2019 A GLIMPSE INTO DATA…YOUR DATA 1111 W. la Palma Ave. Anaheim, CA 92801 714.774.1450 Hospital Type Provider Number Short Term Acute 050226 Care Hospital NPI Number Ownership 1891938122 Proprietary - Corporation Medical School Affiliation CBSA Code No Affiliation 31080 Los Angeles Accrediation Agency Long Beach The Joint Commission Anaheim CA TABLE OF CONTENTS Hospital Financials 6 Hospital Payments and Volumes 39 Payor Information 48 Physicians Output Facts 57 Market Share Technology 90 Procedures and Departments 241 by the Numbers Hospital Assessments 263 Definitions 279 5 HOSPITAL FINANCIALS 6 Assets NATIONAL CURRENT ASSETS 06/30/2018 06/30/2018 CBSA BENCHMARK BENCHMARK CASH ON HAND $27,543,217.00 $29,021,469.00 $15,506,901.00 $28,385,971.00 TEMPORARY INVESTMENTS $37,017,480.00 $98,436,246.00 ACCOUNTS RECEIVABLE $210,780,518.00 $213,989,159.00 $55,238,855.00 $149,598,728.00 OTHER RECEIVABLES $8,545,418.00 $37,738,512.00 ALLOWANCES FOR UNCOLLECTIBLE ($183,776,393.00) ($185,804,256.00) ($40,577,959.00) ($115,106,758.00) INVENTORY $3,083,556.00 $2,928,396.00 $3,219,045.00 $3,554,690.00 PREPAID EXPENSES $8,089,670.00 $2,044,988.00 $1,756,147.00 $7,729,992.00 OTHER CURRENT ASSETS $11,147,847.00 $31,890,540.00 TOTAL CURRENT ASSETS $65,720,568.00 $62,179,756.00 $73,295,404.00 $156,603,010.00 Financial Percentages and Ratios NATIONAL PERCENTAGES 06/30/2019 CBSA BENCHMARK BENCHMARK NET OPERATING PROFIT MARGIN -3.5% -3.3% -21.8% NET INCOME MARGIN -2.9% 5.2% -9.8% BAD DEBT TO NET PATIENT REVENUE RATIO 5.8% 6.5% 3.1% BAD DEBT TO ACCOUNTS RECEIVABLE RATIO 5.9% 19.6% 5.1% PATIENT DISCOUNT PCT. 84.5% 72.8% 76.9% PERCENTAGE OF MEDICAID PATIENT DAYS TO TOTAL PATIENT DAYS 41.3% 24.2% 36.5% PERCENTAGE OF SSI RECIPIENT PATIENT DAYS TO MEDICARE PART 22.3% 10.7% 20.5% A PATIENT DAYS ALLOWABLE DISPROPORTIONATE SHARE PERCENTAGE 41.6% 16.2% 38.0% Summary Income Statement NATIONAL INCOME 06/30/2019 CBSA BENCHMARK BENCHMARK TOTAL PATIENT REVENUE $1,412,017,613.00 $619,448,402.00 $1,179,379,877.00 PATIENT ALLOWANCES AND DISCOUNTS $1,193,852,239.00 $455,586,720.00 $920,171,454.00 NET PATIENT REVENUE $218,165,374.00 $168,831,182.00 $274,544,614.00 TOTAL OPERATING EXPENSES $225,716,138.00 $170,610,330.00 $313,615,409.00 OPERATING INCOME ($7,550,764.00) ($6,804,177.00) ($54,525,899.00) TOTAL OTHER INCOME $1,184,147.00 $16,760,096.00 $32,287,131.00 TOTAL INCOME ($6,366,617.00) $9,216,921.00 ($26,969,621.00) TOTAL OTHER EXPENSES $140.00 $4,549,594.00 $4,358,324.00 NET INCOME ($6,366,757.00) $7,818,190.00 ($28,177,188.00) EBITDA ($6,179,437.00) $6,787,429.00 ($12,589,421.00) 7 TOTAL PATIENT REVENUE $1,412,017,613.00 TOTAL INPATIENT REVENUE $894,937,781.00 TOTAL OUTPATIENT REVENUE $517,079,832.00 TOTAL MEDICARE PATIENT CHARGE $303,654,708.00 TOTAL MEDICAID CHARGE $122,630,555.00 PATIENT ALLOWANCES AND DISCOUNTS $1,193,852,239.00 NET PATIENT REVENUE $218,165,374.00 NET MEDICARE REVENUE $34,369,985.00 NET MEDICAID REVENUE $12,160,338.00 PATIENT DISCOUNT PCT 84.5% TOTAL REVENUES $219,349,521.00 TOTAL SALARIES $81,041,593.00 CONTRACT LABOR $3,297,709.00 FRINGE BENEFITS $774,945.00 LABOR COMPENSATION RATIO 39% TOTAL OVERHEAD COSTS $113,428,792.00 TOTAL OPERATING EXPENSES $225,716,138.00 DEPRECIATION EXPENSE $225,716,138.00 EST IT OPERATING BUDGET $6,997,200.00 EST IT CAPITAL BUDGET $411,398.00 CAPITAL EXPENDITURES $1,094,110.00 OPERATING INCOME ($7,550,764.00) NET OPERATING PROFIT MARGIN -3.5% OTHER INCOME $1,184,147.00 NET INCOME ($6,366,757.00) NET INCOME MARGIN -2.9% EBITDA ($6,179,437.00) MEDICARE DISPROPORTIONATE SHARE HOSPITAL PMT $2,397,396.00 MEDICARE ALLOWABLE DISPROPORTIONATE SHARE % 41.6% FY2013 MEDICARE READMISSION RATE PENALTY -0.49% EST FY2013 REVENUE LOSS DUE TO READMISSION PENALTY ($139,661.00) FY2014 MEDICARE READMISSION RATE PENALTY -0.27% 8 TOTAL PATIENT REVENUE $1,412,017,613.00 TOTAL INPATIENT REVENUE $894,937,781.00 TOTAL OUTPATIENT REVENUE $517,079,832.00 TOTAL MEDICARE PATIENT CHARGE $303,654,708.00 TOTAL MEDICAID CHARGE $122,630,555.00 PATIENT ALLOWANCES AND DISCOUNTS $1,193,852,239.00 NET PATIENT REVENUE $218,165,374.00 NET MEDICARE REVENUE $34,369,985.00 NET MEDICAID REVENUE $12,160,338.00 PATIENT DISCOUNT PCT 84.5% TOTAL REVENUES $219,349,521.00 TOTAL SALARIES $81,041,593.00 CONTRACT LABOR $3,297,709.00 FRINGE BENEFITS $774,945.00 LABOR COMPENSATION RATIO 39% TOTAL OVERHEAD COSTS $113,428,792.00 TOTAL OPERATING EXPENSES $225,716,138.00 DEPRECIATION EXPENSE $225,716,138.00 EST IT OPERATING BUDGET $6,997,200.00 EST IT CAPITAL BUDGET $411,398.00 CAPITAL EXPENDITURES $1,094,110.00 OPERATING INCOME ($7,550,764.00) NET OPERATING PROFIT MARGIN -3.5% OTHER INCOME $1,184,147.00 NET INCOME ($6,366,757.00) NET INCOME MARGIN -2.9% EBITDA ($6,179,437.00) MEDICARE DISPROPORTIONATE SHARE HOSPITAL PMT $2,397,396.00 MEDICARE ALLOWABLE DISPROPORTIONATE SHARE % 41.6% FY2013 MEDICARE READMISSION RATE PENALTY -0.49% EST FY2013 REVENUE LOSS DUE TO READMISSION PENALTY ($139,661.00) EST FY2014 REVENUE LOSS DUE TO READMISSION PENALTY ($73,086.00) 9 FY2015 MEDICARE READMISSION RATE PENALTY -0.80% EST FY2015 REVENUE LOSS DUE TO READMISSION PENALTY ($217,110.00) FY2016 MEDICARE READMISSION RATE PENALTY -0.85% EST FY2016 REVENUE LOSS DUE TO READMISSION PENALTY ($225,649.00) FY2017 MEDICARE READMISSION RATE PENALTY -0.42% EST FY2017 REVENUE LOSS DUE TO READMISSION PENALTY ($111,497.00) FY2018 MEDICARE READMISSION RATE PENALTY -0.27% EST FY2018 REVENUE LOSS DUE TO READMISSION PENALTY ($71,677.00) FY2019 MEDICARE READMISSION RATE PENALTY -0.21% EST FY2019 REVENUE LOSS DUE TO READMISSION PENALTY ($57,291.00) FY2013 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT -0.12% EST FY2013 REV ADJ DUE TO VALUE BASED PURCHASING ($33,652.00) FY2014 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT 0.21% EST FY2014 REVE ADJ DUE TO VALUE BASED PURCHASING $57,706.00 FY2015 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT -0.12% EST FY2015 REV ADJ DUE TO VALUE BASED PURCHASING ($184,510.00) FY2016 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT -0.60% EST FY2016 REVADJ DUE TO VALUE BASED PURCHASING ($159,977.00) FY2017 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT -0.15% EST FY2017 REV ADJ DUE TO VALUE BASED PURCHASING ($40,347.00) FY2018 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT 0.20% EST FY2018 REVE ADJ DUE TO VALUE BASED PURCHASING $51,769.00 FY2019 MEDICARE VALUE-BASED PURCHASING ADJUSTMENT 0.02% EST FY2019 REV ADJ DUE TO VALUE BASED PURCHASING $6,597.00 FY2015 MEDICARE HOSPITAL ACQUIRED CONDITION PENALTY -1.00% EST FY2015 REV LOSS DUE TO HOSP ACQUIRED COND PNLTY ($271,387.00) FY2016 MEDICARE HOSPITAL ACQUIRED CONDITION PENALTY 0.00% EST FY2016 REV LOSS DUE TO HOSP ACQUIRED COND PNLTY $0.00 FY2017 MEDICARE HOSPITAL ACQUIRED CONDITION PENALTY 0.00% EST FY2017 REV LOSS DUE TO HOSP ACQUIRED COND PNLTY $0.00 FY2018 MEDICARE HOSPITAL ACQUIRED CONDITION PENALTY 0.00% EST FY2018 REV LOSS DUE TO HOSP ACQUIRED COND PNLTY $0.00 10 FY2019 MEDICARE HOSPITAL ACQUIRED CONDITION PENALTY 0.00% EST FY2019 REV LOSS DUE TO HOSP ACQUIRED COND PNLTY $0.00 MEANINGFUL USE TOTAL PMT AMT $3,949,933.00 MEDICARE MEANINGFUL USE STATUS Att for Medicare Meaningful Use Stg 2 CASH ON HAND $29,021,469.00 DAYS CASH ON HAND 47.2 TEMPORARY INVESTMENTS $0.00 ACCOUNTS RECEIVABLE $213,989,159.00 DAYS SALES OUTSTANDING 47.2 ALLOWANCES FOR UNCOLLECTIBLE ($185,804,256.00) TOTAL CURRENT ASSETS $62,179,756.00 TOTAL FIXED ASSETS $6,001,943.00 TOTAL OTHER ASSETS TOTAL ASSETS $68,181,699.00 ENDOWMENT FUND INVESTMENTS TOTAL ASSETS IN ENDOWMENT FUND TOTAL CURRENT LIABILITIES $41,036,025.00 LONG TERM LIABILITIES $526,387.00 TOTAL LIABILITIES $41,562,412.00 GENERAL FUND BALANCE $26,619,287.00 TOTAL LIABILITES AND FUND BALANCE $68,181,699.00 CURRENT RATIO 1.5 QUICK RATIO 1.4 LIABILITIES TO FUND BALANCE RATIO 1.6 DEBT TO EQUITY RATIO 0.02 BAD DEBT $12,635,270.00 BAD DEBT TO NET PATIENT REVENUE RATIO 5.8% BAD DEBT TO ACCOUNTS RECEIVABLE RATIO 5.9% # OF EMPLOYEES 961 # OF AFFILATED PHYSICIANS 246 # OF INTERNS/RESIDENTS LAUNDRY AND LINEN SERVICE $630,986.00 11 HOUSEKEEPING $2,874,494.00 DIETARY $4,675,307.00 MED/SURG SUPPLY COSTS $3,386,805.00 TOTAL MED/SURG SUPPLY COSTS $37,042,109.00 PHARMACY SUPPLY COSTS $10,202,759.00 PCT. SSI RECIPIENT PATIENT DAYS TO MEDICARE PART A DAYS $0.00 PCT. MEDICAID DAYS TO TOTAL PATIENT DAYS $0.00 UNREIMBURSED MEDICAID COSTS $7,765,443.00 UNREIMBURSED SCHIP COSTS UNREIMB OTHER STATE/LOCAL GOVT. INDIGENT CARE COSTS $75,255.00 CHARITY CARE CHARGES $3,951,311.00 CHARITY CARE COSTS $529,855.00 NON-MEDCR/NON-REIMBURSEABLE MEDCR BAD DEBT COSTS $1,909,051.00 COST OF UNCOMPENSATED CARE $2,438,906.00 TOTAL UNCOMPENSATED CARE OR UNREIMBURSED COSTS $10,279,604.00 CASE-MIX ADJUSTED COST PER DISCHARGE $8,685.00 STATE-AVERAGE CASE-MIX ADJUSTED COST PER DISCHARGE $12,669.00 CASE-MIX AND WAGE ADJUSTED COST PER DISCHARGE $7,373.00 STATE-AVERAGE CASE-MIX AND WAGE ADJ COST PER DISCHG $10,158.00 CASE MIX INDEX (CMI) 1.65 MEDICAL CASE MIX INDEX (CMI) 1.22 SURGICAL CASE MIX INDEX (CMI) 3.31 CC/MCC RATE 64.4% AVERAGE LENGTH OF STAY (DAYS) 5 BED UTILIZATION RATE 55% AVERAGE DAILY CENSUS 122.1 # OF DAYS 46,132 MEDICARE ADVANTAGE DAYS 9,046 ADJUSTED PATIENT DAYS 72,786 # OF DISCHARGES 10,240 # OF MEDICARE DISCHARGES 2,221 # OF MEDICAID DISCHARGES 12 EST # OF OUTPATIENT VISITS 29,304 # OF DENIED INPATIENT MEDICARE CLAIMS 169 DENIED MEDICARE INPATIENT CHARGES $10,389,882.00 PERCENT MEDICARE INPATIENT CLAIMS DENIED 6.9% # OF DENIED OUTPATIENT MEDICARE CLAIMS 62 DENIED MEDICARE OUPATIENT CHARGES $395,447.00 PERCENT MEDICARE OUTPATIENT CLAIMS DENIED 0.9% EST # OF ER VISITS 20,963 PCT.