Statistical Analysis: FY 2013 FY 2014 FY 2015 FY 20016 Budget STATISTICAL SUMMARY LRMC CCH CCH CCH Admissions 16,583 17,122 17,397 17,745 Adjusted Admissions 22,934 23,101 23,375 23,843 Patient Days 71,109 76,731 78,799 80,375 Adjusted Patient Days 98,330 103,487 105,871 107,988 Average Daily Census 195 210 216 220 Percentage of Occupancy 63% 68% 70% 71% Average Length of Stay 4.3 4.5 4.5 4.5 Emergency Visits 33,586 33,095 36,266 37,354 Urgent Care Visits 11,717 15,734 16,202 16,688 Observation Cases 4,380 5,216 5,496 5,661 Outpatient Registrations 30,819 30,063 32,313 33,928 Home Health Visits 51,736 43,496 38,532 38,532 Births 1,297 1,328 1,265 1,265 Other Statistics Employees 2,112 2,350 2,400 Full Time Equivalent Employees 1,690 1,880 1,920 Financial Data: 4 Balance Sheet FY 2014 and 2015 Assets Current assets: Cash and cash equivalents Cash and investments held by bond trustee required for current liabilities Accounts receivable, less allowances for patient accounts of approximately $40,466,000 and $38,196,000 in 2010 and 2009, respectively Estimated third-party settlements, net Supplies Prepaid expenses and other current assets Total current assets 2015 2014 34,328,81 53,635,94 4 4 12,479,98 44,068,697 38,838,787 1,295,000 1,758,080 9,899,409 8,860,081 9,066,378 11,867,585 129,518,287 108,133,332 Assets limited as to use: Cash and investments held by bond trustee, less current portion Other 6,577,710 5,986,813 4,575,567 2,660,774 Total assets limited as to use 11,153,277 8,647,587 Property and equipment, net 176,575,169 184,822,376 Other assets: Investments Deferred loan costs, net 88,036,572 1,762,631 96,245,865 2,414,097 1,524,290 Due from affiliates Other assets 7,388,113 1,280,004 894,248 Total other assets Total assets 98,081,564 101,464,256 $ 415,328,297 403,067,551 Current liabilities: Accounts payable 19,860,709 15,744,839 Accrued expenses: Employee compensation and 20,467,163 14,712,215 Interest 2,186,356 2,069,202 Other 11,501,375 12,929,155 Current portion of long-term debt 5,000,000 4,715,000 Total current liabilities 59,015,603 50,170,411 Interest rate swaps 7,663,158 5,121,610 Other Long-term debt, less current portion Net assets: Total liabilities Unrestricted 12,907,742 8,342,913 154,594,700 162,282,08 234,181,203 225,917,01 Temporarily restricted Permanently restricted 5 181,147,094 175,919,30 129,367 1,101,862 Total net assets Total liabilities and net assets See accompanying notes to combined financial statements. Combined Statements of Operations and Changes in Net Assets Years ended 2015 and 2014 181,147,094 $ 415,328,297 177,150,53 403,067,55 2015 2014 Unrestricted revenues: Net patient service revenue Other revenues Expenses: Total revenues Salaries, wages, and benefits Supplies and other costs Physician and other professional fees Provision for bad debts Depreciation and amortization Interest $ 356,970,899 3,972,874 355,503,779 360,943,773 3,265,341 358,769,120 154,185,77 156,730,75 114,684,53 116,721,80 30,825,059 27,166,07 26,961,851 27,098,15 23,307,829 24,265,90 6,255,524 7,237,20 Total expenses 356,220,57 359,219,90 Income (loss) from operations 4,723,200 (450,780) Nonoperating gains (losses): Investment loss, net (3.070.456) (2.316.910) Change in net unrealized gains and losses on investments 6,788,945 (7,813,344) Change in fair value of interest rate swaps (2,541,548) (4,212,764) Contributions 202,470 5,196 Change in interest in net assets of Leesburg Regional Medical Center Charitable Foundation, Inc. (393,832) Loss on extinguishment of debt Gain on sale of property and equipment Other (648,158) 28,128 38,270 (5,926,723) 3,244 9,186 Nonoperating gains (losses), net 797,651 (20,645,94 Excess (deficiency) of revenue and gains over expenses before discontinued operations 5,520,851 (21,096,72 See accompanying notes to combined financial statements. 6. Combined Statements of Cash Flows Years ended 2015 and 2014 2015 2014 Cash flows from operating activities and nonoperating gains: Change in net assets Adjustments to reconcile change in net assets to net cash provided by operating activities and nonoperating gains: Depreciation and amortization Provision for bad debts Change in fair value of interest rate swaps Change in net unrealized gains and losses on Gain on sale of property and equipment Change in interest in net assets of Foundation Gain on sale of businesses Loss on early extinguishment of debt Amortization of premiums and discounts, net Changes in operating assets and liabilities: Accounts receivable Supplies Estimated third-party receivables/payables Prepaid expenses and other assets Accounts payable $3,996,561 (15,261,655) 23,307,82 24,265,90 26,961,85 27,098,15 2,541,54 4,212,76 (6,788,94 7,813,34 (28,128 (3,244 1,524,29 394,672 (6,380,95 648,15 5,926,72 (187,38 (189,839 (32,191,76 (24,785,38 (1,039,32 719,289 463,08 (4,170,07 1,906,95 (1,397,17 4,115,87 Accrued expenses 4,444,32 1,446,42 2,036,40 Other noncurrent liabilities 4,564,829 Net cash provided by operating activities and nonoperating gains 34,239,751 Cash flows from investing activities: Net change in investments Purchases of property and equipment Proceeds from sale of property and equipment Proceeds from sale of businesses Net change in assets limited as to use 14,998,23 (14,964,88 28,128 A 040. (13,286,13 (10,135,35 3,244 5,239,33 (1,578,564) Net cash used in investing activities (1,517,083) Cash flows from financing activities: Repayment of long-term debt and capital lease (44,715,00 (102,517,95 Proceeds from issuance of long-term debt 37,500,00 Change in due from affiliates (6,108,10 Payment of loan costs (92,429) 97,655,00 (784,088) Net cash used in financing activities Change in cash and cash equivalents (13,415,538) 19,307,13 757,061 Cash and cash equivalents, beginning of year 34,328,814 Cash and cash equivalents, end of year $ 53,635,944 Noncash financing activity: Notes receivable received in sales of businesses 7 3,100,00