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Daughters of Charity Health System

Unaudited Financial Report and Utilization Statistics


For the Nine Months Ended March 31, 2015

DAUGHTERS OF CHARITY HEALTH SYSTEM


PAGE #
Management's Discussion and Analysis

3-9

Financial Statements
Balance Sheet
As of March 31, 2015
As of March 31, 2014

10
11

Statement of Operations and Changes in Net Assets


For the Nine Months Ended March 31, 2015
For the Nine Months Ended March 31, 2014

12
13

Statement of Cash Flows


For the Nine Months Ended March 31, 2015
For the Nine Months Ended March 31, 2014

14
15

Utilization Statistics
FOR THE NINE MONTHS ENDED MARCH 31, 2015 AND 2014
Supplemental Schedules
Consolidating Balance Sheet
As of March 31, 2015
As of March 31, 2014

16

17-18
19-20

Consolidating Statement of Operations


For the Nine Months Ended March 31, 2015
For the Nine Months Ended March 31, 2014

21-22
23-24

Consolidating Statement of Cash Flows


For the Nine Months Ended March 31, 2015
For the Nine Months Ended March 31, 2014

25-26
27-28

DAUGHTERS OF CHARITY HEALTH SYSTEM


MANAGEMENTS DISCUSSION AND ANALYSIS
FOR THE NINE MONTHS ENDED
MARCH 31, 2015
The Daughters of Charity Health System (DCHS) is a California nonprofit religious corporation
that operates as the parent organization of a health care system consisting of six acute care
hospitals and other facilities (see list below) located in the State of California (collectively, the
System). DCHS is sponsored by the Daughters of Charity of St. Vincent de Paul, a religious
community of the Roman Catholic Church.
The System consists of DCHS* and the following:

OConnor Hospital*
Saint Louise Regional Hospital*
St. Francis Medical Center*
St. Vincent Medical Center*
Seton Medical Center*
Seton Medical Center Coastside (a division of Seton Medical Center)*
Caritas Business Services
Marillac Insurance Company, Ltd.
OConnor Hospital Foundation
Saint Louise Regional Hospital Foundation
St. Francis Medical Center Foundation
St. Vincent Medical Center Foundation
Seton Health Services Foundation
St. Vincent de Paul Ethics Corporation
St. Vincent Dialysis Center
DePaul Ventures, LLC
DCHS Medical Foundation

* Member of the Obligated Group


DCHS is exempt from federal income taxation as an organization described in Section 501(c)(3)
of the Internal Revenue Code of 1986.
The financial information summarized herein represents consolidated financial information for
DCHS, not financial information solely for the Obligated Group. This summarized financial
information includes the operations of all Obligated Group Members, as well as the results of
operations of other entities that are not Members of the Obligated Group. For the nine months
ended March 31, 2015, the entities that are not Members of the Obligated Group had revenues
and investment income totaling $59.4 million (after the elimination of $31.1 million of intercompany revenues from Members of the Obligated Group) representing 5.4% of DCHS
consolidated revenues and investment income. Additional financial information pertaining to the
entities that are not Members of the Obligated Group can be found in the accompanying
unaudited financial statements.
The financial information for the nine months ended March 31, 2015 is unaudited but includes
all adjustments which DCHS management considers necessary to fairly present such information
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in conformity with United States (U.S.) generally accepted accounting principles. Operating
results for the nine months ended March 31, 2015 are not necessarily indicative of the results that
may be expected in future periods.

CALIFORNIA HOSPITAL FEE PROGRAM


California legislation established a program that imposes a Quality Assurance Fee (QA Fee) on
certain general acute-care hospitals in order to make supplemental and grant payments and
increased capitation payments (Supplemental Payments) to hospitals up to the aggregate upper
payment limit for various periods. There have been four such programs since inception
(collectively, the Programs). The first two programs were the 21-month program (21-Month
Program) covering the period April 1, 2009 to December 31, 2010, and the six-month program
(Six-Month Program) covering the period January 1, 2011 to June 30, 2011. The third program
was a 30-month program covering the period from July 1, 2011 to December 31, 2014 (the 30Month Program). The 30-Month Program was signed into law by the Governor of California in
September 2011. The fourth program is a 3-year program covering the period from January 1,
2014 to December 31, 2016 (the 3-Year Program). The fourth program was signed into law by
the Governor of California is October 2013 (SB239). The 3-Year Program was approved by
CMS on December 10, 2014 for the Fee-For-Service portion only. The Managed Care portion is
still under review by CMS. The Programs are designed to make supplemental inpatient and
outpatient Medi-Cal payments to private hospitals, including additional payments for certain
facilities that provide high-acuity care and trauma services to the Medi-Cal population. This
hospital QA Fee program provides a mechanism for increasing payments to hospitals that serve
Medi-Cal patients, with no impact on the states General Fund (GF). Payments are made directly
by the state or Medi-Cal managed care plans, which will receive increased capitation rates from
the state in amounts equal to the Supplemental Payments. Outside of the legislation, the
California Hospital Association (CHA) has created a private program, operated by the California
Health Foundation and Trust (CHFT), which was established to alleviate disparities potentially
resulting from the implementation of the Programs.
For the nine months ended March 31, 2014, DCHS recognized payments to the California
Department of Health Care Services (DHCS) for the QA Fee in the amount of $33.4 million and
pledge payments to the CHFT of approximately $1.6 million within purchased services and other
expenses. DCHS recognized Supplemental Payment revenue for the nine months ended March
31, 2014, in the amount of $49.6 million pertaining to the 30-Month Program within net patient
service revenues.
For the nine months ended March 31, 2015, DCHS recognized payments to the California
Department of Health Care Services (DHCS) for the QA Fee in the amount of $105.3 million
and pledge payments to the CHFT of approximately $1.7 million within purchased services and
other expenses. DCHS recognized Supplemental Payment revenue for the nine months ended
March 31, 2015, in the amount of $169.3 million. These amounts include the final six -months
of the 30-Month Program related to the managed care portion (July 1, 2013 through December
31, 2014) and fifteen-months of the 3-Year Program related to the fee-for-service portion
(January 1, 2014 through March 31, 2015). Payments to DHCS for the QA fee are $8.8 million
and $96.5 million, respectively for the 30-Month Program and 3-Year Program. Supplemental
payments are $20.4 million and $148.9 million, respectively for the 30-Month Program and 3Year Program.
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VOLUMES
Patient discharges for the nine months ended March 31, 2015 increased 0.9% as compared to
the same period of the prior year. Adjusted discharges for the nine months ended March 31,
2015 increased 2.8% compared to the same period of the prior year.
Total deliveries decreased 1.2% during the nine months ended March 31, 2015 as compared to
the same period of the prior year.
Inpatient surgeries for the nine months ended March 31, 2015 decreased 8.1% as compared to
the same period of the prior year. Outpatient surgeries for the nine months ended March 31,
2015 increased 1.9% as compared to the same period of the prior year.
Emergency department visits for the nine months ended March 31, 2015 increased 9.4%
compared to the same period of the prior year.
REVENUES
Net Patient Service Revenue Less Provision for Bad Debts
Net patient service revenue of $959.4 million for the nine months ended March 31, 2015
represents a net increase of $131.9 million or 16.0% as compared to the same period of the
prior year. Net patient service revenue during the nine months ended March 31, 2015 included
$34.7 million in net patient service revenue from the DCHS Medical Foundation as compared
to $35.7 million for the nine months ended March 31, 2014. The net overall increase in net
patient service revenue was impacted by an increase of $119.7 million in Hospital Fee Program
revenue. Net patient service revenue per adjusted discharge (excluding premium revenue, other
revenue, contributions and investment earnings) of $16,523 for the nine months ended March
31, 2015 increased 12.8% as compared to the same period of the prior year. This increase in
net patient service revenue per adjusted discharge is primarily due to the increase in the amount
of Hospital Fee Program revenue recognized into income related to the 3-Year Program for the
nine months ended March 31, 2015.
Premium Revenues, Other Revenues, and Contributions
Premium and other revenues of $129.8 million for the nine months ended March 31, 2015
increased $23.5 million or 32.6% from the same period of the prior year and includes $29.3
million in premium and other revenue from the DCHS Medical Foundation as compared to
$26.6 million related to the DCHS Medical Foundation for the nine months ended March 31,
2014. St. Francis Medical Centers capitated members increased by approximately 4,400 when
comparing the nine months ended March 31, 2015 to March 31, 2014 which is contributing to
the overall increase in premium revenues and other revenues between these two periods.
Contributions of $6.4 million during the nine months ended March 31, 2015 decreased $146.6
million from the same period of the prior year. This decrease in contributions is related to the
restricted donation from the Daughters of Charity Foundation (DOCF), an organization
separate and independent from DCHS, for the redemption of the Series 2008A Bonds.
Investment Earnings
For the nine months ended March 31, 2015, investment earnings totaled $3.7 million compared
to earnings of $13.7 million during the same period of the prior year. DCHS includes both
realized and unrealized gains/losses as part of investment income. Historically, the majority of
DCHS investments were held in a pooled investment fund administered by Ascension
Investment Management in its Alpha Fund through the end of March 31, 2014. Beginning
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January 1, 2014, DCHS moved all of its investments in the Alpha Fund to short term liquid
funds, such as cash and cash equivalents. As of September 2014, Ascension Investment
Management no longer manages any funds on behalf of DCHS. DCHS invests in cash, equity
securities, domestic and foreign, U.S. federal and corporate obligations.
EXPENSES
Total Operating Expenses
Total operating expenses of $1,150.9 million for the nine months ended March 31, 2015
represents an increase of $80.8 million or 7.6% as compared to the same period of the prior
year. The net increase in operating expenses is primarily due to an increase of $71.9 million in
Hospital Fee Program expenses. In addition, the DCHS Medical Foundation operating
expenses increased by $5.6 million for the nine months ended March 31, 2014 as compared to
the same period of the prior year. Total expense per adjusted discharge of $19,822 for the nine
months ended March 31, 2015 increased 4.6% as compared to the same period of the prior
year. This increase expense per adjusted discharge is impacted by the 3-Year Program recorded
in the nine months ended March 31, 2015.
Salaries, Wages, and Benefits
Salaries, wages and benefits (SWB) expense of $605.3 million for the nine months ended
March 31, 2015 increased $4.7 million or 0.8% as compared to the same period of the prior
year. The increase in SWB expense was due in part to the inclusion of $52.5 million in SWB
expense from the DCHS Medical Foundation as compared to $47.9 million during the nine
months ended March 31, 2014. SWB as a percent of net patient revenue (excluding premium
revenue) for the nine months ended March 31, 2015 was 63.1%, which was below the 72.6%
for the same period of the prior year. This was impacted by the 3-Year Program recorded in
the nine months ended March 31, 2015.
Supplies
Supplies expense of $125.2 million for the nine months ended March 31, 2015 is a decrease of
$6.8 million or 5.1% from the prior year. The overall decrease in supply expense is primarily
due to an overall decrease in inpatient surgeries. Supply expenses for the DCHS Medical
Foundation of $6.2 million slightly decreased as compared to $6.6 million during the nine
months ended March 31, 2014. Supplies expense as a percent of net patient revenue for the
nine months ended March 31, 2015 was 13.0% compared to 16.0% for the nine months ended
March 31, 2014. The decrease in supplies expense as a percentage of net patient revenue was
impacted by the 3-Year Program recorded in the nine months ended March 31, 2015.
Purchased Services/Other
Purchased services and other expenses for the nine months ended March 31, 2015 of $359.9
million increased $87.5 million or 32.2% as compared to the same period of the prior year.
The increase in purchased services and other expenses is primarily due to an increase of $71.9
million in Hospital Fee Program expenses for the 3-Year Program. Purchased services
expenses for the DCHS Medical Foundation of $25.1 million for the nine months ended March
31, 2014 increased to $26.2 million for the nine months ended March 31, 2015.

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Depreciation Expense
Depreciation expense of $45.5 million for the nine months ended March 31, 2015 is a decrease
of $3.8 million or 7.6% as compared to the same period of the prior year.
Interest Expense - Net
Interest expense of $15.2 million for the nine months ended March 31, 2015 is a decrease of
$0.9 million or 5.3% as compared to the same period of the prior year.
RESULTS FROM OPERATIONS
Operating Income
For the nine months ended March 31, 2015, DCHS recorded an operating loss of $55.3 million
(including contributions), equating to a negative operating margin of 5.1%. This compares to
an operating gain of $16.7 million and a positive operating margin of 1.5% for the same period
of the prior year. The operating performance for the nine months ended March 31, 2015 and
March 31, 2014 included $63.9 million and $16.2M of income related to the Hospital Fee
Program, respectively. In addition, the operating gain for the nine months ended March 31,
2014 included $130 million contribution related to the redemption of the Series 2008A Bonds.
Operating performance was unfavorably impacted during the nine months ended March 31,
2015 due to DCHS payer mix, lower than historical reimbursement rate increases, and losses
related to the DCHS Medical Foundation.
Excess of Revenues Over Expenses (Net Income)
For the nine months ended March 31, 2015, DCHS recorded a net loss of $51.6 million,
equating to a negative net margin of 4.7%. The net gain for the nine months ended March 31,
2014 was $30.4 million.
FINANCIAL POSITION
Liquidity
Total cash and marketable securities of $145.5 million as of March 31, 2015 reflect a decrease
of $50.5 million from March 31, 2014. Total unrestricted cash and marketable securities
decreased to $79.3 million as of March 31, 2015 compared to $120.3 million as of March 31,
2014, while unrestricted days cash on hand decreased to 20 days as of March 31, 2015
compared to 32 days as of March 31, 2014.
The following table summarizes DCHS cash position:

Cash and Cash Equivalents


Marketable Securities
Subtotal

As of
March
31, 2014
($s in 000s)
$82,822
113,192
196,014

As of
March
31, 2015
($s in 000s)
$83,069
62,455
145,524

Less: Restricted Portion of Cash and


Marketable Securities
Total Unrestricted Cash and
Marketable Securities

75,755

66,242

$120,259

$79,282

Unrestricted Days Cash on Hand

32

20
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Patient Accounts Receivable


Net patient accounts receivable of $159.9 million as of March 31, 2015 is a decrease of $12.1
million or 7.0% from March 31, 2014. Days in net patient accounts receivable decreased to
45.7 days as of March 31, 2015 compared to 57.0 days as of March 31, 2014. This decrease in
net patient accounts receivable follows an overall decrease in the gross patient accounts
receivable.
Other Current Restricted Assets
As of March 31, 2015 other current restricted assets is $79.4 million. This represents the undrawn portion of Series 2014 Bonds as of March 31, 2015 that has been deposited with the
Trustee. Please refer to Short-Term Debt below for further discussion.
Short-Term Debt
On July 30, 2014, DCHS borrowed $110,000,000 from the California Statewide Development
Corporation (CSCDA) in two series of bonds: the $100,000,000 California Statewide
Communities Development Authority Revenue Bonds (Daughters of Charity Health System)
Series 2014A (2014 Series A Bonds) and the $10,000,000 California Statewide Communities
Development Authority Revenue Bonds (Daughters of Charity Health System) Series 2014 B
(2014 Series B Bonds). On August 28, 2014, DCHS borrowed an additional $15,000,000
from the CSCDA pursuant to the 2014 Series C Bond issue (collectively the Series 2014
Bonds). The Series 2014 Bonds are supported by Obligations issued pursuant to the DCHS
Master Trust Indenture dated as of December 1, 2001.
The Series 2014 Bonds are secured by: (1) a first priority lien on the accounts receivable of St.
Francis Medical Center, St. Vincent Medical Center, OConnor Hospital, Saint Louise
Regional Hospital, Seton Medical Center and Seton Coastside as a division of Seton Medical
Center; and (2) first priority Deeds of Trust and related Subordination Agreements with the
Master Trustee on certain property of St. Francis Medical Center and Saint Louise Regional
Hospital (collectively the 2014 Priority Assets). The Master Trustee has subordinated its
interest in the 2014 Priority Assets to the Series 2014 Bond Trustee. The Series 2014 Bonds
are also secured by a parity lien under the master indenture.
The Series 2014 Bonds have a maturity date of July 10, 2015 and have been recorded as short
term debt on the DCHS balance sheet. Interest accrues at the rate of 600 basis points (6%) and
is paid on a monthly basis. The total proceeds of the Series 2014 bonds have been deposited
with the Trustee, with funds made available to DCHS subject to the satisfaction of certain
conditions. As of March 31, 2015, DCHS has drawn down $45.6 million of funds from the
Series 2014 Bonds.
Long-Term Debt
Net of current portion, long-term debt as of March 31, 2015 was $285.0 million for the
Obligated Group. Net of current portion, long-term debt as of March 31, 2014 was $290.5
million for the Obligated Group.

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OTHER EVENTS
Redemption of Series 2008A Bonds
In October 2013, the Daughters of Charity Foundation (DOCF), an organization separate and
independent from DCHS, made a restricted donation of $130.0 million for the benefit of DCHS
by depositing sufficient funds with the bond trustee to redeem the $143.7 million principal
amount of the California Statewide Development Authority Revenue Bonds Series 2008A
Bonds. The Series 2008A Bonds were redeemed at par on October 25, 2013. The Series
2008A Bonds included a debt service reserve fund of $13.7 million, which was released as part
of the redemption. Additionally, in September 2013, the DOCF informed DCHS that it had
forgiven the outstanding balance of $12.4 million on a note payable owed to DOCF by DCHS.
Debt Service Irrevocable Prepayment
During the nine months ended March 31, 2014 DCHS made prepayments totaling $8.5 million
to its bond trustee for DCHS Series 2005 and 2008 bonds. These Irrevocable Deposits
covered the scheduled debt payments due for the months of January through June 2014. The
Irrevocable Deposit affects the calculation of the DCHS Master Trust Indenture Annual Debt
Service coverage ratio requirements by removing from the Annual Debt Service calculation the
amount of principal and interest payable from such Irrevocable Deposit. For the nine months
ended March 31, 2015 DCHS has not made any such prepayments.

SUBSEQUENT EVENT
Sale Announcement
On October 10, 2014 DCHS executed an agreement to replace the sole corporate member of its
five hospitals, DCHS Medical Foundation and to transfer control of its other affiliates to Prime
Healthcare Services and Prime Healthcare Foundation (Prime Healthcare) of Ontario, CA. On
March 10, 2015, Prime Healthcare terminated the definitive agreement. The DCHS Board of
Directors continues to evaluate all options with respect to the hospitals.
Going Concern
The consolidated audited financial statements for the year ended June 30, 2014 have been
prepared in conformity with U.S. generally accepted accounting principles applicable going
concern. In the audited financial statements dated November 21, 2014, it has been noted that
uncertainties surrounding future cash and liquidity position raise substantial doubt regarding
DCHS ability to continue as a going concern. Please refer to the audited financial statements
for further details.

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DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2015
(In thousands)
OBLIGATED
GROUP

NONOBLIGATED
GROUP

ELIMINATIONS

DCHS TOTAL

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Subtotal

$71,721
$71,721

$11,348
$11,348

$83,069
$83,069

Net patient accounts receivable


Due from government agencies
Due from related organizations
Pending Trades Receivable
Other current assets
Other restricted assets
Total current assets

153,258
17,691
29,203
175,904
79,357
527,134

6,650
3,910
468
16,264
38,640

(33,113)
(7,800)
(40,913)

159,908
17,691
468
184,368
79,357
524,861

ASSETS LIMITED AS TO USE:


Other investments
Under bond indenture agreements
Total assets limited as to use

3,050
25,603
28,653

59,405
59,405

62,455
25,603
88,058

PROPERTY AND EQUIPMENT, Net

299,207

5,967

305,174

8,783

3,726

(69)

12,440

$863,777

$107,738

($40,982)

$930,533

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Short-term debt
Due to government agencies
Accrued liabilities/other
Pending Trades Payable
Due to related organizations
Total current liabilities

$34,600
5,171
125,000
9,272
200,351
3,910
378,304

$4,382
690
9,954
589
29,203
44,818

(19)
(33,113)
(33,132)

$38,982
5,861
125,000
9,272
210,286
589
389,990

OTHER LIABILITIES
Pension and other long-term liabilities
OTHER LIABILITIES

240,181
240,181

42,730
42,730

(7,850)
(7,850)

275,061
275,061

LONG-TERM DEBT, Net of current portion

284,990

99

285,089

Total liabilities

903,475

87,647

(40,982)

950,140

(43,397)
945
2,754
(39,698)
$863,777

(1,340)
15,928
5,503
20,091
$107,738

($40,982)

(44,737)
16,873
8,257
(19,607)
$930,533

OTHER LONG-TERM ASSETS


TOTAL ASSETS

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

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DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2014
(In thousands)
OBLIGATED
GROUP

NONOBLIGATED
GROUP

ELIMINATIONS

DCHS TOTAL

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Interest in pooled investment fund - short-term
Subtotal

$69,476
7
$69,483

$12,442
897
$13,339

Net patient accounts receivable


Due from government agencies
Due from related organizations
Pending Trades Receivable
Other current assets
Total current assets

162,422
18,249
29,756
37,076
316,986

9,562
1,941
580
22,615
48,037

(31,697)
(7,329)
(39,026)

171,984
18,249
580
52,362
325,997

38,939
1,746
25,861
66,546

15,138
57,369
72,507

54,077
59,115
25,861
139,053

339,655

8,069

347,724

6,139

17,703

23,842

TOTAL ASSETS

$729,326

$146,316

($39,026)

$836,616

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Due to government agencies
Accrued liabilities/other
Pending Trades Payable
Due to related organizations
Total current liabilities

$46,944
5,888
13,789
102,742
1,941
171,304

$5,661
5,569
633
29,756
41,619

16
(31,697)
(31,681)

$52,605
5,888
13,789
108,327
633
181,242

OTHER LIABILITIES
Pension and other long-term liabilities
OTHER LIABILITIES

235,815
235,815

45,721
45,721

(7,345)
(7,345)

274,191
274,191

LONG-TERM DEBT, Net of current portion

290,520

1,312

291,832

Total liabilities

697,639

88,652

(39,026)

747,265

24,882
3,944
2,861
31,687
$729,326

27,017
24,370
6,277
57,664
$146,316

($39,026)

51,899
28,314
9,138
89,351
$836,616

ASSETS LIMITED AS TO USE:


Interest in pooled investment fund - long-term
Other investments
Under bond indenture agreements
Total assets limited as to use
PROPERTY AND EQUIPMENT, Net
OTHER LONG-TERM ASSETS

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

$81,918
904
82,822

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DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)
NONOBLIGATED
GROUP

OBLIGATED
GROUP

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off for doubtful accounts
Net patient service revenue less provision and write off for doubtful accounts
Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support
EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses
OPERATING LOSS
INVESTMENT INCOME (LOSS)
DEFICIT OF REVENUES OVER EXPENSES
Net unrealized gains on investments
Net assets released from restrictions used for purchase
of property and equipment
Other
DECREASE IN UNRESTRICTED NET ASSETS
TEMPORARILY RESTRICTED NET ASSETS
Contributions
Net realized and unrealized gains on investments
Net assets released from restrictions:
Operations
Property, plant and equipment
Other

$946,472
(25,133)
921,339
67,110
38,038
6,138
1,032,625

549,093
118,073
339,064
43,215
14,863
1,064,308
(31,683)
7,264
($24,419)
2,679
(11,438)
(33,178)

66,786
7,182
37,154
2,348
290
113,760
(23,642)
446
($23,196)
(4)
9,980
(13,220)

275
(27,399)
(27,124)

(10,589)
(65)
(16,367)
(103)
(27,124)

DCHS TOTAL

$984,389
($24,959)
959,430
93,404
36,365
6,420
1,095,619

605,290
125,190
359,851
45,460
15,153
1,150,944

(55,325)

(4,000)
($4,000)

3,710
($51,615)

(4)

4,000
-

2,679
2,542
(46,398)

722
(4)

857
(4)

(72)
(363)
(300)

(6,053)
(2,679)
(2,877)
(10,891)

(6,125)
(2,679)
(3,240)
(11,191)

(205)
(205)

5
(697)
(692)

5
(902)
(897)

(33,683)

(24,803)

NET ASSETS AS OF JUNE 30, 2014

(6,015)

$44,894

$38,879

NET ASSETS AS OF March 31, 2015

($39,698)

$20,091

($19,607)

DECREASE IN TEMPORARILY RESTRICTED NET ASSETS


PERMANENTLY RESTRICTED NET ASSETS
Net realized and unrealized gains on investments
Other
DECREASE IN PERMANENTLY RESTRICTED NET ASSETS
DECREASE IN NET ASSETS

135
-

$37,917
174
38,091
26,019
25,726
282
90,118

ELIMINATIONS

(58,486)

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)
NONOBLIGATED
GROUP

OBLIGATED
GROUP

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off for doubtful accounts
Net patient service revenue less provision and write off for doubtful accounts
Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support

$822,100
(33,738)
788,362
37,664
44,972
152,517
1,023,515

$39,233
(158)
39,075
24,575
23,673
540
87,863

EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses

548,613
124,298
249,445
47,067
16,006
985,429

62,434
7,773
36,814
2,263
109,284

OPERATING INCOME (LOSS)

38,086

(21,421)

INVESTMENT INCOME (LOSS)

16,211

2,542

EXCESS (DEFICIT) OF REVENUES OVER EXPENSES

$54,297

Net unrealized gains on investments


Net assets released from restrictions used for purchase
of property and equipment
Change in pension obligations
Other
INCREASE (DECREASE) IN UNRESTRICTED NET ASSETS
TEMPORARILY RESTRICTED NET ASSETS
Contributions
Net realized and unrealized gains on investments
Net assets released from restrictions:
Operations
Property, plant and equipment
Other
INCREASE (DECREASE) IN TEMPORARILY RESTRICTED NET ASSETS
PERMANENTLY RESTRICTED NET ASSETS
Net realized and unrealized gains on investments
Other
INCREASE (DECREASE) IN PERMANENTLY RESTRICTED NET ASSETS
INCREASE (DECREASE) IN NET ASSETS

($18,879)
26

ELIMINATIONS

(24,602)
(24,602)

DCHS TOTAL

$861,333
(33,896)
827,437
62,239
44,043
153,057
1,086,776

(10,441)
(92)
(13,949)
(108)
(24,590)

600,606
131,979
272,310
49,222
16,006
1,070,123

(12)

16,653

(5,006)

13,747

($5,018)

$30,400

26

2,446
(25,162)
31,581

(1,445)
19,968
(330)

130,107
-

4,308
329

134,415
329

(137,286)
(7)
3
(7,183)

(2,475)
(994)
341
1,509

(139,761)
(1,001)
344
(5,674)

88
88

31
(261)
(230)

119
(261)
(142)

24,486

949

5,000
(18)

1,001
(194)
31,233

(18)

25,417

NET ASSETS AS OF JUNE 30, 2013

7,201

$56,715

$18

$63,934

NET ASSETS AS OF March 31, 2014

$31,687

$57,664

$89,351

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)
OBLIGATED
GROUP
CASH FLOWS FROM OPERATING ACTIVITIES
Changes in net assets
Depreciation
Provision for doubtful accounts
Patient accounts receivable
Due to/from government agencies
Due to/from related organizations
Other current assets
Other restricted assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

NONOBLIGATED
GROUP

ELIMINATIONS

DCHS TOTAL

($33,683)
43,215
25,133
(22,216)
1,627
567
(139,408)
(79,357)
(1,135)
(16,786)
90,122
(2,739)
(134,660)

($24,803)
2,348
(174)
918
(567)
(496)
137
799
562
381
5,037
(15,858)

(103)
3,953
11
(3,964)
(103)

($58,486)
45,460
24,959
(21,298)
1,627
(135,951)
(79,357)
(998)
(15,987)
90,695
381
(1,666)
(150,621)

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

(1,176)
530
7
11,363
(10,685)
39

(2,542)
914
15,518
(613)
13,277

103
103

(3,718)
530
921
26,881
(11,195)
13,419

CASH FLOWS FROM FINANCING ACTIVITIES


Short-term debt
Long-term debt
Total financing cash flows

125,000
(4,738)
120,262

(346)
(346)

125,000
(5,084)
119,916

NET DECREASE IN CASH

(14,359)

(2,927)

(17,286)

86,080

14,275

100,355

$71,721

$11,348

$83,069

CASH AS OF JUNE 30, 2014


CASH AS OF MARCH 31, 2015

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)
OBLIGATED
GROUP

NONOBLIGATED
GROUP

ELIMINATIONS

DCHS TOTAL

CASH FLOWS FROM OPERATING ACTIVITIES


Changes in net assets
Depreciation
Provision for doubtful accounts
Patient accounts receivable
Due to/from government agencies
Due to/from related organizations
Other current assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

$24,486
47,067
33,738
(47,510)
(2,287)
(734)
68,287
3,726
11,476
(21,459)
(7,236)
109,554

$949
2,263
158
(4,519)
734
(4,954)
(3,380)
3,895
(7,516)
53
3,831
(8,486)

($18)
(108)
3,659
18
(3,659)
(108)

$25,417
49,222
33,896
(52,029)
(2,287)
66,992
346
15,371
(28,957)
53
(7,064)
100,960

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

(64)
14,998
60,702
60,068
(25,663)
110,041

4,440
872
(1,263)
(1,861)
2,188

108
108

4,376
14,998
61,574
58,805
(27,416)
112,337

(160,751)
(160,751)

(1,788)
(1,788)

(162,539)
(162,539)

NET INCREASE (DECREASE) IN CASH

58,844

(8,086)

50,758

CASH AS OF JUNE 30, 2013

10,632

20,528

31,160

$69,476

$12,442

$81,918

CASH FLOWS FROM FINANCING ACTIVITIES


Long-term debt
Total financing cash flows

CASH AS OF MARCH 31, 2014

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM

Acute Licensed Beds


Acute Available Beds
Acute Discharges
Acute Patient Days
Acute Average Length of Stay

d>
d
d
dW

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

O'Connor
Hospital

UTILIZATION STATISTICS - UNAUDITED


FOR THE NINE MONTHS ENDED MARCH 31, 2015 AND 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

Saint Louise Regional Hospital

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

St. Francis
Medical Center

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

St. Vincent
Medical Center

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

Seton
Medical Center

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

Seton Medical Center Coastside

3DJHRI

FOR THE NINE


MONTHS ENDED
MARCH 31, 2014

FOR THE NINE


MONTHS ENDED
MARCH 31, 2015

DCHS
Total

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

Total liabilities

(107,244)
(107,244)
$142,526

249,770

55,841

LONG-TERM DEBT, Net of current portion

(43,801)
(43,801)
$64,947

108,748

30,323

6,592
6,592

9,903
36,236
71,833

36,666
65,502
138,259

55,670
55,670

$1,857
365
23,225
247

$64,947

166

20,325

$7,849
372
26,238
1,632

$142,526

49

48,387

7,716
14,744
44,456

24,118
16,657
94,090

10,848
904
5,790

$4,454
$4,454

Saint Louise
Regional
Hospital

31,414
1,848
8,101

$11,952
$11,952

O'Connor
Hospital

OTHER LIABILITIES
Pension and other long-term liabilities
Total other liabilities

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Pension Plan Liability-short term
Short-term debt
Due to government agencies
Pending Trades Payable
Accrued liabilities/other
Due to related organizations
Total current liabilities

TOTAL ASSETS

OTHER LONG-TERM ASSETS

PROPERTY AND EQUIPMENT, Net

ASSETS LIMITED AS TO USE:


Interest in pooled investment fund - long-term
Other investments
Under bond indenture agreements
Total assets limited as to use

Due from government agencies


Due from related organizations
Pending Trades Receivable
Other current assets
Other restricted assets
Total current assets

Net patient accounts receivable

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Interest in pooled investment fund - short-term
Subtotal

(In thousands)

DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2015

230,754
109
230,863
$491,748

260,885

76,498

84,220
84,220

88,214
30
100,167

$7,230
3,470
1,223

$491,748

449

114,221

96,905
377,078

56,709
10,718
187,342

$25,404
$25,404

St. Francis
Medical Center

(131,241)
836
2,754
(127,651)
$187,993

315,644

56,489

69,154
69,154

31,338
86,296
190,001

$7,138
225
59,700
5,304

$187,993

752

74,619

3,050

3,050

25,080
37,901
109,572

23,111
3,257
13,574

$6,649
$6,649

St. Vincent
Medical Center

(19,485)
(19,485)
$126,729

146,214

61,358

2,848
2,848

31,480
28,261
82,008

$5,872
739
15,387
269

$126,729

52

39,799

16,159
9,769
86,878

28,759
964
21,313

$9,914
$9,914

Seton Medical
Center

(13,871)
(13,871)
$5,150

19,021

165
165

1,348
16,187
18,856

$274
450
597

$5,150

1,799

287
286
3,347

2,417
163

$194
$194

Seton Medical
Center
Coastside

(continued)

41,491
41,491
$90,922

49,431

4,481

21,532
21,532

1,402
17,636
23,418

$4,380
-

$90,922

7,311

57

25,603
25,603

5,639
57,951

39,158

$13,154
$13,154

DCHS System
Office

3DJHRI

OTHER LONG-TERM ASSETS

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

($246,238)

(246,238)

LONG-TERM DEBT, Net of current portion

Total liabilities

(246,238)
(246,238)

OTHER LIABILITIES
Pension and other long-term liabilities
Total other liabilities

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Pension Plan Liability-short term
Short-term debt
Due to government agencies
Pending Trades Payable
Accrued liabilities/other
Due to related organizations
Total current liabilities

($246,238)

PROPERTY AND EQUIPMENT, Net

TOTAL ASSETS

(246,238)

(246,238)

Eliminations

ASSETS LIMITED AS TO USE:


Interest in pooled investment fund - long-term
Other investments
Under bond indenture agreements
Total assets limited as to use

Due from government agencies


Due from related organizations
Pending Trades Receivable
Other current assets
Other restricted assets
Total current assets

Net patient accounts receivable

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Interest in pooled investment fund - short-term
Subtotal

(In thousands)

DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2015

(43,397)
945
2,754
(39,698)
$863,777

903,475

284,990

240,181
240,181

$34,600
5,171
125,000
9,272
200,351
3,910
378,304

$863,777

8,783

299,207

3,050
25,603
28,653

153,258
17,691
29,203
175,904
79,357
527,134

$71,721
$71,721

Obligated Group
Subtotal

15,002
15,002
$58,154

43,152

42,453
42,453

589
110
699

$58,154

43,558
43,558

468
10,343
14,596

$3,785
$3,785

Marillac
Insurance
Company

2,124
2,124
$4,243

2,119

1,820
135
2,119

$164
-

$4,243

121

314

130
3,808

1,003

$2,675
$2,675

Caritas
Business
Services

(18,466)
15,928
5,503
2,965
$45,341

99
42,376

277
277

8,024
29,068
42,000

$4,218
690
-

$45,341

3,605

5,653

15,847
15,847

5,791
20,236

6,650
2,907

$4,888
$4,888

All Other
Entities

($40,982)

(40,982)

(7,850)
(7,850)

(19)
(33,113)
(33,132)

($40,982)

(69)

(7,800)
(40,913)

(33,113)

Eliminations

(concluded)

(44,737)
16,873
8,257
(19,607)
930,533

950,140

285,089

275,061
275,061

$38,982
5,861
125,000
9,272
589
210,286
389,990

$930,533

12,440

305,174

62,455
25,603
88,058

$159,908
$17,691
$468
$184,368
$79,357
524,861

$83,069
$83,069

DCHS Total

3DJHRI

1,496
21,199

5,315
53,577

56,213

LONG-TERM DEBT, Net of current portion

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

(48,982)
234
(48,748)
$109,281

158,029

57,072
57,072

OTHER LIABILITIES
Pension and other long-term liabilities
Total other liabilities

Total liabilities

5,776
31,360
40,253

22,155
11,230
44,744

(30,924.00)
88.00
(30,836)
$46,661

77,497

30,687

6,557.00
6,557.00

2,266
363
488

$46,661

459

24,732

9,467
764
1,128

$109,281

385

55,123

196

271
271

11,873
356
5,771

33,555
1,848
9,604

196
-

1,703.00
1,703

Saint Louise
Regional
Hospital

$3,255
3,255

O'Connor
Hospital

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Due to government agencies
Pending Trades Payable
Accrued liabilities/other
Due to related organizations
Total current liabilities

TOTAL ASSETS

OTHER LONG-TERM ASSETS

PROPERTY AND EQUIPMENT, Net

ASSETS LIMITED AS TO USE:


Interest in pooled investment fund - long-term
Other investments
Under bond indenture agreements
Total assets limited as to use

Due from government agencies


Due from related organizations
Pending Trades Receivable
Other current assets
Total current assets

Net patient accounts receivable

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Interest in pooled investment fund - short-term
Subtotal

DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2014
(In thousands)

186,064
341
186,405
$400,074

213,669

79,968

82,529
82,529

37,624
237
51,172

7,292
3,356
2,663

$400,074

247

129,557

31,214

31,214
-

5,996
239,056

63,545
9,440
123,031

$37,039
5
37,044

St. Francis
Medical Center

(91,039)
1,281
2,861
(86,897)
$143,281

230,178

56,714

68,027
68,027

15,379
71,254
105,437

9,763
671
8,370

$143,281

1,056

81,769

7,784

6,038
1,746

10,424
52,672

22,051
5,795
12,998

$1,404
1,404

St. Vincent
Medical Center

(2,505)
(2,505)
$104,276

106,781

62,098

2,759
2,759

19,133
13,808
41,924

7,706
734
543

$104,276

37

46,244

316

316
-

3,434
57,679

28,751
810
16,446

$8,236
2
8,238

Seton Medical
Center

(13,789)
2,000
(11,789)
$4,769

16,558

153
153

1,316
14,399
16,405

93
597

$4,769

1,993

98
2,773

2,647
3

$25
25

Seton Medical
Center
Coastside

(continued)

26,057
26,057
$61,844

35,787

4,840

18,718
18,718

1,359
513
12,229

10,357
-

$61,844

3,952

237

904
25,861
26,765

10,313
30,890

2,763

$17,814
17,814

DCHS System
Office

3DJHRI

OTHER LONG-TERM ASSETS

NET ASSETS:
Unrestricted
Temporarily restricted
Permanently restricted
Total net assets
TOTAL LIABILITIES AND NET ASSETS

($140,860)

(140,860)

LONG-TERM DEBT, Net of current portion

Total liabilities

(140,860)
(140,860)

OTHER LIABILITIES
Pension and other long-term liabilities
Total other liabilities

LIABILITIES AND NET ASSETS


CURRENT LIABILITIES:
Accounts payable
Current portion of long-term debt
Due to government agencies
Pending Trades Payable
Accrued liabilities/other
Due to related organizations
Total current liabilities

($140,860)

PROPERTY AND EQUIPMENT, Net

(140,860)

TOTAL ASSETS

(140,860)

Eliminations

ASSETS LIMITED AS TO USE:


Interest in pooled investment fund - long-term
Other investments
Under bond indenture agreements
Total assets limited as to use

Due from government agencies


Due from related organizations
Pending Trades Receivable
Other current assets
Total current assets

Net patient accounts receivable

ASSETS
CURRENT ASSETS:
Cash and cash equivalents
Interest in pooled investment fund - short-term
Subtotal

DAUGHTERS OF CHARITY HEALTH SYSTEM


BALANCE SHEET - UNAUDITED
AS OF MARCH 31, 2014
(In thousands)

24,882
3,944
2,861
31,687
$729,326

697,639

290,520

235,815
235,815

46,944
5,888
13,789
102,742
1,941
171,304

$729,326

6,139

339,655

38,939
1,746
25,861
66,546

162,422
18,249
29,756
37,076
316,986

$69,476
7
69,483

Obligated Group
Subtotal

15,422
15,422
$61,596

46,174

45,421
45,421

633
120
753

$61,596

2,124
2,124
$4,187

2,063

1,960
3
2,063

100
-

$4,187

121

394

43,015
-

167
3,672

1,566

$1,938
1
1,939

Caritas
Business
Services

43,015

580
13,170
18,581

$4,831
4,831

Marillac
Insurance
Company

9,471
24,370
6,277
40,118
$80,533

1,312
40,415

300
300

3,489
29,753
38,803

5,561
-

$80,533

17,582

7,675

15,138
14,354
29,492

9,278
25,784

9,562
375

$5,673
896
6,569

All Other
Entities

($39,026)

(39,026)

(7,345)
(7,345)

16
(31,697)
(31,681)

($39,026)

(7,329)
(39,026)

(31,697)

Eliminations

(concluded)

51,899
28,314
9,138
89,351
$836,616

747,265

291,832

274,191
274,191

$52,605
5,888
13,789
633
108,327
181,242

$836,616

23,842

347,724

54,077
59,115
25,861
139,053

171,984
18,249
580
52,362
325,997

$81,918
$904
82,822

DCHS Total

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM

($27,957)

(1)

INVESTMENT INCOME (LOSS)

EXCESS (DEFICIT) OF REVENUES OVER EXPENSES

(27,956)

OPERATING INCOME (LOSS)

62,635
1,535
95
64,265

215,365
7,265
82
222,712

($9,004)

(1)

(9,003)

42,289
5,814
18,862
4,275
2,028
73,268

$64,575
($1,940)

Saint Louise
Regional
Hospital

$221,668
(6,303)

O'Connor
Hospital

142,677
33,869
62,673
8,443
3,006
250,668

EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses

Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off of doubtful accounts
Net patient service revenue less provision and write off for
doubtful accounts

STATEMENT OF OPERATIONS - UNAUDITED


FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)

$55,360

568

54,792

148,529
25,801
140,352
13,639
2,910
331,231

320,701
55,216
5,779
4,327
386,023

$327,871
(7,170)

($36,368)

(24)

(36,344)

74,561
29,480
72,806
9,448
4,355
190,650

136,283
11,894
4,764
1,365
154,306

$139,978
(3,695)

($15,419)

(1)

(15,418)

116,355
24,459
53,550
7,168
2,577
204,109

172,441
15,981
269
188,691

$177,660
(5,219)

St. Francis
St. Vincent
Seton Medical
Medical Center Medical Center
Center

($1,834)

(1,834)

12,150
1,362
2,323
223
8
16,066

13,914
318
14,232

$14,720
(806)

(continued)

$10,803

6,723

4,080

12,532
(2,712)
43,915
19
(21)
53,733

57,813
57,813

Seton Medical
DCHS System
Center
Office
Coastside

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM

INVESTMENT INCOME (LOSS)

EXCESS (DEFICIT) OF REVENUES OVER EXPENSES

OPERATING INCOME (LOSS)

($24,419)

$7,264

($31,683)

549,093
118,073
339,064
43,215
14,863
$1,064,308

921,339
67,110
38,038
6,138
1,032,625

(55,417)
(55,417)

(55,417)
(55,417)

$946,472
(25,133)

Obligated
Group
Subtotal

Eliminations

EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses

Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off of doubtful accounts
Net patient service revenue less provision and write off for
doubtful accounts

STATEMENT OF OPERATIONS - UNAUDITED


FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)

$2,299

502

1,797

7,660
7,660

9,457
9,457

Marillac
Insurance
Company

10,589
65
2,208
103
12,965

12,965
12,965

Caritas
Business
Services

($25,495)

(56)

(25,439)

56,197
7,117
27,286
2,245
290
93,135

38,091
26,019
3,304
282
67,696

$37,917
174

($4,000)

(4,000)

(10,589)
(65)
(16,367)
(103)
(27,124)

275
(27,399)
(27,124)

All Other Entities Eliminations

(concluded)

($51,615)

3,710

(55,325)

605,290
125,190
359,851
45,460
15,153
1,150,944

959,430
93,404
36,365
6,420
1,095,619

$984,389
(24,959)

DCHS Total

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM

266

INVESTMENT INCOME (LOSS)


($29,810)

(30,076)

OPERATING INCOME (LOSS)

EXCESS (DEFICIT) OF REVENUES OVER EXPENSES

142,109
32,572
50,835
9,756
2,835
238,107

$197,226
(9,698)
187,528
19,309
1,194
208,031

O'Connor
Hospital

EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses

Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off of doubtful accounts
Net patient service revenue less provision and write off for doubtful accounts

STATEMENT OF OPERATIONS - UNAUDITED


FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)

($7,219)

28

(7,247)

43,268
5,944
15,846
4,394
1,611
71,063

$63,399
($2,726)
60,673
2,253
890
63,816

Saint Louise
Regional
Hospital

($10,748)

6,266

(17,014)

145,238
25,059
89,427
14,693
4,140
278,557

$234,830
(8,633)
226,197
29,455
1,981
3,910
261,543

($24,801)

490

(25,291)

75,563
32,231
55,147
9,244
2,716
174,901

$136,033
(3,869)
132,164
8,209
7,615
1,622
149,610

($16,139)

45

(16,184)

115,339
27,197
44,411
7,884
3,048
197,879

$175,328
(7,583)
167,745
13,458
492
181,695

St. Francis
St. Vincent
Seton Medical
Medical Center Medical Center
Center

$369

369

12,191
1,178
2,349
260
(8)
15,970

$15,284
(1,229)
14,055
284
2,000
16,339

(continued)

$142,645

9,116

133,529

14,905
117
45,958
836
1,664
63,480

54,600
142,409
197,009

Seton Medical
Center
System Office
Coastside

3DJHRI

DAUGHTERS OF CHARITY HEALTH SYSTEM

INVESTMENT INCOME (LOSS)


-

OPERATING INCOME (LOSS)

EXCESS (DEFICIT) OF REVENUES OVER EXPENSES

(54,528)
(54,528)

(54,528)
(54,528)

Eliminations

EXPENSES:
Salaries and benefits
Supplies
Purchased services and other
Depreciation
Interest, net
Total expenses

Premium revenue
Other revenue
Contributions
Total unrestricted revenues and other support

UNRESTRICTED REVENUES AND OTHER SUPPORT:


Net patient service revenue
Provision and write-off of doubtful accounts
Net patient service revenue less provision and write off for doubtful accounts

STATEMENT OF OPERATIONS - UNAUDITED


FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)

$54,297

$16,211

$38,086

548,613
124,298
249,445
47,067
16,006
$985,429

$822,100
(33,738)
788,362
37,664
44,972
152,517
1,023,515

Obligated Group
Subtotal

$2,139

1,266

873

7,983
7,983

8,856
8,856

Marillac
Insurance
Company

6
-

(6)

10,441
92
2,178
108
12,819

12,813
12,813

Caritas
Business
Services

($21,018)

1,270

(22,288)

51,993
7,681
26,653
2,155
88,482

$39,233
(158)
39,075
24,575
2,004
540
66,194

All Other
Entities

($5,018)

(5,006)

(12)

(10,441)
(92)
(13,949)
(108)
(24,590)

(24,602)
(24,602)

Eliminations

(concluded)

$30,400

13,747

16,653

600,606
131,979
272,310
49,222
16,006
1,070,123

$861,333
(33,896)
827,437
62,239
44,043
153,057
1,086,776

DCHS Total

3DJHRI

CASH AS OF MARCH 31, 2015

$11,952

1,592

10,360

NET INCREASE (DECREASE) IN CASH

CASH AS OF JUNE 30, 2014

26,238
(576)
25,662

CASH FLOWS FROM FINANCING ACTIVITIES


Short-term debt
Long-term debt
Total financing cash flows

$4,454

2,758

1,696

23,225
(273)
22,952

278
(510)
(232)

(134)
(21,024)

(1,385)
(13,691)

200
(1,811)
(1,611)

(897)
(725)
1,887
(6,084)
(14,744)
293
(681)
3,043

($9,197)
4,275
1,940

Saint Louise
Regional
Hospital

(5,928)
565
42,720
(17,371)
(16,657)
64
(3,290)
11,046

($38,201)
8,443
6,303

O'Connor
Hospital

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

Patient accounts receivable


Due to/from government agencies
Due to/from related organizations
Other current assets
Other restricted assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

CASH FLOWS FROM OPERATING ACTIVITIES


Changes in net assets
Depreciation
Provision for doubtful accounts

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)

$25,404

38,936

(13,532)

(2,560)
(2,560)

5
3,446
(1,912)
1,539

(803)
(12,511)

(8,785)
2,555
(44,364)
(85,720)
(213)
(1,569)
51,349

$54,230
13,639
7,170

St. Francis
Medical
Center

$6,649

2,822

3,827

59,700
(506)
59,194

(1,176)
6,190
(4,420)
594

(330)
(55,961)

(3,365)
(493)
14,016
(16,737)
(37,901)
353
(2,788)
12,993

($34,852)
9,448
3,695

St. Vincent
Medical
Center

$9,914

7,347

2,567

15,387
(554)
14,833

2
323
(2,081)
(1,756)

(139)
(10,510)

(2,718)
(275)
6,263
(11,699)
(9,769)
(15)
(3,259)
12,452

($13,738)
7,168
5,219

Seton
Medical
Center

$194

65

129

450
450

(20)
(20)

(1)
(301)

(523)
1,511
(151)
(286)
(2)
133
(177)

($1,834)
223
806

Seton
Medical
Center
Coastside

(continued)

$13,154

32,560

(19,406)

(269)
(269)

530
926
69
1,525

53
(20,662)

(21,466)
(1,646)
(1,615)
(5,332)
(584)

$9,909
19
-

DCHS
System
Office

3DJHRI

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

CASH FLOWS FROM FINANCING ACTIVITIES


Short-term debt
Long-term debt
Total financing cash flows

NET INCREASE (DECREASE) IN CASH

CASH AS OF JUNE 30, 2014

CASH AS OF MARCH 31, 2015

Eliminations

Patient accounts receivable


Due to/from government agencies
Due to/from related organizations
Other current assets
Other restricted assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

CASH FLOWS FROM OPERATING ACTIVITIES


Changes in net assets
Depreciation
Provision for doubtful accounts

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2015
(In thousands)

$71,721

86,080

(14,359)

125,000
(4,738)
120,262

(1,176)
530
7
11,363
(10,685)
39

(22,216)
1,627
567
(139,408)
(79,357)
(1,135)
(16,786)
90,122
(2,739)
(134,660)

($33,683)
43,215
25,133

Obligated
Group
Subtotal

Robert F.
Kennedy
Medical
Center

Robert F.
Kennedy
Medical
Center
Foundation

$3,785

6,777

(2,992)

(904)
(904)

(6,041)
(21)
381
5,294
(2,088)

($1,701)
-

Marillac
Insurance
Company

$2,675

2,186

489

1
1
2

487

425
20
(1)
104
(164)

103
-

Caritas
Business
Services

$4,888

5,312

(424)

(346)
(346)

(1,638)
913
15,518
(614)
14,179

(257)
(14,257)

918
(992)
5,525
138
695
747

($23,102)
2,245
(174)

All Other
Entities

$83,069

100,355

(17,286)

125,000
(5,084)
119,916

(3,718)
530
921
26,881
(11,195)
13,419

(21,298)
1,627
(135,951)
(79,357)
(998)
(15,987)
90,695
381
(1,666)
(150,621)

($58,486)
45,460
24,959

DCHS Total

(concluded)
3DJHRI

103
103

(3,964)
(103)

3,953
11

(103)
-

Eliminations

CASH AS OF MARCH 31, 2014

CASH AS OF JUNE 30, 2013

NET INCREASE (DECREASE) IN CASH

$3,255

9,336

(6,081)

(26,500)
(26,500)

14,128
9,654
(6,500)
17,282

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

CASH FLOWS FROM FINANCING ACTIVITIES


Long-term debt
Total financing cash flows

(106)
16,341

(1,044)
3,137

$1,703

1,714

(11)

(15,980)
(15,980)

819
(22)
(1,169)
(372)

$7,662
4,394
2,726
(4,339)
(3,635)
6,877
3,421
245
1,356
(2,260)

Saint Louise
Regional
Hospital

($17,715)
9,756
9,698
(8,830)
1,285
(498)
9,109
1,709
4,189
(4,522)

O'Connor
Hospital

CASH FLOWS FROM OPERATING ACTIVITIES


Changes in net assets
Depreciation
Provision for doubtful accounts
Patient accounts receivable
Due to/from government agencies
Due to/from related organizations
Other current assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)

$37,039

(2,886)

39,925

(29,902)
(29,902)

30,760
51,042
(5,600)
76,202

(1,188)
(6,375)

$32,071
14,693
8,633
(27,097)
2,834
(71,943)
33,232
(104)
2,629
(135)

St. Francis
Medical
Center

$1,404

(417)

1,821

(29,532)
(29,532)

(64)
3,852
(503)
(10,169)
(6,884)

(557)
38,237

$4,686
9,244
3,869
(1,913)
(1,336)
24,673
2,581
190
3,313
(6,513)

St. Vincent
Medical
Center

$8,236

3,181

5,055

(32,335)
(32,335)

6,789
(27)
(5,453)
1,309

(23)
36,081

$15,647
7,884
7,583
(4,265)
(1,481)
4,629
7,757
(4)
2,465
(4,111)

Seton
Medical
Center

$25

(61)

86

(77)
(77)

3
163

($1,631)
260
1,229
(1,066)
46
1,621
32
(1)
15
(345)

Seton
Medical
Center
Coastside

(continued)

$17,814

(235)

18,049

(26,502)
(26,502)

14,998
4,354
(76)
3,305
22,581

(4,321)
21,970

($16,234)
836
33,907
12,155
1,691
(2,491)
(3,573)

DCHS
System
Office

3DJHRI

CASH FLOWS FROM INVESTING ACTIVITIES


Change in other investments
Change in assets under bond indenture agreements
Change in interest in pooled investment fund - short-term
Change in interest in pooled investment fund - long-term
Additions to property and equipment
Total investing cash flows

CASH FLOWS FROM FINANCING ACTIVITIES


Long-term debt
Total financing cash flows

NET INCREASE (DECREASE) IN CASH

CASH AS OF JUNE 30, 2013

CASH AS OF MARCH 31, 2014

Eliminations

CASH FLOWS FROM OPERATING ACTIVITIES


Changes in net assets
Depreciation
Provision for doubtful accounts
Patient accounts receivable
Due to/from government agencies
Due to/from related organizations
Other current assets
Other long-term assets
Accounts payable
Accrued liabilities/other
Pending trades receivable/payable
Pension and other long-term liabilities
Total operating cash flows

DAUGHTERS OF CHARITY HEALTH SYSTEM


STATEMENT OF CASH FLOWS - UNAUDITED
FOR THE NINE MONTHS ENDED MARCH 31, 2014
(In thousands)

$69,476

10,632

58,844

(160,751)
(160,751)

(64)
14,998
60,702
60,068
(25,663)
110,041

$24,486
47,067
33,738
(47,510)
(2,287)
(734)
68,287
3,726
11,476
(21,459)
(7,236)
109,554

Obligated
Group
Subtotal

$4,831

11,162

(6,331)

4,811
4,811

($2,861)
(3,957)
(8,218)
53
3,841
(11,142)

Marillac
Insurance
Company

$1,938

1,415

523

927
(17)
910

(387)

$11
108
(366)
2
96
(238)

Caritas
Business
Services

$5,673

7,951

(2,278)

(1,788)
(1,788)

(371)
(55)
(1,263)
(1,844)
(3,533)

(10)
3,043

$3,799
2,155
158
(4,519)
1,100
(999)
(3,380)
3,799
940

All Other
Entities

108
108

(3,659)
(108)

($18)
(108)
3,659
18

Eliminations

(concluded)

$81,918

31,160

50,758

(162,539)
(162,539)

4,376
14,998
61,574
58,805
(27,416)
112,337

$25,417
49,222
33,896
(52,029)
(2,287)
66,992
346
15,371
(28,957)
53
(7,064)
100,960

DCHS Total

3DJHRI

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