18 1. Analyze the differences in the data from year-to-year and identify key changes that have taken place.

2. Write a two-page paper that addresses the following items.

- Identify the key changes (line item) that have taken place.

- States assumptions regarding why these changes have taken place. Provide a rationale for your assumption using

health care financial terms and concepts.

*I reposted the table to fix some errors.

Not-For-Profit Comprehensive Inpatient and Outpatient Health Center Consolidated Statements of Operations and Changes in Net Assets

	2012	2011
Operating revenue (losses):
Net patient service revenues	417,087	405,087
Other operating revenues	7,797	9,109
Contribution revenues	2,228	2,054
(Loss) gain on disposal of assets	(54)	1,682
Net operating revenues	427,058	417,932
Operating expenses:
Salaries	169,271	158,069
Registeries	2,652	4,017
Employee benefis	41,347	39,168
Supplies	64,595	67,420
Purchases Services	40,158	37,354
Interest	9,828	9,943
Depreciation & Amortization	30,027	22,701
Provision for uncollectible accounts	14,010	18,639
Rent, leases, and utilities	13,147	10,195
Marketing, insurance, taxes, & other	23,890	23,601
Total operating expenses	408,925	391,107
Excess of revenues over expenses	18,133	26,825
Non operating revenues, net:
Investment income	11,340	7,968
Total nonoperating revenues, net	11,340	7,968
Excess of revenues over expenses	29,473	34,793
Other changes in unrestricted net assests:
Net assets released for capital acquisitions	1,032	226
Change in pension liability	(8,765)	4,692
Change in net unrealized (losses) gains on investments	(7,902)	27,196
Appropriation of endownment assets for expenditure	165	98
Consolidation of joint venture	2,792	-
Increase in unrestricted net assets	16,795	67,005
Change in temporarily restricted net assets:
Contributions	4,139	1,894
Investment income	145	167
Change in net unrealized (losses) gains on investments	(18)	675
Net assets released from restrictions	(2,426)	(1,559)
Increase in temorarily restrictect net assets	1,840	1,177
Change in permanently restricted net assets:
Contributions	256	20
Increase in permanently restricted net assets	256	20
Increase in net assets	18,891	68,202
Net assets, beginning of year	306,733	238,531
Net assets, end of year	325,624	306,733