.0) 3~578 3~831 ER Dept Admissions 39~849 43~094 (3,245) (7.5) 39~849 42~389 6.3 5.8 0 1.7 6.3 6.3 Direct Adnits % 7.0 6.4 1 2.4 7.0 6.0 454 491 (37) (7.5) 454 455 Births 5 472 5,419 53 1.0 5,472 5,336 880 998 (118) (11.8) 883 925 Nursery Days 11:337 11,016 321 2.9 11,366 10,707

1 173 1,310 (137) (10.5) 1,173 1,393 IP surgeries 12,778 14,032 (1,254) (8.9) 12 778 13,867 ,;346 1 388 (42) (3.0) 1,346 1,417 OP surgeries 14,136 14,536 (400) (2.8) 14: 136 14,687 2,519 2;698 (179) (6.6) 2,519 2,810 Total surgeries 26,914 28,568 C ,, 654) (5.8) 26,914 28 554 2,537 2,348 189 8.0 2,537 2 766 Short Stay Days 29,196 25,367 3,829 15. 1 29,196 26:745 1 930 1,745 185 10.6 1,930 2:002 Short Stay Cases 21 375 19 010 2,365 12.4 21 375 19,265 17:423 17,090 333 1.9 17,423 18 177 OP Ancillary Visits 1871 284 1sz:129 4,555 2.5 187;284 189,814 17,423 17,090 333 1.9 17,423 21;062 OP Med Ctr Visits 187;2a4 182,729 4,555 2.5 187,284 218,880 1 273 1 236 37 3.0 1,273 1 292 OP Clinic Visits 13 073 13 392 (319) (2.4) 13 073 13,370 22:963 24;724 (1,761) (7.1) 22,963 24;213 ER OeVt Visits 2ss: 159 210:054 (11,895) (4.4) 2s8: 159 266,353 1,504 2,477 (973) (39.3) 2,477 2,167 GCHH isits 17,180 22,697 (5,517) (24.3) 22,697 17,286 167 453 (286) (63.1) 453 465 Hospice Home Care Visi 3 438 4 145 (707) (17.1) 4,145 3 352 19, 132 27,603 (8,471) (30.7) 27,603 24,770 Physician Office Visit 216:143 286:571 (70,428) (24.6) 286,571 257:443 128 196 (68) (34.7) 196 54 BH Imaging Visits 790 2,081 (1,291) (62.0) 2 081 298 910 1,049 (139) (13.3) 1,049 1,012 BHUC Center Visits 11,525 12,867 (1,342) (10.4) 12:867 12,414 1,836 1,968 {132) (6.7) 1,968 2,037 BH Weston VisHs 23,553 23,558 (5) 0.0 23 558 23 054 8,025 9 863 (1,838) (18.6) 9,863 8,879 Primary Care Visits 87 170 101,009 (13,839) (13. 7) 101 :009 94:624 2,936 3; 191 (255) (8.0) 3,191 3,191 COTC V1sits 32:298 33,648 (1,350) (4.0) 33,648 33,648

) ) COMBINED - MONTHLY PAYOR STATISTICS BY MEOICAL CENTER - MAY FY18 Page 1 JUL - MAY S-JUN-2018 5:20 PM

-------- ····---- CURRE~T MONTH -·-···-- *** *** ··------ PERIOD TO DATE --------ACTUAL BUOGET DlFF ¾ VAR LFY ACTUAL BUDGET DIFF ~ VAR LFY

ADMISSIONS

PAYOR TYPE MEDlCARE 949 1,014 (65.00) (6.41) 978 10,480 11,150 (670.00) (6.01) 10,854 MEDICAID 430 434 (4.00) (0.92) 424 4,920 4,809 111.DO 2.31 4,696 PSN (1) 0 (1.00) 0.00 376 (39) 0 (39.00) 0.00 4,002 HMD/PPO/COMM 1,175 1,304 (129.00) (9.89) 1,291 13,193 14,385 (1,192.00) (8.29) 14,229 HMO/PPO·MCARE 823 885 (62.00) (7.01) 904 9,320 9,828 (SOB.OD) (5.17) 9,499 HMO/PPO·MCAID 775 857 (B2.00) {9.57) 491 9,076 9,438 (362.00) (3.84) 5,329 CHARITT ADMS 153 1n (24.00) (13.56) 180 1,685 1,950 (265.00) (13.59) 1,910 PRJV PAY ADMS 548 634 (B6.00) (13.56) 557 5,959 6,973 (1,014.00) (14.54) 6,739

-----------------------------------------~-----~- -------------------------------------------~~----TOTAL ADMITS 4,852 5,305 (453.00) (8.54) 5,201 54,594 58,533 (3,939.00) (6.73) 57,258

PATIENT DAYS

PAYOR TYPE MEDICARE 5,222 5,557 (335.00) (6.03) 5,584 59,202 60,973 (1,771.00) (2.90) 61,478 MEDICAID 3,296 2,873 423.00 14.72 3,082 34,507 32,094 2,413.00 7.52 32,181 PSN (4) 0 (4.00) 0.00 2,136 388 0 388.00 0,00 21,084 HMO/PPO/COMM 5,692 5,912 (220.00) (3.72) 6,087 64,864 65,055 (191.00) (0.29) 66,394 HMO/PPO-MCARE 4,427 4,819 (392.00) (8.13) 5,056 53,948 53,060 888,00 1.67 52,817 HMO/PPO·MCAID 4,193 4,388 (195.00) (4.44) 2,926 49,424 48,259 1,165.00 2.41 29,544 CHARITY DAYS 802 775 27.00 3.48 744 7,170 8,552 (1,382.00) (16.16) 8,684 PRIV PAY DAYS 1,969 2,340 (371.00) (15.85) 2,173 24,111 25,693 (1,582.00) (6.16) 25,860

---------------·-----~-------·--·---------------- -------------------------------------------------TOTAL PAT DAYS 25,597 26,664 (1,067.00) (4.00) 27,788 293,614 293,686 (72.00) (0.02) 298,042

E.R. VISITS

PAYO~ TYPE MEDICARE 1,956 2,119 (163.00) (7.69) 2,066 22,854 23,133 (279.00) (1.21) 22,157 MEDICAID 1,179 1,040 139.00 13.37 1,226 12,084 11,364 720.00 6.34 11,190 MANAGED CARE 14,306 15,167 (861.00) (5.6B) 15,145 159,381 165,595 (6,214.00) (3.75) 165,755 CHARITY/PRIV PAY/UNASS __ s,s22 ____ 6,398 ______

North Broward Hospital District Summary of Monthly Patient Payments January 2015 through December 2018

Month of Caleudar 2015

January 66,273,747

February 70,138,006

March 84,441,493

April 82,556,897

May 71,707,193

June 83,057,523

July 77,568,567

August 72,575,291

September 77,399,973

October 75,640,359

November 66,409,047

December 74,774,528

Totals 902,542,623

Monthly Avera2e 75,211,885

Last 12 month avera2e 75,989,545

Calendar 2016 Calendar 2017 Calendar 2018

64,110,729 82,725,718 80,264,778

73,935,952 75,482,775 73,700,385

92,851,627 87,205,021 82,457,515

81,361,062 75,245,228 82,434,673

83,226,329 93,299,553 84,176,586

79,336,337 78,139,000

71,457,553 70,080,337

84,434,591 85,291,665

74,567,437 70,640,385

70,392,912 79,515,110

77,112,960 77,732,246

74,915,809 75,233,182

927,703,298 950,590,219 403,033,937

77,308,608 79,215,852 80,606,787

76,909,249 78.847,991 78,305,488

~. North Broward Hospital District Days in Accounts Receivable Period Ended May 31, 2018

Total Total BHMC BHN BHIP BHCS MedCtrs System

May 2016 48.1 50.6 35.2 40.1 46.1 47.9

June 2016 47.7 50.l 35.0 39.7 45.7 46.8

July 2016 50.8 51.7 34.3 39.5 47.5 47.1

August 2016 51.3 48.6 31.5 36.6 46.3 43.7

September 2016 61.1 53.7 38.9 40.4 53.6 54.4

October 2016 63.1 54.1 39.7 42.l 54.9 57.4

November 2016 66.2 54.0 38.4 41.4 56.0 56.7

December 2016 64.2 59.7 40.5 41.7 56.6 57.1

January 2017 63.3 57.l 40.8 36.8 54.9 55.2

February 2017 63.0 54.7 38.5 37.2 54.1 54.4

March 2017 57.8 50.0 39.2 37.6 50.7 51.2

April 2017 52.7 47.0 39.7 37.0 47.8 48.3

May 2017 50.1 45.0 38.7 34.5 45.5 46.1

June 2017 48.6 44.6 40.8 37.4 45.2 45.9

July 2017 58.0 55.1 41.2 40.8 52.6 53.0

August 2017 57.4 55.7 40.4 39.1 52.0 51.7

September 2017 61.7 56.9 45.5 42.0 55.6 55.2

October 2017 62.7 58.2 40.0 41.1 55.6 54.9

November 2017 58.7 58.1 40.5 42.0 53.7 54.3

December 2017 59.1 58.1 39.2 42.8 53.8 54.4

January 2018 59.9 57.3 41.2 41.6 54.3 54.8

February 2018 60.1 55.5 43.4 42.1 54.4 54.8

March 2018 58.9 56.5 40.7 39.4 53.2 53.6

April 2018 58.0 55.5 39.5 38.7 52.3 52.7

May 2018 56.9 51.8 39.3 40.4 51.1 51.3

) )

North Broward Hospital District Days in Accounts Receinble Quarterly Comparison

May April March December September June March December September June March 2018 2018 2018 2017 2017 2017 2017 2016 2016 2016 2016

ALLMEDCTRS Net AIR 134,540,810 142,083,871 144,427,013 137,442,117 137,124,459 133,567,326 131,997,442 135,205,721 129,792,545 129,792,098 124,142,168 Net Revenue/Day 2,634,682 2,716,397 2,714,538 2,552,859 2,467,520 2,955,273 2,603,184 2,387,921 2,421,792 2,843,119 2,600,297

AIR Days 51.07 52.31 53.21 53.84 55.57 45.20 50.71 56.62 53.59 45.65 47.74

BGMC Net AIR 75,464,834 80,422,390 81,215,778 74,684,129 75,489,882 74,330,743 75,264,556 74,145,748 73,544,683 71,642,222 65,339,223

Net Revenue/Day 1,327,028 1,386,038 1,379,046 1,263,464 1,223,439 1,528,458 1,301,933 1,154,375 1,203,212 1,500,930 1,342,168

AIR Days 56.87 58.02 58.89 59.11 61.70 48.63 57.81 64.23 61.12 47.73 48.68

NBMC NetNR 29,852,205 32,655,173 33,568,348 33,351,952 32,143,172 29,851,825 29,448,245 32,961,204 30,008,536 30,945,548 31,573,946

Net Revenue/Day 576,344 587,951 594,534 574,328 565,182 669,834 588,858 551,988 558,876 617,960 577,746 AIR Days 51.80 55.54 56.46 58.07 56.87 44.57 50.01 59.71 53.69 50.08 54.65

IPMC NetA/R 12,584,569 12,827,509 13,546,688 12,734,528 12,884,571 12,888,426 11,928,455 11,236,864 10,801,221 11,550,641 10,609,537 Net Revenue/Day 319,847 324,458 332,452 325,167 283,035 315,765 303,957 277,211 277,923 329,899 279,724 NRDays 39.35 39.54 40.75 39.16 45.52 40.82 39.24 40.54 38.86 35.01 37.93

CSMC Net AIR 16,639,201 16,178,798 16,096,199 16,671,508 16,606,834 16.496,332 15,356.186 16,861,905 15,438,104 15,653,687 16,619,462

Net Revenue/Day 411,463 417,950 408,507 389,901 395,864 441,216 408,437 404,347 381,781 394,330 400,658 NR Days 40.44 38.71 39.40 42.76 41.95 37.39 37.60 41.70 40.44 39.70 41.48

ALLOTl:!ER Net AIR 4,595,918 5,322,313 5,531,737 5,871,902 5,706,661 6,128,778 6,551,763 6,104,617 7.439,282 7,769,808 8,823,416 Net Revenue/Day 78,731 83,038 84,892 82,373 121,852 89,407 102,695 87,953 101,428 95,350 97,193

AIR Days 58.37 64.10 65,16 71.28 46,83 68.55 63.80 69.41 73.35 81.49 90.78

CONSOLIDATED Net AIR 139,136,727 147,406,184 149,958,750 143,314,020 142,831,120 139,696,103 138,549,205 141,310,338 137,231,827 137,561,906 132,965,583 Net Revenue/Day 2,713,413 2,799,435 2,799,430 2,635,232 2,569,372 3,044,680 2,705,879 2,475,874 2,523,220 2,938,469 2,697,490 AIR Days 51.28 52.66 53.57 54.38 55.16 45.88 51.20 57.07 54.39 46.81 49.29

Run Time 07/23/18 11:59


NORTH BROWARD HOSP! TAL DISTRICT STATEMENT OF NET POSITION

For Period 12 Ending June 30 2018

ASSETS

Ct:RRENT ASSETS:

Cash and cash equivalents Cash & Investments Externally Short-term investments Assets whose use is limited and 1·equired for current liab Due from patients and other net of allowance for uncoil. ln\'entories Est. third party payor Net Taxes Receivable Other Current Assets

Total current assets

ASSETS WHOSE liSE IS Ll:\'IITED: Held by trustee under bond indenture agreement for Held by trustee for self-ins.

Less amount required to meet cui..-ent obligations Investment By Counter Party Project Fund - Restricted

Total assets whose use is limited, net

INVESTMENTS CAPITAL ASSETS, NET OTHER ASSETS

TOTAL ASSETS

------·--------

DEFFERED OUTFLOWS OF RESOURCES Accumulated decrease in fair· ,•aloe of hedging derivatives LOSS ON DEBT REFlJNDINGS DEFERRED PENSION AMOUNTS

Total Outflows of Resources

Total Assets & Deferred Outflo

2018

121,223,391 14,924,933

442,755,837

5,423,653

154,812,315 32,252,614

2,044,885 2,305,847

65,967,735

841,711,210

37,669,986

37,669,986

(5,423,653)

26,980,811

59,227,144

149,035,392 577,213,421

27,850,330

1,655,037,497

27,858,996 20,670,957

48,529,952

I ,703,567,450

2017

64,212,269 18,414,176

364,662,052

5,423,653

160,108,462 31,273,370

2,183,916 2,745,726

46,460,801

695,484,424

37,062,921

37,062,921

(5,423,653) 25,060,000

56,699,268

146,197,435 557,079,723

36,066,256

1,491,527,!07

20,942,320 9,380,447

20,670,957

50,993,723

1,542,520,830

Page 1

Fisc: Year 2018

LIABILITIES AND NET POSITION

Ct:RRENT LIABILITIES: Current maturities of revenue bonds payable (4,030,000) (12,050,000) Current maturities of lease facility obligations (107,929) (102,533) Accounts payable and acc. exp (144,218,028) ( 120,048,J 50) Acer salaries and payroll tax (38,657,572) (26,158,469) Accrued personal lean (29,734,998) (36,961,547) Estimated third-party payor (32,340,863) (33,714,696) Interest Payable (2,214,561) Current portion of self-ins (5,423,653) (5,423,653)

Total Current Liabilities (254,513,044) (236,673,609)

REVENt:E BONDS, NET OF CURRENT (343,637,284) (210,475,000)

LEASE FACILITY OBLIG, NET OF (236,545) (344,474)

SELF-INS LIAB, NET OF ct:RRENT (27,059,022) (26,055,768)

:-.ET PENSION LIABILITY 1,397.412 1,397,412

OPEB PROGRAI\I LIABILITY (109,010,719) (99,910,160)

DERIVATIVE INSTRUMENTS (32,578,223)

Total liabilities (733,059,201) {604,639,822)

DEFERRED INFLOWS OF RESOURCES DEFERRED PENSION AMOUNTS (23,82 I ,417) (23,821,417)

Total Deferred Inflows (23,821,417) (23,821,417)

JliET POSITION !'iet Investments in Capital Assets (257,060,659) (331,852,259)

Restricted net assets-donor restrictions (26,117,095) (32,234,399)

Unrestricted (636,528,267) (524,912,932) Restrict By Countei· Party SW AP (25,060,000)

Project Fund - Restricted (26,980,811)

Total Net Position (946,686,831) (914,059,590)

TOT AL LIAB, DEF. !NFL & NET PO (1,703,567,449) (1,542,520,829)

) TOTAL SYSTEM OPERATING STATEMENT Internal Management Format· not for external reporting JUL· JUN

ACTUAL PLANNED BUDGET

CURRENT MONTH

OVER/ X OVER/ (UNDER) (UNDER)

FLEXED BUDGET

PRIOR YEAR

GROSS PATIENT REVENUE 189,031,867 195,021,465 (5,989,598) (3.1) 185,706,919 208,409,062 Inpatient 137,844,459 145,003.,439 (7,158,980) (4.9) 141,657,047 146,728,562 Outpatient/Emergency 326,876,326 340,024,904 (13,149)T (3.9) 327,363,966 355,137,624 TOTAL GROSS PAT REV ·

DEDUCTJONS 34 747 547 34 674 046 73 501 10;275

1643 11;301'395 c1 02s;752>

211,ooo:s93 215,457:094 c4:456,201> 256,024,083 261,432,535 (5,408,452)

0.2 33,144,472 31,448,B66 (9.1) 10,938,973 11,876,988 (2.1) 209,186,354 230,261,183 (2.1) 253,269,799 273,587,037

Prov for Uncollectible charity Care Third Partr/Other

TOTAL DEDUCT ONS

15,050,525 8,047,415 6 08B,962

45:713,965 (4,048,624) 70,852,243

2 575 425 3

1472 1 612

'392:944 n,293,224

4,218,660 81,511,884

17,021,258 (1,970,733) 3,836,888 4,210,527 8,399,786 (2,310,824)

53,707,043 (7,993,078) (4,372 606) 323,982 78,592:369 (7,740,126)

C 11.6) 109.7 (27.5) (14.9) (7.4) (9.8)

2,575,442 (17) 0.0 1,621,940 1,850,672 114.1

464,049 (71,105) (15.3) 83,253,800 (5,960,576) (7.2)

5,131,215 (912,555) (17.8) ~8,385,015 (6,873,131) (7.8)

15,570,505 4,087,854 7 862 985

50:s2s;803 (4,252,980) 74,094,167

2,575,442 1,621,940

464 049 78,755:598

5,131,215 83,886,813

REIMBURSEMENT 14,660,239 Medicare-Traditional 4,735,267 Medicaid-Traditional

12,152,120 MC - M'caid/PSN 54,294,998 MC - M'care/Conmercial (4,292,037) Other Reimbursement 81,550,587 TOTAL RE[MBURSEMENT

(9,607,321) Medicaid DSH Pymts 1,976,880 Grant Revenue

580,367 Capitated Revenue 74,500,513 TOTAL NET REIMBURSEMENT

5,950,437 Other Operating Revenu 80,450,950 NET OPERATING REVENUE

OPERATING EXPENSES 39,369,556 44,307,338 (4,937,782) .(11.1) 43,321,471 43,593,181 Salaries 10,155,974 12,089,960 (1,933,986) (16.0) 12,015,683 4,311,967 Benefits 1,170,667 4,951,113 (3,780,446) (76.4> 4,951,113 5,496,719 Fees - Physician 9,742,084 9,233,032 509,052 5.5 9,158,273 12,757,616 Fees - Other

17,589,233 19,527,138 (1,937,905) (9.9) 18,281,559 20,985,746 Supplies 842,769 B67,988 (25,219) (2.9) 867,988 883,528 Insurance

2,496,431 1,669,123 827,308 49.6 1,654,562 2,026,333 Repairs & Maintenance 775,534 851,996 (76,462) (9.0) 851,996 927,725 Lease & Rentals

1,529,347 1,518,670 10,677 0.7 1,518,605 1,629,781 Utilities 1,035,683 1,015,691 19,992 2.0 1,015,691 994,815 PMATF Assessment (307,115) 421,515 Cn8,630) (172.9) 1,595,441 649,699 Other

84,400,163 96,453,564 (12,053)T (12.5) 95,232,382 94,257,110 TOTAL OPERATING EXPENSES

4,675,370 4,633,409 41,961 0.9 4,633,409 4,854,665 · Depreciation 89,075,533 101,086,973 (12,011)T (11.9) 99,865,791 99,111,ffl TOTAL EXPENSES

(7,563,649) (12,701,958) 5,138,309 (40.5) (15,978,978) (18,660,825) GAIN(LOSS) OPERATIONS

11,795,767 1,408,091

(4,310,320) 234,942 151,233

1,982,788 223,619

1,658,335 738,084

4,676,887

(2,886,762)

11,395,412 782,515 596,422

1,134,690 500,924

926,862 190,714 756,969 751 152

11, 784:266

400 355 3.5 625:576 79.9

(4,906,742) (822.7) (899,748) (79.3) (349,691) (69.8)

1,055,926 32,905

901,366 (13,068)

(7,107,379)

113.9 17.3

119.1 (1. 7)

(60.3)

(917,692) (1,969,070) 214.6

11,395,412 782,515 596,422

1,134,690 500,924

926,862 190,714 756,969 751 152

11,784:266

(4,194,712)

13,124,961 1,295,792 3,392,331

581 136 (205:743)

NON-OPERATING REVENUE Unrestr Tax Revenue Dividend/Interest Inc Gain/Closs) on Invest Donated Revenue Other Non-Oper Revenue

NON-OPERATING EXPENSE (3,061,286) Interest Expense

220,766 Investment Mgmt Fees 529,918 Donated Expense 751,152 M'Caid Cty Funding

19,747,927 NON·OPER.GAIN/CLOSS)

1,087,102 EXCESS REV OVER EXP

ACTUAL

2,572,883T 1, 715,368T 4,288,252T

PERIOD

PLANNED BUDGET

- TO· DATE

OVER/ % OVER (UNDER) (UNDER)

2,453,1621 119,721T 4.9 1,744,13n C28,768)T (1.6) 4,197,299T 90,953,339 2.2

) Page 1

20-JUL-2018 5:07 PM

FLEXED BUDGET

2,550,743T 1, 735,504T 4,2B6,247T

PRIOR YEAR

2,464,422T 1, 712,699T 4,177, 121T

412,495,299 429,730,695 134,244,793 151,269,428

2,791,330T 2 640 747T

(17,235)T (4.0) 435,978,994 414,849,579 (17,025)T (11.3) 153,234,457 148,952,412 150,583T 5.7 2,743,9691 2,655,076T

3,338,070T 3:221:747T 116,323T 3.6 3,333,1831 3,218,878T

205,954,664 55,747,705 89 181 380

636:soo:613 (37,202,785) 950, 181,577

30,905,100 22,955,992 6 179 512 1 :010:2221

61,439,179 1,071,661T

535,528,647 141,962,477 57 640 174

105: 001: 294 234,443,733 10,086,071 21,624,873 10 124 868 18:sa6:651 12,195,870 5 079 803 1:152:274T

53,546,887 1,205,821T

207,770,927 48 305 338

104:621:363 652,095,361 (37,241,939) 975,551,050

(1,816,263) 7,442,367

(15,440)T (15,595)T 39,154

(25,369)T

(0.9) 198,022,379 191,540,485 15.4 51 761,453 54 648 208

(14.8) 104:641,451 116:364:411 (2.4) 636,575,690 631,451,779 (0.1) (37,936,846) (35,761,549) (2.6) 953,064,127 958,243,334

30,905,121 19,578,130 5,644 304 1,031:679T

61,307,119 1,092,986T

(21) 0.0 3,377,862 17.3

535,208 9.5 (21,456)T (2.1)

132,060 0.2 (21,324)T (2.0)

30,905,121 19,578,130 5 644,304 1;009,192T

61,307,119 1,070,499T

542,338,515 (6,809,868) (1.3) 539,455,747 147,733,676 (5,771,199) (3.9) 147,542,637 62,476,665 (4,836,491) (7.7) 62,476,665

112,290,201 (7,288,907) (6.5) 112,089,225 238,405,911 (3,962,178) (1.7) 234,335,572 10,451,319 (365,248) (3.5) 10,451,319 19 726 917 1 897,956 9.6 19,672,532 10:24B:318 l123,450) (1.2) 10,248,318 17,937,578 649,073 3.6 17,935,979 12 206 605 (10 735) (0.1) 12 206 605 5:697:971 c10.8> 20:62?;087 1,179,5141 C27,239)T (2.3) 1,187,042T

55,336,251 (1,789,364) (3.2) 55,336,251 1,234,BSOT (29,029)T (2.4) 1,242,378T

20,457 877 19,aoo:622 5 835 163 1 :004;337r

59,625,502 1,063,962T

534,681,918 134,382,673 65 746 096

110;853:770 240,094,726 10,004,926 18,599,853 9 917 756

18:456:020 12,039,285 4 868 040 1: 159:645T

53,501,009 1,213,146T

(134,159,988) (141,864,203) 7,704,215 (5.4) ( 171,879)T (149, 184)T

138,565,506 10,209,270 44,039,722 8,914,307 2,966,285

18,089,525 2,341,436 8,619,893 8 B57 008

166:787:228

32,627,240

138,079,600 9,412,709 7, 152,541

13,739,901 6,011,088

10,941,607 2,288,557 9,083,593 8 705 307

143:376:775

1,512,572

485,906 796,561

36,887,181 (4,825,594) (3,044,803)

7,147,918 52,879

(463,700) 151,701

23,410,453

31,114,668

0.4 138,079,600 8.5 9,412,709

515.7 7,152,541 (35.1) 13,739,901 (50.7) 6,011,088

65.3 10,941,607 2.3 2,288,557

(5.1) 9,083,593 1.7 8 705 307

16.3 143:376:775

137,937,663 9,673 975

48,805:865 5,876,194 3,611,418

9,200,907 2,429,194 2,862,351 8,705 307

182, 707:356

2.1T (28,502,361) 33,523,782

) ) TOTAL SYSTEIII Page 2 OPERATING STATEMENT 20-JUL-2018 5:07 PM Internal Management Format - not for external reporting JUL - JUN

CURRENT MONTH PERIOD · TO - DATE ___ ,. _______ ------ ... ______ -------- ---------- -.. -.. -... -- -------- .. --- -"' --------ACTUAL PLANNED OVER/ % OVER/ FLEXED PRIOR ACTUAL PLANNED OVER/ % OVER FLEXED PRIOR BUDGET (UNDER) (UNDER) BUDGET YEAR BUDGET (UNDER) (UNDER) BUDGET YEAR

KEY INDICATORS: 44,926 49,120 (4,194) (8.5) 46,637 48,349 Adj Patient Days 577 647 599,059 (21,412) (3.6) 590,390 590,407 8 700 9,892 (1, 192) (12.1) 9,036 9,344 AdJ Admissions 109:869 120,845 (10,976) (9.1) 112,376 115, 172

12:510 86 938 (14,428) (16.6) 84,420 83, 101 ED/Out~/Sate Visits 923,117 1,039,689 (116,572) (11.2) 1,029,512 1,023,823 4 549 5

1

091 (542) (10.6) 4 549 4 970 Admissions 59,143 63 625 (4,482) (7.0) 59 143 62 228 23:874 2s:5s9 (1,685) (6.6) 23:874 26: 181 Patient Days .317,488 319:248 C 1, 760> (0.6) 317;488 324:223

60.8% 63.8% (3)% (4.8)% 66.0% 59.5% Sal/Ben% NOR 63.2¾ 63.1% 0% 0.1% 64.2% 62.9% 21.6% 22.1% (1)% (2.3)X 21.8% 26.1% Su~plies % NOR 21.9'/. 21.8% 0% 0.3% 21.9% 22.6% 21.2% 23.2% (2)% (8.7)% 25.8% 31 .5% Ot er Ex~ % NOR 22.4% 23.0% (1)% (2.4)% 24.8% 23.5% (3.5)% (9.1 )% 6% (61.2)% (13.5)% (17 .2)% Oper EBI TDPR % NOR (7.5)% (7.9)% 0% (5.0)% (10.9)% (9.0)%

7,540.3 8,016.7 (476) (5.9) 7,841.3 7,912.4 FTE's -. Total 7,792.1 8,013.0 (221) (2.8) 7,973.0 7,883.3 5.04 4.90 0 2.8 5.04 4.91 FTE's/AOB . 4.92 4.88 0 0.8 4.93 4.87

148.6 138.9 10 6.9 148.8 145.2 Hours/AA 147.9 138.3 10 7.0 148.0 142.8 · 125.9 120.2 6 4.7 128.4 124.9 Productive Hrs/AA 127.4 120.1 7 6.0 128.5 123.9 28.8 28.0 1 2.8 · 28.8 28.1 Hours/APO 28.1 27.9 0 0.8 28.2 27.8 24.4 24.2 0 0.7 24.9 24. 1 Productive Hrs/APO 24.2 24.2 0 o.o 24.5 24.2

30.46 32.24 (2) (5.5) 32.23 32.14 Avg Hourly Rate 32.95 32.45 1 1 .5 32.44 32.52 1 577 1,600 (23) (1.4) 1,589 1,687 Total Reimb/APD 1 645 1,628 16 1.0 1,614 1,623 1:814 ,,m 15 0.8 1,799 1,664 NOR/APO ,;ass 1,825 31 1.7 1,813 1,802

876 (26) (2.8) 929 902 Salaries/APO 927 905 22 2.4 914 906 392 398 (6) (1.5) 392 434 Supplies/APO 406 398 B 2.0 397 407

1,983 2,058 (75) (3. 7) 2,141 2,050 Total Expense/APO 2,087 2,061 26 1.3 2,104 2,055 37,5n 34,374 3,198 9.3 36,229 38,007 GPR/AA 39,031 34,733 4,298 12.4 38,142 36,269 9 369 8,935 434 4.9 9 284 8 610 NOR/AA 9 754 9 045 709 7.8 9,526 9 238

10:239 10,219 20 0.2 11 :os2 10:601 Total Expense/AA 10:975 10:218 757 7.4 11,056 10:533

OPERATING INDICATORS: 795.8 852.0 (56) (6.6) 795.8 872.7 Avg Daily Census 869.8 874.7 (5) (0.6) 869.8 888.3

5.2 5.0 0 4.5 5.2 5.3 Avg Length of Stay 5.4 5.0 0 7.0 5.4 5.2 89.5 77.3 12 15.7 89.5 96.9 Short Stay-ADC 87.3 75.9 11 15.1 87.3 81.2 1.4 1.3 0 3.1 1.4 1.5 Short Stay-Atos 1.4 1.3 0 2.4 1.4 1.4

3l92 3z.163 (471) (12.5) 3l92 3l34 ER Dept Admissions 43~141 46~857 (3,716) (7.9) 43~141 46~023 7.6 6.1 2 5.9 7.6 6.9 Di rect Admits % 7.1 6.4 1 2.7 7.1 6.0 489 462 27 5.8 489 437 Births 5 961 5 881 80 1 .4 5,961 5 773 983 939 44 4.7 984 950 Nursery Days 12:320 11 :955 365 3.1 12,350 11:657

1 075 1,269 (194) (15.3) 1 075 1,249 IP Surgeries 13,853 15,301 (1,448) (9.5) 13,853 15,116 1:315 1,318 (3) (0.2) 1 :315 1,394 OP Surgeries 15,451 15,854 (403) (2.5) 15,451 16,081 2,390 2,587 (197) v-6> 2,390 2,643 Total Surgeries 29,304 31,155 (1,851) (5.9) 29,304 31, 197 2,685 2,320 365 5.7 2,685 2,906 Short Stay Days 31 881 27,687 4,194 15.1 31,881 29,651 1,949 1 736 213 12.3 1 949 1 989 Short Stay Cases 23:324 20 746 2,578 12.4 23,324 21 254 16,289 16:498 (209) (1.3) 16:289 17:692 OP Ancillary Visits 203,573 199:227 4,346 2.2 203,573 201;so6 16,289 16,498 (209) (1.3) 16,289 20,543 OP Med Ctr Visits 203,573 199,227 4,346 2.2 203,573 239,423 1,296 1,193 103 8.6 1 296 1,215 OP Clinic Visits 14,369 14,585 (216) (1.5) 14,369 14,585 21,364 23,n6 (2,412) (10.1) 21:364 22,644 ER De~t Visits 279,523 293,830 (14,307) (4.9) 279,523 288,997 1,565 2,577 (1,012) (39.3) 2,577 2,514 GCHH isits 18,745 25,274 (6,529) (25.8) 25,274 19,800 135 472 (337) (71.4) 472 254 Hospice Home Care Visi 3 573 4 617 (1,044) (22.6) 4,617 3 606 19,290 26,709 (7,419) (27.8) 26,709 21,863 Physician Office Visit 235:434 313:280 cn,846> (24.8) 313,280 279:306 139 187 (48) (25. 7) 187 38 BH Imaging Visits 929 2,268 (1,339) (59.0) 2 268 336 806 1,026 (220) (21.4) 1,026 989 BHUC Center Visits 12,331 13,893 {1,562) C 11.2) 13:893 13,403 1,847 1 973 (126) (6.4) 1 973 2,013 BH Yeston Visits 25,400 25,531 (131) (0.5) 25 531 25 067 6,850 9:407 (2,557) (27. 2) 9:407 7,908 Primary 9are Visits 94,013 110,416 (16,403) (14.9) 110;416 102;532 2,929 3,120 (191) (6.1 > 3,120 3,120 CDTC V1s1ts 35,227 36,768 (1,541) (4.2) 36,768 36,768

) ) COMBINED· MONTHLY PAYOR STATISTICS BY MEDICAL CENTER· JUN FY18 Page 1 JUL· JUN 16-JUL-2018 8:37 AM

···-···· ·•·····• CURRENT MONTH ·······• *** *** ·•···•·· PERIOD TO DATE •·····•• ACTUAL BUDGET DIFF % VAR LFY ACTUAL BUDGET DIFF % VAR LFY

ADMISSIONS

PAYOR TYPE

MEDICARE 880 973 (93.00) (9.56) 836 11,360 12,123 (763,00) (6.29) 11,690 MEDICAID 398 416 (18.00) (4.33) 487 5,318 5,225 93.00 1.78 5,183 PSN O O 0.00 0.00 365 (39) 0 (39.00) 0.00 4,367 HMO/PPO/CQ4N 1,086 1,257 (171.00) (13.60) 1,192 14,279 15,642 (1,363.00) (8.71) 15,421 HMO/PPO·MCARE 749 853 (104.00) (12.19) 835 10,069 10,681 (612.00) (5.73) 10,334 HMO/PPO·MCAID 723 818 (95.00) (11.61) 488 9,799 10,256 (457.00) (4.46) 5,817 CHARITY ADMS 132 166 (34.00) (20.48) 137 1,817 2,116 (299.00) (14.13) 2 047 PRIV PAY ADMS 581 609 (28.00) (4.60) 630 6,540 7,582 (1,042.00) (13.74) 7;369

---------------------------·----------~-"-------- -·------------------·----------------------------TOTAL ADMITS 4,549 5,092 (543.00) (10.66) 4,970 59,143 63,625 (4,482.00) (7.04) 62,228

PATIENT DAYS

PAYOR TYPE

MEDICARE 5,234 5,316 (82.00) (1.54) 4,823 64,436 66,289 (1,853.00) (2.80) 66,301 MEDICAID 3,075 2,757 318.00 11.53 3,610 37,582 34,851 2,731.00 7.84 35,791 PSN (1) 0 (1.00) 0.00 2,053 387 0 387.00 0.00 23,137 HMO/PPO/COMM 5,009 5,683 (674.00) (11.86) 5,766 69,873 70,738 (865.00) (1.22) 72,160 HMO/PPO·MCARE 4,207 4,633 (426.00) (9.19) 4,833 58,155 57,693 462.00 0.80 57,650 HMO/PPO·MCAID 3,662 4,205 (543.00) (12.91) 2,856 53,086 52,464 622.00 1.19 32,400 CHARITY DAYS 482 732 (250.00) (34.15) 388 7,652 9,284 (1,632.00) (17.58) 9,072 PRIV PAY DAYS 2,206 2,237 (31.00) (1.39) 1,852 26,317 27,930 (1,613.00) (5.78) 27,712

-·----·---------------------------------·-~------ -------------------------------------------------TOTAL PAT DAYS 23,874 25,563 (1,689.00) (6.61) 26,181 317,488 319,249 (1,761.00) (0.55) 324,223

E.R. VISITS

PAYOR TYPE

MEDICARE 1,844 2,049 (205.00) (10.00) 1,901 24,698 25,182 (484.00) (1.92) 24,058 MEDICAID 1,119 992 127.00 12.80 1,144 13,203 12,356 847.00 6.85 12,334 MANAGED CARE 12,921 14,567 (1,646.00) (11.30) 13,948 172,302 180,162 (7,860.00) (4.36) 179,703 CHARITY/P~IV PAY/UNASS 5,480 6,168 (688.00) (11.15) 5,651 69,320 76,130 (6,810.00) (8.95) 72,902

------------------------------------------------- -------------------------------------------------TOTAL ER VISITS 21,364 23,776 (2,412.00) (10.14) 22,644 279,523 293,830 (14,307.00) (4.87) 288,997

O.P. VISITS 16,289 16,498 (209.00) (1.27} 20,543 203,573 199,227 4,346.00 2.18 239,423

ALOS MEDICARE 5.95 5.46 0.48 8.86 5.77 5.67 5.47 0.20 3.73 5.67 MEDICAID 7.73 6.63 1.10 16.58 7.41 7.07 6.67 0.40 5.95 6.91 PSN 0.00 0.00 0.00 0.00 5.62 (9.92) 0.00 (9.92) 0.00 5.30 HMO/PPO/COMM 4.61 4.52 0.09 2.02 4.84 4.89 4.52 0.37 8.21 4 68 HMO/PPO·MCARE 5.62 5.43 0.19 3.41 5.79 5.78 5.40 0.37 6.93 s:s8 HMO/PPO·MCAIO 5.07 5.14 (0.08) (1.47) 5.85 5.42 5.12 0.30 5.90 5.57 CHARITY 3.65 4.41 (0.76) (17.19) 2.83 4.21 4.39 (0.18) (4.02) 4.43 PRIV PAY 3.80 3.67 0.12 3.37 2.94 4.02 3.68 0.34 9.24 3.76

•-••-----••••••••••••••••••"•-••••••••••••••••••w ••••••••••••••••••••-••-•••••••••••••••••••••-••• SUB TOTAL 5.25 5.02 0.23 4.54 5.27 5.37 5.02 0.35 6.98 5.21

North Broward Hospital District Summary of Monthly Patients' Payments January 2015 through December 2018

Month of Calendar 2015

January 66,273,747

February 70,138,006

March 84,441,493

April 82,556,897

May 71,707,193

June 83,057,523

July 77,568,567

August 72,575,291

September 77,399,973

October 75,640,359

November 66,409,047

December 74,774,528

Totals 902,542,623

Monthly A veraee 75,211,885

Last 12 month averaee 76,321,961

Calendar 2016 Calendar 2017 Calendar 2018

64,110,729 82,725,718 80,264,778

73,935,952 75,482,775 73,700,385

92,851,627 87,205,021 82,457,515

81,361,062 75,245,228 82,434,673

83,226,329 93,299,553 84,176,586

79,336,337 78,139,000 72,279,255

71,457,553 70,080,337

84,434,591 85,291,665

74,567,437 70,640,385

70,392,912 79,515,110

77,112,960 77,732;246

74,915,809 75,233,182

927,703,298 950,590,219 475,313,193

77,308,608 79,215,852 79,218,865

76,599,150 78,748,213 77,817,176

North Broward Hospital District Days in Accounts Receivable Period Ended June 30, 2018 Draft Unaudited

Total Total BHMC BHN BHIP BHCS Med Ctrs System

June 2016 47.7 50.1 35.0 39.7 45.7 46.8 July 2016 50.8 51.7 34.3 39.5 47.5 47.1 August 2016 51.3 48.6 31.5 36.6 46.3 43.7 September 2016 61.1 53.7 38.9 40.4 53.6 54.4 October 2016 63.1 54.1 39.7 42.1 54.9 57.4 November 2016 66.2 54.0 38.4 41.4 56.0 56.7 December 2016 64.2 59.7 40.5. 41.7 56.6 57.1 January 2017 63.3 57.1 40.8 36.8 54.9 55.2 February 2017 63.0 54.7 38.5 37.2 54.1 54.4 March 2017 57.8 50.0 39.2 37.6 50.7 51.2 April 2017 52.7 47.0 39.7 37.0 47.8 48.3 May 2017 50.1 45.0 38.7 34.5 45.5 46.1 June 2017 48.6 44.6 40.8 37.4 45.2 45.9 July 2017 58.0 55.1 41.2 40.8 52.6 53.0 August 2017 57.4 55.7 40.4 39.1 52.0 51.7 September 2017 61.7 56.9 45.5 42.0 55.6 55.2 October 2017 62.7 58.2 40.0 41.1 55.6 54.9 November 2017 58.7 58.1 40.5 42.0 53.7 54.3 December 2017 59.1 58.1 39.2 42.8 53.8 54.4 January 2018 59.9 57.3 41.2 41.6 54.3 54.8 February 2018 60.1 55.5 43.4 42.1 54.4 54.8 March 2018 58.9 56.5 40.7 39.4 53.2 53.6 April 2018 58.0 55.5 39.5 38.7 52.3 52.7 May 2018 56.9 51.8 39.3 40.4 51.1 51.3 June 20i8 59.4 52.4 44.0 40.2 53.0 53.0

) )

North Broward Hospital District Days in Accounts Receinble Quarterly Comparison

June March December September June March December September June March 2018 2018 2017 2017 2017 2017 2016 2016 2016 2016

ALLMEDCTRS NetA/R 131,379,182 144,427,013 137,442,117 137, 124,459 133,567,326 131,997,442 135,205,721 129,792,545 129,792,098 124,142,168 Net Revenue/Day 2,481,046 2,714,538 2,552,859 2,467,520 2,955,273 2,603,184 2,387,921 2,421,792 2,843,119 2,600,297 AIR Days 52.95 53.21 53.84 55.57 45.20 50.71 56.62 53.59 45.65 47.74

BGMC NetA/R 74,478,789 81,215,778 74,684,129 75,489,882 74,330,743 75,264,556 74,145,748 73,544,683 71,642,222 65,339,223 Net Revenue/Day 1,254,030 1,379,046 1,263,464 1,223,439 1,528,458 1,301,933 1,154,375 1,203,212 1,500,930 1,342,168 AIR Days 59.39 58.89 59.11 61.70 48.63 57.81 64.23 61.12 47.73 48.68

NBMC Net AIR 27,856,686 33,568,348 33,351,952 32,143,172 29,851,825 29,448,245 32,961,204 30,008,536 30,945,548 31,573,946 Net Revenue/Day 531,616 594,534 574,328 565,182 669,834 588,858 551,988 558,876 617,960 577,746 AIR Days 52.40 56.46 58.07 56.87 44.57 50.01 59.71 53.69 50.08 54.65

IPMC Net AIR 12,647,078 13,546,688 12,734,528 12,884,571 12,888,426 11,928,455 11,236,864 10,801,221 11,550,641 10,609,537 Net Revenue/Day 287,736 332,452 325,167 283,035 315,765 303,957 277,211 277,923 329,899 279,724 AIR Days 43.95 40.75 39.16 45.52 40.82 39.24 40.54 38.86 35.01 37.93

CSMC Net.AIR 16,396,629 16,096,199 16,671,508 16,606,834 16,496,332 15,356,186 16,861,905 15,438,104 15,653,687 16,619,462 Net Revenue/Day 407,664 408,507 389,901 395,864 441,216 408,437 404,347 381,781 394,330 400,658 AIR Days 40.22 39.40 42.76 41.95 37.39 37.60 41.70 40.44 39.70 41.48

ALL OTHER Net.AIR 4,019,240 5,531,737 5,871,902 5,706,661 6,128,778 6,551,763 6,104,617 7,439,282 7,769,808 8,823,416 Net Revenue/Day 73,285 84,892 82,373 121,852 89,407 102,695 87,953 101,428 95,350 97,193 AIR Days 54.84 65.16 71.28 46.83 68.55 63.80 69.41' 73.35 81.49 90.78 -- -- ----

CONSOLIDATED NetNR 135,398,422 149,958,750 143,314,020 142,831,120 139,696,103 138,549,205 141,310,338 137,231,827 137,561,906 132,965,583 Net Revenue/Day 2,554,332 2,799,430 2,635,232 2,589,372 3,044,680 2,705,879 2,475,874 2,523,220 2,938,469 2,697,490 AIR Days 53.01 53.57 54.38 55.16 45.88 51.20 57.07 54.39 46.81 49.29 -- -

@BROWARD HEALTH' POWERfUL MEDtaNE

Financial Review Fiscal Year 2018

May 2018

~BROWARD

1. Net Operating Revenue

2. Salaries

3. Benefits

4. Fees - Physician

5. Fees-Other

6. Supplies

7. Insurance

8. Repairs & Maintenance

9. Lease & Rentals

10. Utilities

11. PMATF Assessment

12. Other

13. Depreciation

14. Total Expenses

15. Net Loss from Operations

16. Tax Revenue (Net)

17. Investment Income (Net)

18. Interest Expense

19. Donations (Net) & County Funding

20. Net Non-operating Revenue & Expenses

21. Excess

Operating Statement FY 2018- May 2018

($ in millions)

Current Month

Actual Budget Var Prior Year Var

$91.6 $91.7 ($0.1) $98.9 ($7.3)

44.6 45.9 (1.3) 46.2 (1.6)

11.3 12.6 (1.3) 10.9 0.4

5.0 5.0 0.0 6.2 (1.2)

11.0 9.4 1.6 9.9 1.1

20.6 20.1 0.5 21.7 (1.1)

0.8 0.9 (0.1) 0.6 0.2

1.6 1.7 (0.1) 1.4 0.2

0.9 0.9 0.0 1.0 (0.1)

1.4 1.5 (0.1) 1.6 (0.2)

1.0 1.0 0.0 1.0 0.0

0.4 0.6 (0.2) 0.4 0.0

4.3 4.7 (0.4) 4.8 (0.5)

$102.9 $104.2 ~ $105.6 W!l {!1Lll W1.fil w !S!Zl MID

11.2 11.4 (0.2) 11.2 0.0

6.9 1.2 5,7 7.1 (0.2)

2.1 1.0 1.1 1.2 0.9

0.0 0.5 (0.5) 0.2 (0.2)

$16.0 $12.1 $3.9 $17.3 1illl $4.7 ($0.4) S5.1 $10.6 IS5.9l

Year - to - Date


$990.1 $1,004.6 ($14.5) $983.5 $6.6

496.2 498.0 (1.8) 491.1 5.1

131.8 135.6 (3.8) 130.1 1.7

56.5 57.5 (1.0) 60.2 (3.7)

95.3 103.1 (7.8) 98.1 (2.8)

216.9 218.9 (2.0) 219.1 (2.2)

9.2 9.6 (0.4) 9.1 0.1

19.1 18.1 1.0 16.6 2.5

9.3 9.4 (0.1) 9.0 0.3

17.1 16.4 0.7 16.8 0.3

11.2 11.2 0.0 11.0 0.2

5.4 5.3 0.1 4.2 1.2

48.9 50.7 (1.8) 48.6 0.3

$11116.7 $11133.8 (17,1) $11114.0 $3.0

($126.6) ($129.2) $2.6 ($130.5) $3.9

126.8 126.7 0.1 124.8 2.0

55.0 13.1 41.9 51.6 3.4

16.1 10.0 6.1 12.3 3.8

(3.6) 1.8 (5.4) (1.1) (2.5)

$162.1 $131.6 $30.5 $163.0 ~

$35.5 $2.4 S33.1 $32.5 $3.0

2

Actual -1. Hours per APO 28.5

2. FTE1s 7,641.3

3. OT/Agency% of Prod Hours 2.9%

4. SWB % of NOR 61.1%

5. Supplies per APO 434

6. CMI -Medicare 1.7755

7. CMI-AII 1.4717

8. Margin Operation (12.3)%

Key Operating Indicators FY 2018 - May 2018

($ in millions)

Current Month

Budget Var PriorYear Var Actual - - -28.0 1.8 % 27.9 2.2 % 28.1

7,998.1 (4,5)% 7,958.4 (4,0)% 7,814.7

2.4% 22.1 % 5.2% (43.4)% 4.4%

63.7% (4.1)% 57.7% 5.9% 63.4%

397 9.3 % 431 0.7 % 407

1.7076 4.0% 1.7672 0.5% 1.7504

1.4020 5,0 % 1.4292 3.0 % 1.4439

(13.6)% (9.4)% (6.8)% 81.7 % (12.8)%

Year -to -Date

Budget Var Prior Year Var - -27.9 0.7 % 27.8 1.1 %

8,012.7 (2.5)% 7,880.7 (0,8)%

3.4% 29.1 % 5.2% (14.6)%

63.1% 0.5 % 63.2% 0.3 %

398 2.3 % 404 0.7 %

1.7076 2.5 % 1.7027 2.8%

1.4020 3.0 % 1.4001 3.1 %

(12.9)% (0.6)% (13.3)% (3.7)%

3

Statistical Overview FY 2_018- May 2018

Current Month Year - to - Date

Actual Bud~ Var Prior Year Var Actual Budget Var Prior Year Var

1. Admissions - Compensated 4,151 4,494 -8% 4,464 -7% 46,950 49,610 -5% 48,609 -3%

2. Admissions - Uncompensated 701 810 -13% 737 -5% 7,644 8,924 -14% 8,649 -12%

3. Admis~ions -Total 4,852 5,304 -9% 5,201 -7% 54,594 58,534 -7% 57,258 -5%

4. Patient Days 25,597 26,664 -4% 27,788 -8% 293,614 293,689 0% 298,042 -1%

5. Average Length of Stay 5.3 5.0 6% 5.3 0% 5.4 5.0 8% 5.2 4%

6. Short Stay Cases 1,930 1,745 11% 2,002 -4% 21,375 19,010 12% 19,265 11%

7. Short Stay Days 2,537 2,348 8% 2,766 -8% 29,196 25,367 15% 26,745 9%

8. Births 454 491 -8% 455 0% 5,472 5,419 1% 5,336 3%

9. Surgeries 2,519 2,698 -7% 2,810 -10% 26,914 28,568 -6% 28,554 -6%

10 ED Visits - Total 22,963 24,724 -7% 24,213 -5% 258,159 270,054 -4% 266,353 -3%

11 Outpatient Med Ctr. Visits 17,423 17,090 2% 21,062 -17% 187,284 182,729 2% 218,880 -14%

12 Community Health Care Visits 8,025 9,813 -18% 8,879 -10% 87,057 100,559 -13% 94,624 -8%

13 Physician Practice Visits 19,132 27,603 -31% 24,770 -23% 216,143 286,571 -25% 257,443 -16%

14 UCC Coral & Plantation Visits 910 1,049 -13% 1,012 -10% 11,525 12,867 -10% 12,414 -7%

15 BH Weston Visits 1,836 1,968 -7% 2,037 -10% 23,553 23,558 0% 23,054 2%

16 Home Health/Hospice Visits 1,671 2,930 -43% 2,632 -37% 20,618 26,842 -23% 20,638 0%

17 Hospice Patient Days 87 203 -57% 152 -43% 1,318 1,854 -29% 1472 -10%

4

Broward Health Medical Center


2. Total Expenses

3. Net Gain (Loss) from Operations

Broward Health North


5. Total Expenses


Broward Health Imperial Point

7. NetOperating Revenue

8. Total Expenses


Broward Health Coral Springs


11. Total Expenses


Broward Health All Other


14. Total Expenses


Operating Results - by Entity FY 2018- May 2018

($ in millions)

Current Month Prior

Actual Budget Var Year Var Actual

$40.2 $40.3 ($0.1) $45.9 ($5.7) $446.8

$43.4 $43.8 ($0.4) $41.7 lli $475.0 ($3.2) ($3.5) $0.3 $4.2 ($7.4) ($28.2)

$16.8 $19.5 ($2.7) $20.2 ($3.4) $205.2

$22.0 $21.8 $0.2 $21.4 $0.6 $238.4 ,. ($5.2) ($2.3) ($2.9) ($1.2) ($4.0) ($33.2)

$9.3 $9.8 ($0.5) $10.1 ($0.8) $108.1

$10.5 $10.8 ,. ($0.2) $11.0 ~ $117.8 ($1.2) ($1.0) ($0.3) ($0.9) ($0.3) ($9.7)

$13.7 $13.0 $0.7 $13.3 $0.4 $139.2

$13.6 $14.1 ,. ~ $13.7 ~ $147.6 0.1 ($1.1) $1.2 ($0.4) $0.6 ($8.5)

$11.6 $9.1 $2.5 $9.5 $2.1 $90.9

$13.4 $13.7 ,. !l2dl $17.9 ($4.5) $137.9 ($1.8) ($4.6) $2.9 ($8.4) $6.6 ($47.0)

Year - to Date Prior

Budget Var Year Var

$444.3 $2.5 $454.2 ($7.4)

$477.8 ill:fil $447.0 $28.0 ($33.5) $5.3 $7.2 ($35.4)

$212.4 ($7.2) $205.7 ($0.5)

$240.1 ($1.7) $224.9 $13.5

($27.7) ($5.5) ($19.2) ($14.0)

$105.7 $2.4 $100.6 $7.5

$116.4 $1.4 $112.8 $5.0

($10.7) $1.0 ($12.2) $2.5

$144.5 ($5.3) $137.1 $2.1

$154.1 ,. ($6.5) $149.9 illdl ($9.6) $1.2 ($12.8) $4.3

$97.8 ($6.9) $85.9 $5.0

$145.5 ($7.6) $179.4 ($41.5) ,. ($47.7) $0.7 ($93.5) $46.5

5

Key Financial Indicators

FY2017 FY2018 Moody's (2016) Audit Audit Audited May May Not For Profit

Kei Financial Indicators FY2015 FY2016 FY2017 2017 2018 Median A Rated

Liquidity:

Cash on Hand (Days) 230.7 183.2 186.4 193.6 233.5 204.7 215.5

Accounts Receivable (Days) 49.7 46.8 46.4 46.1 51.3 47.8 48.1

Cash-to-Direct Debt(%) 297.3% 240.0%. 257.9% 270.6% 208.3% 157.3% 160.6%

Capitalization:

Debt-to-Capitalization (%) 21.6% 21.0% 19.6% 19.6% 26.8% 34.9% 33.9%

Debt Service Coverage (x) 2.8 3.2 2.9 3.7 3.5 4.6 5.0

Average Age of Plant (Years) 16.3 16.9 16.4 16.7 17.1 11.2 11.4

Capital Spending Ratio (% of Depr. Exp.) 130% 186% 171% 176% 143% 120% 120%

Profitability:

Excess Margin(%) -0.1% -1.1% 2.8% 2.9% 3.2% 5.6% 6.1%

6

Total Cash Collected

$95,000,000

$90,000,000

$85,000,000

$80,000,000

$75,000,000

$70,000,000

$65,000,000

$60,000,000

$55,000,000

$50,000,000

$45,000,000

$40,000,000

$35,000,000

$30,000,000

$25,000,000

$20,000,000

$15,000,000

$10,000,000

$5,000,000 JUL AUG SEP OCT NOi DEC JAN FEB MAR APR MAY YTDAVG

• FY 2016 Cil'ih • FY 2017 Cash w FY 2018 Ciml

7

CASH FLOW STATEMENT

FY2017 YTD-May

2017

Beginning Balance Cash & Investments

Excess of Revenue over Expense Add: Depreciation Add: Change in Accounts Recv. Less: Capital Expenses Add: All other before tax revenue

Sub totals

Ad Valorem Tax Collections Ad Valorem Tax Accruals

Ending Balance Cash & Investments ,

Change in Cash & Investments

563,289,536

32,436,682 48,646,264 (7,292,529)

(70,649,762) 23,961,364

27,102,019

145,339,577 (132,379,649)

603,351,483

40,061,947

FY2018 YTD-May

2018

575,071,756

35,514,004 48,871,408

1,404,463 (56,231,861) 108,918,232

138,476,245

146,309,811 (134,716,930)

725,140,881

150,069,125

8

CASH FLOW STATEMENT

Beginning Balance Cash & Investments

Excess of Revenue over Expense Add: Depreciation Add: Change in Accounts Recv. Less: Capital Expenses Add: All other before tax revenue

Sub totals

Ad Valorem Tax Collections Ad Valorem Tax Accruals

Ending Balance Cash & Investments

Change in Cash & Investments

FY 2017 YTD-Jun

2017

563,289,536

33,523,784 53,500,919 (4,651,342)

(91,378,342) 20,509,304

11,504,323

146,499,838 (146,221,941)

575,071,756

11,782,220

FY2018 YTD-May

2018

575,071,756

35,514,004 48,871,408 1,404,463

(56,231,861) 108,918,232

138,476,246

146,309,811 (134,716,930)

725,140,883

150,069,127

9

Community Benefit Summary

($ in Thousands)

Budget I FY 2018 • YTD May 2018 FY 2014 FY 2015 FY 2016 FY 2017 2018 Actual Budget %Chg

Community Benefit Cost 1. Charity Care $61,311 $45,204 $40,944 $39,807 $41,090 $32,126 $37,537 -14.4% 2. Bad Debts 114,309 115,533 118,422 112,898 118,327 99,419 107,448 -7.5% 3. Mcaid/HMO/PSN Program Loss 39,428 54,357 77,863 66,554 83,248 99,094 75,795 30.7% 4. Comm Health Service Net Cost 27,499 27,182 29,938 29,418 30,711 27,046 29,049 -6.9% 5. PPUC 59,126 52,732 52,229 49,374 46,945 56,274 54,911 2.5% 6. Mcaid Cost of County Funding 7,613 8,870 8,880 8,705 8,705 8,119 8,119 0.0% 7. CDTC & Broward House (Cost Subsidies) 1,399 1,412 1,447 1,600 1,640 1,501 1,504 -0.2% -8. Total Cost $310,685 $305,290 $329,723 $308,357 $330,666 $323,580 $314,364 2.9%

Government Funding Sources 9. Tax Revenues Net(Millage) $146,135 $139,726 $136,663 $137,938 $138,080 $126,770 $126,684 0.1% 10. DSH -Medicaid 36,380 55,767 48,679 20,458 30,905 28,330 28,330 0.0% 11. DSH-Medicare 26,490 29,290 25,908 21,282 26,710 23,860 19,509 22.3% 12. County Primary Care Support 8,641 8,605 8,495 8,495 8,495 7,745 7,787 -0.5% 13. Community Health Serv Grants 6,289 5,162 4,900 5,960 6,595 5,252 6,055 -13.3% -14. Total $223,935 $238,550 $224,645 $194,133 $210,785 $191,957 $188,365 1.9%

15. Comm. Benefit Cost in (Excess) of Gov't Funding Sources ($86,750) ($66,740) ($105,078) ($114,224) ($119,881) (j131,62ijj$125,999) 4.5%

10

/ t

@BROWARD HEALTH :POWERFUL MEDtCINE

Financial Review Fiscal Year 2018

June 2018

(,

/~' BROWARD

DRAFT


2. Salaries

3. Benefits

4. Fees - Physician

5. Fees - Other

6. Supplies

7. Insurance

8. Repairs & Maintenance

9. Lease & Rentals

10. Utilities

11. PMATF Assessment

12. Other

13. Depreciation

14. Total Expenses

15. Net Loss from Operations

16. Tax Revenue (Net)

17. Investment Income (Net)

18. Interest Expense

19. Donations (Net) & County Funding

20. Net Non-operating Revenue & Expenses

21. Excess

Operating Statement FY 2018- June 2018

($ in millions)

Current Month


$81.5 $88.4 ($6.9) $80.5 $1.0

39.4 44.3 (4.9) · 43.6 (4.2)

10.2 12.1 (1.9) 4.3 5.9

1.2 5.0 (3.8) 5.5 (4.3)

9.7 9.2 0.5 12.8 (3.1)

17.6 19.5 (1.9) 21.0 (3.4)

0.8 0.9 (0.1) 0.9 (0.1)

2.5 1.7 0.8 2.0 0.5

0.8 0.9 (0.1) 0.9 (0.1)

1.5 1.5 0.0 1.6 (0.1)

1.0 1.0 0.0 1.0 0.0

(0.3) 0.4 (0.7) 0.6 (0.9)

4.7 4.6 0.1 4.9 (0.2)

$89.1 $101.1 (12.0) $99.1 ~

!$1fil (lli1l ill (fill} ll11 11.8 11.4 0.4 13.1 (1.3)

(3.1) 1.2 (4.3) 4.5 (7.6)

2.0 0.9 1.1 (3.1) 5.1

(2.0) 0.1 (2.1) (1.0) (1.0)

$4.7 $11.8

Actual -1. Hours per APO 28.8

2. FTE's 7,540.6

3. OT/Agency% of Prod Hours · 2.5%

4. SWB % of NOR 60.8%

5. Supplies per APO 392

6. CMI • Medicare 1.717 4

7. CMI-AII 1.4732

8. Margin Operation (9.3)%

Key Operating Indicators FY 2018 -June 2018

($ in millions)

Current Month

Budget Var PriorYear Var Actual - - -28.0 2.9% 28.1 2.5 % 28.1

8,016.7 (5.9)% 7,912.7 (4.7)% 7,792.0

2.1% 18.7 % 5.1 % (50.1 )% 4.3%

63.8% (4.7)% 59.5% 2.2 % 63.2%

398 (1.5)% 434 (9.7)% 406

1.7076 0.6% 1.8332 (6.3)% 1.7493

1.4020 5.1 % 1.4748 (0.1)% 1.4461

(14.4)% (35.4)% (23.2)% (60.0)% (12.5)%

DRAFT

Year• to • Date

Budget Var Prior Year Var - -27.9 0.7 % 27.8 1.1 %

8,013.0 (2.8)% 7,883.4 (1.2)%

3.3% 28.8 % 5.2% (17.3)%

63.1% 0.2 % 62.9% 0.5 %

398 2.0% 407 (0.2)%

1.7076 2.4 % 1.7130 2.1 %

1.4020 3.1 % 1.4061 2.8 %

(13.0)% (3.5)% (14.0)% (10.7)%

3

DRAFT Statistical Overview

FY 2018 - June 2018

Current Month Year - to - Date

Actual Bud~ Var Prior Year Var Actual Budget Var Prior Year Var

1. Admissions - Compensated 3,836 4,317 -11% 4,203 -9% 50,786 53,927 -6% 52,812 -4%

2. Admissions - Uncompensated 713 774 -8% 767 -7% 8,357 9,698 -14% 9,416 -11%

3. Admissions - Total 4,549 5,091 -11% 4,970 -8% 59,143 63,625 -7% 62,228 -5%

4. Patient Days 23,874 25,559 -7% 26,181 -9% 317,488 319,248 -1% 324,223 -2%

5. Average Length of Stay 5.2 5.0 4% 5.3 -2% 5.4 5.0 8% 5.2 4%

6. Short Stay Cases 1,949 1,736 12% 1,989 -2% 23,324 20,746 12% 21,254 10%

7. Short Stay Days 2,685 2,320 16% 2,906 -8% 31,881 27,687 15% 29,651 8%

8. Births 489 462 6% 437 12% 5,961 5,881 1% 5,773 3%

9. Surgeries 2,390 2,587 -8% 2,643 -10% 29,304 31,155 -6% 31,197 -6%

10 ED Visits -Total 21,364 23,776 -10% 22,644 -6% 279,523 293,830 -5% 288,997 -3%

11 Outpatient Med Ctr. Visits 16,289 16,498 -1% 20,543 -21% 203,573 199,227 2% 239,423 -15%

12 Community Health Care Visits 6,850 9,359 -27% 7,908 -13% 93,900 109,918 -15% 102,532 -8%

13 Physician Practice Visits 19,290 26,709 -28% 21,863 -12% 235,434 313,280 -25% 279,306 -16%

14 UCC Coral & Plantation Visits 806 1,026 -21% 989 -19% 12,331 13,893 -11% 13,403 -8%

15 BH Weston Visits 1,847 1,973 -6% 2,013 -8% 25,400 25,531 -1% 25,067 1%

16 Home Health/Hospice Visits 1,700 3,049 -44% 2,768 -39% 22,318 29,891 -25% 23,406 -5%

17 Hospice Patient Days 61 217 -72% 180 -66% 1,379 2,071 -33% 1652 -17%

4

Broward Health Medical Center


2. Total Expenses


Broward Health North


5. Total Expenses


Broward Health Imperial Point


8. Total Expenses


Broward Health Coral Springs


11. Total Expenses


Broward Health All Other


14. Total Expenses


Operating Results - by Entity FY 2018 - June 2018

($ in millions)

Current Month Prior

Actual Budget Var Year Var Actual

$36.4 $38.1 ($1.7) $31.3 $5.1 $483.3

$39.7 $41.9 ($2.2) $38.8 $0.9 $514.7

($3.3) ($3.8) $0.5 ($7.5} $4.2 ($31.4)

$16.0 $18.4 ($2.4) $17.6 ($1.6) $221.2

$20.3 $21.4 !l1Jl $17.7 $2.6 $258.7 ($4.3) ($3.0) ($1.3) ($0.1) ($4.2) ($37.5)

$8.7 $9.8 ($1.1) $10.2 ($1.5) $116.8

$10.1 $10.7 ~ $10.2 ($0.1) $127.9 ($1.4) ($0.9) ($0.6) $0.0 ($1.4) ($11.1)

$12.1 $13.1 ($1.0) $13.3 ($1.2) $151.3

$13.7 $13.8 ($0.1) $13.4 $0.3 $161.3

(1.6) ($0.7) ($0.9) ($0.1) ($1.4) ($10.0)

$8.2 $9.0 ($0.8) $8.1 $0.1 $99.1

$5.3 $13.2 ($7.9) $19.2 ~ $143.1 $2.9 ($4.2) $7.2 ($11.1) $14.0 ($44.0)

DRAFT

Year - to Date Prior

Budget Var Year Var

$482.3 $1.0 $485.5 ($2.2)

$519.7 ($5.0) $485.8 $28.9

($37.4) $6.0 ($0.3) ($31.1)

$230.8 ($9.6) $223.3 ($2.1)

$261.6 ($2.9) $242.6 $16.1

($30.8) ($6.7) ($19.3) ($18.2)

$115.5 $1.3 $110.8 $6.0

$127.0 $0.9 $123.0 $4.9

($11.5) $0.4 ($12.2) $1.1

$157.6 ($6.3) $150.4 $0.9

$167.9 ($6.6) $163.4 ($2.1)

($10.3) $0.3 ($13.0) $3.0

$106.7 ($7.6) $94.0 $5.1

$158.9 ($15.8) $198.5 ($55.4)

($52.2) $8.2 ($104.5) $60.5

5

DRAFT Key Financial Indicators

FY2017 FY2018 Moody's (2016)

Audit Audit Audited June June Not For Profit

Key Financial Indicators FY2015 FY2016 FY2017 2017 2018 Median A Rated

Liquidity:

Cash on Hand (Days) 230.7 183.2 186.4 186.4 229.5 204.7 215.5

Accounts Receivable (Days) 49.7 46.8 46.4 46.4 53.0 47.8 48.1

Cash-to-Direct Debt(%) 297.3% 240.0% 257.9% 257.9% 204.9% 157.3% 160.6%

Capitalization:

Debt-to-Capitalization (%) 21.6% 21.0% 19.6% 19.6% 26.9% 34.9% 33.9%

Debt Service Coverage {x) 2.8 3.2 2.9 2.9 4.0 4.6 5.0

Average Age of Plant (Years) 16.3 16.9 16.4 16.4 17.3 11.2 11.4

Capital Spending Ratio(% of Depr. Exp.) 130% 186% 171% 171% 138% 120% 120%

Profitability:

Excess Margin(%) -0.1% -1.1% 2.8% 2.8% 2.7% 5.6% 6.1%

6

DRAFT Total Cash Collected

r-

$95,000,000

$90,000,000

$85,000,000

$80,000,000 I

$75,000,000

$70,000,000

$65,000,000

$60,000,000

$55,000,000

$50,000,000

$45,000,000

$40,000,000

$35,000,000

$30,000,000

$25,000,000

$20,000,000

$15,000,000

$10,000,000

$5,000,000 JUL AUG SEP OCT NOi DEC JAN FEB MAR APR MAY JUN YID AVG

• FY 2016 r.ash • FY 2017 Cash W FY 2018 Cash

7

DRAFT

CASH FLOW STATEMENT

FY2017 FY2018

YTD-Jun YTD-Jun 2017 2018

Beginning Balance Cash & Investments 563,289,536 575,071,756

Excess of Revenue over Expense 33,523,784 32,627,241

Add: Depreciation 53,500,919 53,546,770

Add: Change in Accounts Recv. (4,651,342) 5,296,147

Less: Capital Expenses (91,378,342) (73,680,468)

Add: All other before tax revenue 20,509,304 119,955,443

Sub totals 11,504,323 137,745,132

Ad Valorem Tax Collections 146,499,838 147,282,624

Ad Valorem Tax Accruals (146,221,941) (147,084,892)

Ending Balance Cash & Investments 575,071,756 713,014,620

Change in Cash & Investments 11,782,220 137,942,864

8

DRAFT Community Benefit Summary

($ in Thousands)

Budget I FY 2018 -YTD June 2018 FY 2014 FY 2015 FY 2016 FY 2017 2018 Actual Budget %Chg

Community Benefit Cost 1. Charity Care $61,311 $45,204 $40,944 $39,807 $41,090 $34,808 $40,602 -14.3% 2. Bad Debts 114,309 115,533 118,422 112,898 118,327 108,360 117,000 -7.4% 3. Mcaid/HMO/PSN Program Loss 39,428 54,357 77,863 66,554 83,248 103,764 83,248 24.6% 4. Comm Health Service Net Cost 27,499 27,182 29,938 29,418 30,711 30,110 31,728 -5.1% 5. PPUC 59,126 52,732 52,229 49,374 46,945 57,217 59,634 -4.1% 6. Mcaid Cost of County Funding 7,613 8,870 8,880 8,705 8,705 8,857 8,857 · 0.0% 7. CDTC & Broward House (Cost Subsidies) 1,399 1,412 1,447 1,600 1,640 1,437 1,640 -12.4% -8. Total Cost $310,685 $305,290 $329,723 , $308,357 $330,666 '$344,552 $342,709 0.5%

Government Funding Sources 9. Tax Revenues Net (Millage) $146,135 $139,726 $136,663 $137,938 $138,080 $138,566 $138,080 0.4% 10. DSH • Medicaid 36,380 55,767 48,679 20,458 30,905 30,905 30,905 0.0% 11. DSH- Medicare 26,490 29,290 25,908 21,282 26,710 25,905 21,282 21.7% 12. County Primary Care Support 8,641 8,605 8,495 8,495 8,495 8,432 8,495 -0.7% 13. Community Health Serv Grants 6,289 5,162 4,900 5,960 6,595 5,865 6,595 -11.1% -14. Total $223,935 $238,550 $224,645 $194,133 $210,785 $209,673 $205,357 2.1%

15. Comm. Benefit Cost in (Excess) of Gov't Funding Sources ($86,750) ($66,740) ($105,078) ($114,224) ($119,881) ($134,879) ($137,352) -1.8%

9

) )

WHO 15 HFMA AND WHAT 15 HFMA MAP AWARD? • Healthcare Financial Management Association(HFMA) is the nation's premier membership

organization for healthcare finance leaders. Working with a broad cross-section of stakeholders, HFMA identifies gaps throughout the healthcare delivery system and bridges them through the establishment and sharing of knowledge and best practices. They help healthcare organizations achieve optimal results by creating and providing education, analysis, and practical tools and solutions. Their mission is to lead the financial management of health care.

• HFMA recognizes organizations whose innovative and effective strategies have enabled them to achieve excellence in revenue cycle performance. To be considered, applications must be submitted for the Patient Financial Communications (PFC)Adopter and MAP Award. • MAP Award: HFMA utilizes MAP Keys which are industry-standard metrics or Key

Performance lndicators(KPI) used to track your organization's revenue cycle performance using objective, consistent calculations.

• Measure revenue cycle performance using the industry-standard MAP Keys • Apply evidence-based strategies for improvement • Perform to the highest standards to improve financial results and patient satisfaction

• PFC Adopter: The best practices for this program outlines steps to help patients understand the cost of services they receive, their insurance coverage, and their individual responsibility. In addition, it addresses communication in the emergency department, at time of service outside the emergency department, and in advance of service. Also, included are practices that apply to all patient financial communications

Source: hfma.org

·-

-t,..\ BROWARD HEALTH'

) )

KEY PERFORMANCE INDICATORS

• Net Days in Accounts Receivable (A/R) • Aged A/R 90 days and greater • Discharged not final billed (DNFB) • Final billed not sent to payer • Discharged not sent to payer • Cash Collections • Point of Service (POS) collections • Bad debt write off percentage • Cost to collect • Charity Care write off Source: hfma.org

~-

/,..\: BROWARD HEALTH'

) )

WHY NOW? • Over the last few years, Broward Health has increased

focus on Key Performance Indicators (KPI) in order to increase cash flow and ultimately increase the financial viability of the organization. Following are some of the actions taken: • Six-Sigma Training/projects • Revenue Cycle Score Cards • Revenue Cycle Roundtable meetings • Implemented new Contract Management/Denial reporting

system

• We see the HFMA MAP Award as the next step/level as we continue in the pursuit of revenue cycle excellence.

--

/.._\:BROWARD HEALTH'

Supply Chain Services - Savings Report Summary

2018 has been a very productive year for Supply Chain at Broward Health. We have dedicated the first

two quarters to make improvements and adjustments to align our business model and strategic objectives with our organizational goals. As we continue to look for financial opportunities, I'd like to share key savings initiatives and accomplishments that we have implemented to improve the role Supply Chain plays in promoting quality and positive patient care outcomes, while reducing expenses.

Cost Savings Projects (Medical Supplies) $ 1,252,521

Warehouse Relocation (from leased space to BH owned) $ 242,483 ' ..

Med/Surgical Supplies Distribution - RFP $ 1,322,689 ..

Increase inVizient (GPO) Share back $ 696,630

Estimated Total Savings Achieved Jan-Jul 2018 $ 3,514,323

1. Hiring Supply Chain Managers at each Region

Regional managers will streamline the supply procurement process at each facility bringing value by maximizing contract utilization which decreases supply cost and increases rebates/share backs/ incentives while managing and maintaining inventory control standards. Revamp the receiving process to eliminate 100% auto receipts and implement the line-by-line receiving method. Add consignment contracts and standardize supplies to reduce inventory value. Manage vendors to achieve contract compliance and provide support to all end users.

2. Supply Chain Cost Savings Projects - YTD 2018 Estimated Savings $1,252,521.26

The Supply Chain team has made significant improvements in GPO contract compliance and has successfully implemented a new process to review all custom contracts to ensure optimal savings. We continue to work closely with clinicians to maximize savings, improve physician satisfaction and positive patient outcomes.

________________ Category _______ ________ Total_Savings (YTD 2018)

Local Agreement $ 262,882 Bulk Purchase $ 19,000 GPO Agreement/Tier Maximization $ 410,656 Product Conversion $ 559,983 -------·- --·-·· ----·· --·--·------·--··-- ------·---Grand Total $ 1,252,521

3. Warehouse Relocation - Estimated Savings $242,483/year

The offsite warehouse was successfully relocated to our 1700 Building. The transition was seamless and has not only resulted in significant savings due to rental/maintenance cost avoidance, but has also improved logistical efficiencies by reducing touch points. Several employees were relocated to open

positions within the Regions therefore, although we reduced three FTE positions, BH employees were not

terminated.

Rent/Maintenance

_F"f~_Reduction (:3) -~~~I & _"fran~porta~iC?__n_ C_cist Grand Total

Annual Savings

$120,483

$114,000

$ 8,000 $ 242,483 / year

4. Medical/Surgical Supply & Suture/Endo Distribution RFP - Estimated Savings $1,322,689/year

An RFP was conducted for primary distribution services for Med/Surg and Suture/Endo supplies and has resulted in partnerships that will improve efficiencies and reduce our distribution mark-up by more than 50%. Effective September l't, new medical/surgical supply distribution mark-ups will go into effect with the awarded vendors: Medline and Suture Express. These new contracts will yield approximately $1.3m in savings, maintaining Medline as our primary distributor and moving suture and endomechanical products to Suture Express.

Suture & Endo Fee 2.75% Suture Express 0.40%

Non-Medline LTC Fee 3.50% Medline 2%

LUM &JIT 3% Medline 2%

Non-Traditional Fee 5% Medline 4%

Suture & Endo Fee 4.25% Suture Express 0.40%

Custom Packs 3.50% Medline 0%

Annual Savings with primary vendor Med-Surgical Supplies Distribution

Add Savings 1 % rebate - year one with Primary vendor

Annual Savings moving from secondary vendor to (2) awarded vendors

$1,322,689.32

5. Vizient Increase in Administrative Rebates {Share backs}

Lastly, our efforts to maximize GPO savings have produced exceptional results. Broward Health has received $2,878,922.74 from Vizient in share backs for the period ending in May 2018, which represents an increase of $696,630.00 over the previous year (32%).

Year Share back Payment YOYGrowth

2016 $2,033,600

2017 $2,182,292 7.3%

2018 $2,878,922 32% $ 696,630.00

Initiatives in progress:

1. Supply Chain Scorecard: A score card is a tool used to measure and track the progress of certain essential Supply Chain (Effective 10//1/18) :

• Consignment - Selected Radiology and Surgical vendors to be placed on consignment. Under the consignment method the vendor will place the supplies selected in the facility and not charge until the item is used. Vendor is responsible to replace the item prior expiration. Reduction of overhead cost to manage inventory, Increase inventory reduction and lower risk for supplies expiration.

• Inventory Turns = >10.5 turns in a month. By increasing inventory turns, less inventory on hand, less space needed for supplies, lower risk for supplies to expire, improve productivity and increase cash flow.

• Contract Compliance - 90%. Reduction of risk by adhering to contracted terms, conditions and controls. Lower supply cost and financial savings optimization increasing financial value and optimizing rebates.

• Customer Service - 90% Satisfaction Survey - Happy employees increase productivity. Reduces barriers between departments. Creates a cohesive environment. Promotes a positive working environment. (Internal customer satisfaction survey). Management to address educational and communication challenges as identified and will allows us to provide exceptional customer service.

• AP Discrepancies -

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