FINANCIAL STATUS OF CONNECTICUT'S SHORT ... - CT.gov

Annual Report on the

FINANCIAL STATUS OF CONNECTICUT’S SHORT TERM ACUTE CARE HOSPITALS

for Fiscal Year 2012

State of Connecticut

Department of Public Health Office of Health Care Access

September 2013

TABLE OF CONTENTS

Section 1: Executive Summary of FY 2012 Hospital Financial Performance ..................................... 1 Section 2: Statewide Hospital Health System Profile and Statewide Hospital Profile ...................... 19 Section 3: Individual Hospital Profiles William W. Backus Hospital .................................................................................................. 23 Bridgeport Hospital ............................................................................................................... 26 Bristol Hospital ...................................................................................................................... 29 Connecticut Children’s Medical Center ................................................................................. 32 Danbury Hospital .................................................................................................................. 35 Day Kimball Hospital ............................................................................................................. 38 John Dempsey Hospital ........................................................................................................ 41 Greenwich Hospital ............................................................................................................... 44 Griffin Hospital ...................................................................................................................... 47 Hartford Hospital ................................................................................................................... 50 Hospital of Central Connecticut ............................................................................................ 53 Charlotte Hungerford Hospital .............................................................................................. 56 Johnson Memorial Hospital .................................................................................................. 59 Lawrence & Memorial Hospital ............................................................................................. 62 Manchester Memorial Hospital ............................................................................................. 65 Middlesex Hospital ................................................................................................................ 68 MidState Medical Center ...................................................................................................... 71 Milford Hospital ..................................................................................................................... 74 New Milford Hospital ............................................................................................................. 77 Norwalk Hospital ................................................................................................................... 80 Rockville General Hospital .................................................................................................... 83 Saint Francis Hospital and Medical Center ........................................................................... 86 Saint Mary’s Hospital ............................................................................................................ 89 Saint Raphael, Hospital of ................................................................................................... 92 Saint Vincent’s Medical Center ............................................................................................. 95 Sharon Hospital……………………………………………………………………………………...98 Stamford Hospital ............................................................................................................... 101 Waterbury Hospital ............................................................................................................. 104 Windham Community Memorial Hospital ............................................................................ 107 Yale-New Haven Hospital ................................................................................................... 110 Section 4: Appendices Appendix A — Hospital Health System Statement of Operations Data ............................. 113 Appendix B — Hospital Health System Margin Data .......................................................... 114 Appendix C — Hospital Health System Operating Margins ............................................... 115 Appendix D — Hospital Health System Non Operating Margins ....................................... 116 Appendix E — Hospital Health System Total Margins ....................................................... 117 Appendix F — Hospital Health System Net Assets Data .................................................... 118 Appendix G — Hospital Health System Solvency Measures ............................................. 119 Appendix H — Hospital Health System Liquidity Measures ............................................... 120 Appendix I — Hospital Statement of Operations Data ....................................................... 121 Appendix J — Hospital Margin Data ................................................................................... 122 Appendix K — Hospital Operating Margins ....................................................................... 123 Appendix L — Hospital Non Operating Margins ................................................................ 124 Appendix M — Hospital Total Margins ............................................................................... 125 Appendix N — Hospital Net Assets Data ............................................................................ 126 Appendix O — Hospital Ratio of Cost to Charge Data ........................................................ 127 Appendix P — Hospital Solvency Ratios ............................................................................ 129 Appendix Q — Hospital Liquidity Ratios ............................................................................. 130 Appendix R — Hospital Uncompensated Care Data .......................................................... 131 Appendix S — Hospital Utilization Data .............................................................................. 132 Appendix T — Hospital Gross Revenue Payer Mix ............................................................ 133 Appendix U — Hospital Net Revenue Payer Mix ................................................................ 134 Appendix V — Hospital Discharges by Payer ..................................................................... 135 Appendix W — Hospital Case Mix Index by Payer ............................................................. 136 Appendix X — Hospital Emergency Department Visits ....................................................... 137 Appendix Y — Hospital Map ............................................................................................... 138 Appendix Z — Glossary of Terms ....................................................................................... 139

1

EXECUTIVE SUMMARY

Executive Summary

The Department of Public Health, Office of Health Care Access (OHCA) is

responsible for the collection, analysis and dissemination of acute care hospital

financial information. This report provides information related to the financial

stability of Connecticut’s acute care hospitals, as mandated in Section 19a-670 of

the Connecticut General Statutes. The report highlights Connecticut’s statewide

hospital trends and includes individual hospital profiles of financial performance.

The report is intended to provide information that will enhance knowledge of the

financial status of Connecticut’s hospitals.

The report identifies a number of key findings and trends:

In Fiscal Year (FY) 2012, Connecticut hospitals had a total gain from

operations of $513.6 million, a substantial increase (69%) from the previous

year's gain from operations.

In FY 2012, Connecticut hospitals earned $194.4 million in income from

non-operating sources of revenue, a very substantial increase (283%) from

the previous year's results.

In FY 2012, 83% of hospitals (25 of 30) achieved a positive total margin.

The average statewide total margin was 6.63% in FY 2012, a considerable

increase over the 3.63% average statewide total margin in FY 2011.

Six hospitals had negative five-year average total margins in FY 2012.

Total hospital net assets increased by $393 million to a total of $4.3 billion in

FY 2012.

Bad debts accounted for 64% of uncompensated care charges in FY 2012

while charity care accounted for nearly 36% compared to 63% and 37%,

respectively, for FY 2011.

Statewide uncompensated care charges totaled $663.5 million in FY 2012,

increasing $59.5 million or 10% over FY 2011 results.

Medicaid discharges continue to account for two out of every ten discharges.

The average occupancy rate for staffed beds statewide dropped slightly from

83% in FY 2011 to 81% in FY 2012, as did the statewide available bed

occupancy rate, which declined from 67% to 65%.

2

Introduction

The Department of Public Health, Office of Health Care Access (OHCA) is responsible

for the collection, analysis, and dissemination of acute care hospital financial

information. This report provides information related to the financial stability of

Connecticut’s 301 acute care hospitals, as mandated in Section 19a-670 of the

Connecticut General Statutes. The following narrative provides a summary of the

financial performance of Connecticut’s hospitals during Fiscal Year (FY) 20122 and

presents some key statewide hospital financial indicators.3

Connecticut state statutes and regulations4 require each short-term acute care general or

children’s hospital, whether the hospital is structured as for-profit or not-for-profit, to

annually submit financial and statistical information to OHCA. The primary source of

information in this report is hospital audited financial statements, which include balance

sheet and statement of operations information. This report also uses the annual hospital

filings submitted to OHCA, which include utilization statistics, uncompensated care data,

free bed funds and legal charts of corporate structure.5

The report highlights Connecticut’s statewide hospital trends, includes individual

hospital profiles of financial performance, and is intended to provide information that

will enhance knowledge of the financial status of Connecticut’s hospitals. While there are

numerous financial and operating indicators that provide a means to measure hospital

performance, this report focuses on ten measures – profitability, cost data, liquidity,

solvency, net assets, utilization, discharges by payer, case mix index by payer,

uncompensated care and emergency department visits – that are considered strong

indicators of the hospitals’ financial and operating strength.

EXECUTIVE SUMMARY

1During most of FY 2012, there were 30 acute care hospitals. However on 9/12/2012, Hospital of Saint Raphael closed as a separate acute care hospital and became a satellite location of Yale-New Haven Hospital. There are currently 29 acute care hospitals at the time of release of this report. 2For the purpose of filing fiscal year end results with OHCA, Connecticut’s acute care hospitals Fiscal Year 2012 began on October 1, 2011 and ended on September 30, 2012. 3OHCA used OPTUMInsight (formerly INGENIX) 2013, Almanac of Hospital Financial & Operating Indicators, A Comprehensive Benchmark of the Nation’s Hospitals, as the source for this report’s financial ratios. 4Sections 19a-644 and 19a-676, C.G.S and Section 19a-643-206 of the Regulations of Connecticut State Agencies. 5Some FY 2011 financial and statistical data elements previously reported have been updated by the hospitals. This updated information has been included to improve reporting accuracy and comparability of FY 2011 data elements to those reported by the hospitals for FY 2012.

3

Hospital Income and Financial Performance

Hospitals must be able to generate sufficient cash flow to pay for operations

and debt service, to provide a source of capital for facility needs and

strategic initiatives and to increase cash reserves. Net patient revenue

(NPR), the revenue generated from patient care, increased by 6.7% in FY

2012, slightly more than the 6.2% increase achieved in FY 2011.

Statewide NPR was approximately $9.9 billion and accounted for 94% of

operating revenues. For FY 2012, nearly half (48%) of hospital net revenues

continued to be generated from governmental payers (Medicare, Medicaid,

CHAMPUS/TRICARE and Medical Assistance recipients), which also

accounted for the majority of discharges (66%).

In FY 2012, Connecticut hospitals had a total gain from operations of

$513.6 million, a substantial increase (69%) from the previous year. In FY

2012, non-operating revenue, which is derived primarily from investments

in stocks and bonds, the value of held securities, endowments and charitable

contributions, rose by $143.7 million (283%) from the previous year.

Combined, these factors resulted in excess revenue over expenses of

approximately $708 million (see Table 1), a nearly 100% increase from the

$354.7 million excess revenue over expenses in FY 2011. Continued

improvement in financial operational performance at many of Connecticut’s

hospitals, combined with a rebound in investment performance, helped to

bolster hospital financial performance. More detailed hospital statement of

operations and margin data are provided in Appendices I and J, which list

results by individual hospital.

Table 1

EXECUTIVE SUMMARY

Statewide Hospitals

Statement of Operations Summary 2009 2010 2011 2012

Net Patient Revenue $8,396,514,195 $8,743,587,682 $9,283,848,370 $9,902,029,414

Other Operating Revenue $427,232,901 $471,099,526 $448,460,140 $587,041,326

Total Operating Revenue $8,823,747,096 $9,214,687,208 $9,732,308,510 $10,489,070,740

Total Operating Expenses $8,584,125,928 $8,985,335,744 $9,428,356,460 $9,975,496,976

Income/(Loss) from Operations $239,621,168 $229,351,464 $303,952,050 $513,573,764

Non Operating Revenue ($9,192,982) $171,260,050 $50,716,284 $194,372,819Excess/(Deficiency) of Revenue over Expenses $230,428,186 $400,611,514 $354,668,334 $707,946,583

Source: Hospital Audited Financial Statements

4

Figure 1 shows the statewide hospital average operating, non-operating

and total margins for the last four years, which illustrates changes in

statewide hospital financial performance over this timeframe.

Figure 1

As the economy stabilized and began to gradually improve, Connecticut’s

acute care hospitals' overall financial performance also began to show

improvements. A total of 25 hospitals posted positive total margins in FY

2012, compared to 22 in FY 2011(see Appendices J and M).

On a statewide basis, the average total margin rose from 3.63% in FY 2011

to 6.63% in FY 2012. Of significance, more than three quarters of the

hospitals reported a stronger or improved total margin during FY 2012

than they had in the previous year. Individual results ranged from a high of

+18.91% (Saint Vincent’s) to a low of -7.83% (New Milford). Five

hospitals reported negative total margins in FY 2012; of particular

concern, Milford Hospital has reported a negative total margin for the past

five fiscal years.

EXECUTIVE SUMMARY

2.72%

2.44%

3.11%

4.81%

-0.10%

1.82%

0.52%

1.82%

2.61%

4.27%

3.63%

6.63%

-1.00%

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

7.00%

2009 2010 2011 2012

Source: Connecticut Acute Care Hospital Audited Financial Statements

Statewide Hospital Average Margins

Average Operating Margin

Average Non Operating Margin

Average Total Margin

5

Five Year Financial Performance

Table 2 on the following page provides five-year weighted average

total margins for Connecticut’s 30 acute care hospitals. Hospitals

need to generate revenue in excess of expenses to remain profitable.

Over a period of several years, if losses occur due to expenses

exceeding revenues, it may be indicative of financial distress. Those

hospitals with a negative total margin are not receiving sufficient

revenue to pay all of their expenses and must use other sources of

funds such as cash reserves or the liquidation of assets to pay their

expenses. In addition, hospitals must earn sufficient income to make

improvements to facilities and equipment.

Listed below are key findings from Table 2 on the following page:

Six hospitals had negative five-year average total margins in FY

2012;

Five hospitals had negative total margins for at least four of the

five fiscal years reported (Milford, New Milford, Saint Francis,

Windham and Griffin);

There were 24 hospitals with positive five-year average total

margins;

Thirteen hospitals consistently sustained positive total margins in

each of the five years and seven hospitals had a positive total

margin in four of the five years;

Overall, the statewide five-year weighted average total margin for

FY 2008 through FY 2012 was 3.46%; and

There were 16 hospitals reporting a five year total margin greater

than the statewide average of 3.46%.

EXECUTIVE SUMMARY

6

Table 2

EXECUTIVE SUMMARY

Hospital Total Margin Trends

FY 2008 - FY 2012

FY 2008-2012 FY FY FY FY FY

5 YEAR 2008 2009 2010 2011 2012

AVERAGE TOTAL TOTAL TOTAL TOTAL TOTAL

TOTAL MARGIN MARGIN MARGIN MARGIN MARGIN

MARGIN

MILFORD -4.73% -6.29% -4.27% -4.65% -6.74% -2.01%

NEW MILFORD -2.78% -1.21% -5.52% 0.21% -0.10% -7.83%

SAINT FRANCIS -1.50% -5.55% 1.77% -1.16% -2.52% -0.34%

WINDHAM -1.25% 2.45% -1.41% -1.85% -4.59% -0.75%

GRIFFIN -0.91% -1.56% 1.02% -0.79% -0.14% -3.08%

WATERBURY -0.14% -4.46% -0.76% 0.14% -0.59% 4.85%

DEMPSEY 0.04% -6.18% 1.25% 3.23% 0.91% 0.00%

SAINT RAPHAEL 0.16% -3.89% -1.30% 0.04% 0.65% 4.90%

BRISTOL 0.86% -0.79% 0.29% 1.35% 1.63% 1.68%

ROCKVILLE 0.96% -1.46% 2.01% 4.48% -1.03% 0.67%

HUNGERFORD 1.44% 1.13% 0.18% 1.41% 2.28% 1.94%

DAY KIMBALL 2.15% -3.03% 1.59% 3.95% 2.95% 4.31%

HARTFORD 2.16% -5.43% -0.52% 3.52% 1.96% 8.03%

GREENWICH 2.33% -3.54% 3.24% 4.32% 1.93% 4.86%

MANCHESTER 4.06% 5.22% 3.38% 3.23% 3.38% 5.03%

HOSP OF CENTRAL CT 4.24% 2.46% 3.81% 1.41% 6.13% 7.02%

BRIDGEPORT 4.55% -0.37% 0.45% 4.78% 8.15% 7.95%

NORWALK 4.69% 2.63% 4.46% 1.53% 6.57% 7.55%

YALE-NEW HAVEN 4.83% 0.07% 4.33% 6.13% 4.47% 7.32%

SHARON 5.01% 3.02% 5.18% 5.72% 5.24% 5.94%

LAWRENCE 5.13% 3.12% 5.16% 1.18% 7.87% 7.53%

JOHNSON* 5.33% -3.19% -9.65% 28.80% -0.40% 0.08%

MIDSTATE 5.39% 2.20% 3.01% 5.50% 3.83% 10.56%

SAINT MARY'S 5.41% 5.10% 6.23% 6.47% 2.72% 6.44%

STAMFORD 5.55% 2.94% 3.99% 5.55% 7.37% 7.13%

DANBURY 6.16% -1.78% 8.01% 8.83% 4.56% 9.39%

MIDDLESEX 6.26% 3.54% 5.79% 7.39% 6.15% 8.00%

CT CHILDREN'S 6.33% 4.73% 5.50% 7.09% 6.92% 6.99%

BACKUS 7.16% 1.25% 4.38% 6.68% 9.07% 12.98%

SAINT VINCENT'S 7.51% -5.02% 2.01% 10.38% 5.41% 18.91%

STATEWIDE (Note A) 3.46% -0.90% 2.61% 4.27% 3.63% 6.63%

Median (Note B) 4.1% -0.6% 2.0% 3.7% 2.8% 5.5%

Note B: Middle margin in numerical order

*Johnson's 2010 total margin is due to the discharge of $34.6 million of debt as a result of their bankruptcy filing.

Note A: Weighted average by dollar amounts. Revenue in excess of expenses/(revenue from operations+(revenue in excess

of expenses - gain/loss from operations))

7

Balance Sheet Strength and Liquidity

Measuring balance sheet strength and liquidity can vary based on the ratios

and indicators used. Days cash on hand, a liquidity indicator that measures a

hospital’s average number of days of cash available to pay for expenses, rose

to 69 days in FY 2012, up from 58 days in FY 2011. A higher number of

days is favorable and indicates a greater ability to meet outstanding

obligations. Sixteen hospitals had an increase in their average number of days

cash on hand, while 14 hospitals had a decrease. Backus (159) and Lawrence

& Memorial (185) had the highest amounts and the lowest were Milford (3)

and CT Children’s (1), while Dempsey and Sharon each had no cash on

hand.6 More detailed data on specific hospital liquidity measures are

provided in Appendix Q.

The cash flow to total debt ratio, a solvency indicator used to measure future

debt repayment ability, rose from 21.2 to 27.0 over the year. A lower value is

considered unfavorable and may be indicative of future debt repayment

difficulties. The large increase in revenues over expenses for hospitals

statewide helped improve the ratio. In FY 2012, 23 hospitals had increases in

this ratio, while just seven had decreases. Hospital of Saint Raphael’s (76.9)

and Saint Vincent’s (88.9) had the highest ratios while Griffin (2.5) and New

Milford (-4.8) had the lowest ratios. More detailed data on specific hospital

solvency measures are provided in Appendix P.

Total statewide hospital net assets were $4.26 billion in FY 2012, an increase

of $393 million (10%) from FY 2011. Primary factors affecting total net

assets include changes in unrealized gains and losses, a hospital’s excess or

deficiency of revenue over expenses, monetary transfers to or from a hospital

affiliate, pension and post retirement-related changes, and net assets released

from restrictions and used for operating purposes. In FY 2012, there were 23

hospitals that experienced net asset increases and only seven hospitals with

net asset decreases: Hospital of Central CT, Charlotte Hungerford, Milford,

New Milford, Rockville, Saint Francis, and Windham. More detailed data on

specific hospital net assets totals is provided in Appendix N.

EXECUTIVE SUMMARY

6Dempsey and Sharon reported no cash on hand because the amount of outstanding checks exceeded the hospitals’ cash balance. According to the notes to Dempsey's audited financial statements, in accordance with State Statute, it can borrow from the State up to 90% of its net patient receivables, contract and other receivables to fund operations. According to the notes to the audited financial statements for Sharon Hospital Holding Company, Inc. (hospital parent), it participates in its overall system parent corporation's cash management system, which provides cash to the hospital parent as outstanding checks clear the bank.

8

Financial Status of Hospital Health Systems

The corporate systems within which Connecticut hospitals operate had

results similar to the individual hospitals this past year. The hospital

corporate systems, which include hospital parent corporations and all

subsidiaries, had mostly positive results in FY 2012. The 25 hospital

health systems7 in Connecticut had revenue in excess of expenses of

$628 million in FY 2012, an increase of $207.8 million or 49% from the

previous fiscal year. This resulted in a statewide average total margin of

5.08% for the hospital corporate systems, an increase from the 3.70%

earned in FY 2011.

Total margins in FY 2012 ranged from a high of 17% (Saint Vincent’s

Health Services Corporation) to a low of -4.3% (Griffin Health Services

Corporation). There were 15 health systems that reported an increase in

total margin over the year and just four health systems that reported a

negative total margin (Griffin Health Services Corporation, Johnson

Memorial Medical Center, Inc., Milford Health & Medical, Inc. and

Sharon Hospital Holding Company, Inc.), a decrease from ten health

systems with a negative total margin in FY 2011. More detailed health

system statement of operations and margin data are provided in

Appendix A and B.

Hospital corporate systems also experienced stable liquidity levels on a

statewide average. The statewide days of cash on hand for hospital

parent corporations and their subsidiaries rose to 77 days in FY 2012

from 64 days in FY 2011. Health system cash flow to total debt rose to

24.0 from 21.6 in FY 2011. The total net assets of hospital corporate

systems8 increased to $4.96 billion in FY 2012 from $4.47 billion over

the year, an increase of 11% or almost $500 million from FY 2011.

Detailed data on specific health system liquidity and solvency

measures, in addition to net asset data, are provided in Appendices F, G,

and H.

EXECUTIVE SUMMARY

7See Appendices A-H for a listing of the 25 hospital parent corporations. A number of these parent corporations are affiliated with each other, such as Bridgeport Hospital and Healthcare Services, Inc. and Yale-New Haven Network Corporation. 8The financial results of a hospital system include each hospital’s parent corporation, the hospital itself and any other subsidiaries under the hospital parent organization. Therefore, the statewide hospital systems’ net assets of $4.96 billion in FY 2012 includes the statewide hospitals’ nets assets for FY 2012.

9

Utilization Indicators

Utilization measures provide additional information essential to understanding hospital

performance. Significant fluctuations of patient volume or length of stay, for example, can

enhance or detract from a hospital’s financial performance. Appendix S of this report

provides a snapshot view of the hospitals' utilization statistics for the past fiscal year.

The number of statewide inpatient discharges continued its downward trend, decreasing

slightly from 426,388 in FY 2011 to 418,068 in FY 2012 (-0.2%), resulting in 8,320 fewer

inpatient discharges. Although the downward trend has continued, the rate at which it

decreased has consistently declined for each of the past several years. The majority of

hospitals (21) experienced declines in patient volume similar to the statewide total, most

reporting less than 5% declines. However, a number of hospitals reported more significant

decreases in patient volumes as indicated in Table 3.

Table 3

In contrast, only nine hospitals recorded increased patient volume in FY 2012; five reported

only slight increases in volume from 0.1% to 1.4%, while four hospitals (Middlesex, Bristol,

Yale and Connecticut Children's) experienced patient volume increases of approximately 2%

to 7%.

Significant shifts in hospital discharges from one payer to another often help to explain

changes in net revenue from year to year. Hospitals have had to contend with an increasingly

challenging payer mix as non-government discharges have decreased steadily during the past

several years. This past year, non-government discharges declined by 6,776 to 144,076

discharges (-4.5%). From FY 2010 to FY 2011, Medicare discharges increased by 1.2%. In

FY 2012, however, discharges fell by 2,961 to 176,111 discharges, a decrease of 1.7%. While

Medicaid discharges increased significantly from FY 2010 to FY 2011 by 15,045 discharges

or 19%, this past fiscal year, the increase was significantly less. In FY 2012, Medicaid

discharges increased by only 1,494 to 94,553 discharges or 1.6%. Medicaid discharges

continue to account for two out of every ten discharges.

EXECUTIVE SUMMARY

9Hospital of Saint Raphael closed as a separate acute care hospital on 9/12/2012 and therefore had 18 fewer operating days for the fiscal year.

Hospitals with a decrease in discharges over 5%

Milford -18.2%

Hospital of St. Raphael9 -13.7%

Hospital of Central CT -11.2%

New Milford -9.1%

Dempsey -7.8%

Griffin -5.8%

Danbury -5.3%

10

Similar to statewide discharges, total patient days decreased slightly (42,662

or -2.1%) from 2,077,013 in FY 2011 to 2,034,351 in FY 2012. More

hospitals (21) reported a decline in patient days than those hospitals (9)

reporting increases. The number of hospitals reporting a decline increased

from last fiscal year. Nine hospitals experienced declines of more than 5%

compared to previous year’s figures, as shown in Table 4.

Table 4

Of the hospitals that reported increases in patient days, seven experienced

increases of less than 5%. Only two hospitals reported increases of 5% or

greater; CT Children’s (17.5%) and Rockville (5.5%).

The statewide average length of stay (ALOS) remained at last year's level of

4.9 days. Most hospitals fluctuated very little from last fiscal year's ALOS;

however the largest fluctuations occurred for CT Children's, which increased

from 6.1 to 6.7 days, and Dempsey, which decreased from 5.7 to 4.8 days.

The statewide case mix index (CMI), generally used to measure average case

complexity, has continued to rise, but increased only slightly from 1.3202 in

FY 2011 to 1.3240 in FY 2012, less than a 0.3% increase. Hartford had the

highest total CMI at 1.5717, followed by CT Children’s, Rockville, Hospital

of Saint Raphael, and Saint Francis. Looking at the CMI by payer category,

Medicare CMI statewide was the highest at 1.5351, followed by non-

government payers at 1.2350 and the uninsured at 1.1041. Appendix W

provides a breakout of the CMI by hospital and payer source.

EXECUTIVE SUMMARY

Hospitals with a decrease in patient days over 5%

Dempsey -21.9%

Hospital of Saint Raphael -15.8%

Milford -14.8%

New Milford -8.7%

Hungerford -7.9%

Saint Mary's -7.8%

Hospital of Central CT -7.7%

Griffin -7.1%

Windham -6.6%

11

Statewide emergency department (ED) utilization increased at a greater rate than the

previous fiscal year. As shown in Table 5 below, total ED visits rose by 55,020, or 3.2%,

which is in contrast to the increase last year of 1.9%.

Table 5

As quoted from OHCA's Statewide Health Care Facilities and Services Plan, released in

2012, "ED utilization has increased steadily over the past few years as a result of multiple

factors. Being uninsured or underinsured, appointment scheduling difficulties, and a poor

economy where many residents have lost their jobs and health care coverage have all been

mentioned as reasons for the spike in ED utilization." The six hospitals with the highest total

ED volume were Yale, Hospital of Central CT, Hartford, Middlesex, MidState and

Lawrence & Memorial, which are located in the Connecticut cities of New Haven, New

Britain, Hartford, Middletown, Meriden and New London. Of the total ED visits for FY

2012, over 620,132 or 35% were seen in these six hospitals. See Appendix X for additional

information.

The 30 acute care hospitals in operation during FY 2012 staffed 34 additional beds in FY

2012 for a total of 6,875, compared to 6,841 in FY 2011. Overall bed capacity increased as

well, as available beds10 increased by 95 beds, totaling 8,610 in FY 2012. However, the

average occupancy rate for staffed beds statewide dropped slightly from 83% in FY 2011 to

81% in FY 2012, as did the statewide available bed occupancy rate, which declined from

67% to 65%.

Overall, hospitals added 968 full-time equivalent (FTE) employees statewide and reported

54,342 total FTEs for FY 2012. Most hospitals (20) increased their workforce; Dempsey

(20.2%, 260 FTEs), Saint Mary's (9.5%, 117 FTEs), CT Children’s (8.4%, 103 FTEs), Yale

(7.1%, 540 FTEs) and Hospital of Central CT (5.9%, 128 FTEs), reported the largest

percentage increases. Both Yale and Dempsey had reported large FTE increases in FY 2011

as well.

In contrast, ten hospitals reduced their workforce during FY 2012. Waterbury (-14%, -213

FTEs), New Milford (-8.9%, -41 FTEs), Greenwich (-7.7%, -124 FTEs), and Rockville

EXECUTIVE SUMMARY

Change in ED utilization over past year

FY 2011 FY 2012 Change in

visits

Percentage

change

Treated and

Admitted

249,643 248,557 -1,086 -0.4%

Treated and

Discharged

1,453,852 1,509,958 56,106 3.9%

Total ED

Visits

1,703,495 1,758,515 55,020 3.2%

10Hospitals are licensed for a specific number of beds, but have fewer beds physically set up and “available" for use and may operate or “staff” fewer beds than available. Hospitals normally set up and staff beds based on an expected patient population, and evaluate such management decisions routinely.

12

(-7.0%, -29 FTEs) reported the largest percentage decreases. Last year, the largest percentage

decrease was Rockville, decreasing 4.2% of FTEs.

Uncompensated Care

By law, all emergent, non-elective patients at Connecticut’s hospitals must be treated,

regardless of their ability to pay. Uncompensated care (UC) represents health care provided by

hospitals to patients that will not be reimbursed. There are two levels of uncompensated care,

charity care and bad debts. Charity care occurs when the hospital knows in advance that the

care provided will not be reimbursed. Bad debts are incurred after the service has been

provided, with no forewarning of non-payment. Bad debts accounted for 64% of

uncompensated care charges in FY 2012, while charity care accounted for nearly 36%.

Uncompensated care costs (UCC) are the costs hospitals incur providing care for which no

payment was received from the patient or insurer. Hospital charges include the actual cost of

care plus a mark-up to generate additional income. This additional income is used by hospitals

to recoup fixed costs, generate funds for future investment and to maintain profitability.

Uncompensated care costs are calculated from hospital charges and attempt to remove the

additional mark-up to determine the “true cost” of care.

Statewide uncompensated care charges totaled $663.5 million in FY 2012, an increase of $59.5

million or 9.8% more than in FY 2011. Accordingly, statewide uncompensated care cost

increased by $11.5 million (5.2%) in FY 2012 and accounted for 2.3% of total expenses.

The Uncompensated Care Disproportionate Share Hospital (UCP DSH) Program is a joint

federal/state program that was established to financially assist hospitals with their

uncompensated and undercompensated care. Undercompensated care generally refers to

government programs, like Medicaid, which tend to provide lower rates of reimbursement. The

UCP DSH Program provides supplemental reimbursement to help offset these shortfalls and

helps hospitals continue in their role as safety nets to patients with limited access to health

care.

Based on the state budget for the SFY 2012 and 2013 biennium and actions to date by the

General Assembly and the Department of Social Services, the Medicaid State Plan was

amended to end the current UCP DSH program, effective June 30, 2011. Effective July 1,

2011, a new program was implemented that makes payments to qualifying private acute care

hospitals in proportion to their overall uncompensated costs for inpatient and outpatient

hospital services. In FY 2012 the new DSH (SPA-State Plan Amendment) Program distributed

approximately $268.5 million to the hospitals

According to the American Hospital Association,11 U.S. hospitals uncompensated care costs

have risen steadily from $31.2 billion in 2006 to $41.1 billion in 2011 (32% increase), and

account for 5.9 % of total expenses.

EXECUTIVE SUMMARY

11American Hospital Association, Uncompensated Hospital Care Cost Fact Sheet, January 2013; accessed at the Web: http://www.aha.org/content/13/1-2013-uncompensated-care-fs.pdf .

http://www.aha.org/content/13/1-2013-uncompensated-care-fs.pdf

13

Connecticut’s uncompensated care costs have been slightly more volatile. The UCC

increased 36% between FY 2006 and FY 2009 and peaked at $259 million. However,

this trend reversed the next two years, dropping 4% in FY 2010 and 11% in FY 2011.

In FY 2012, the upward trend resumed as more than half of Connecticut’s hospitals

experienced increased UCC. The UCC rose 6% to $234 million (see Figure 2).

Figure 2

Comparing UCC relative to total expenses better illustrates the magnitude of

uncompensated care for hospitals. Between 2006 and 2011, U.S. hospitals reported

UCC ranging from 5.7% to 6.0% of total expenses.12 In contrast, Connecticut’s overall

ratio of UCC to total expenses has been consistently lower than the national average,

with an overall rate of around 3% (FY 2006 - FY 2009). During the last three years the

rate of UCC to total expenses has dropped and was 2.3% in FY 2012 (see Figure 3).

Figure 3

EXECUTIVE SUMMARY

$191

$227

$257 $259 $250

$221 $234

$0

$25

$50

$75

$100

$125

$150

$175

$200

$225

$250

$275

FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12

Mil

lio

ns

Connecticut Acute Care HospitalsUncompensated Care Cost (UCC)

12American Hospital Association, Uncompensated Hospital Care Cost Fact Sheet, January 2013; accessed at the Web: http://www.aha.org/content/13/1-2013-uncompensated-care-fs.pdf.

2.9%3.1%

3.2%3.0%

2.8%

2.4% 2.3%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12

Connecticut Acute Care HospitalsUncompensated Care Costs (UCC)

% of Total Expenses

http://www.aha.org/content/13/1-2013-uncompensated-care-fs.pdf

14

Individual hospital ratios of UCC as a percent of total expenses varied more, with

some hospitals more closely approaching the U.S. rate. In FY 2012, hospitals ranged

from a low of 1.0% at Connecticut Children’s Medical Center to a high of 5.2% at

Stamford Hospital (see Appendix R). Despite the negative impact that UCC has on

financial performance, four of the five hospitals with the highest UCC ratios exceeded

the average statewide total margin profitability measure (see Table 6).

Table 6

As the Affordable Care Act (ACA) expands health care coverage, uncompensated

care costs should decrease.13 A significant reduction in the overall costs, however,

may take some time and may not decrease uniformly at individual hospitals. Hospitals

in areas with a high uninsured population may not see significant reductions in

uncompensated care costs in the immediate future.

EXECUTIVE SUMMARY

STAMFORD 5.2% $25,108,167 $482,124,601 7.13%

NORWALK 4.5% $16,148,519 $361,951,445 7.55%

ST. VINCENT'S 3.8% $14,145,742 $373,601,000 18.91%

MILFORD 3.8% $3,412,141 $90,685,854 -2.01%

BRIDGEPORT 3.2% $12,979,556 $403,987,000 7.95%

STATEWIDE 2.3% $233,601,390 $9,968,585,837 6.63%

TOP 5 HOSPITALS

UNCOMPENSATED

CARE COSTS

TOTAL

HOSPITAL

EXPENSES

UCC % OF

TOTAL

EXPENSES

TOTAL

MARGIN

Fiscal Year 2012

13Kaiser Commission on Medicaid and the Uninsured; The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis; John Holohan, Matthew Buettgens, Caitlin Carrol, Stan Dorn; The Urban Institute; pp1-11; accessed at http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8384.pdf.

http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8384.pdf

http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8384.pdf

15

A Discussion of Hospitals within Affiliated Systems

Connecticut continues to have a growing number of hospitals that operate within

corporate systems directly related to other Connecticut hospitals or, in several cases, to

out-of-state hospitals. At the start of FY 2012 on October 1, 2011, the Connecticut

acute care hospitals that operated within such systems included those in Table 7 below:

Table 7

EXECUTIVE SUMMARY

Hospital Corporate Affiliations in place during FY 2012

Hospital Name Town Parent

Corporation

Higher Level Parent Corporation

Affiliation Date

Saint Vincent’s

Medical Center Bridgeport

Saint Vincent’s

Health Services

Corporation

Ascension Health14 1999

Essent Healthcare of

Connecticut, Inc. d/b/a

Sharon Hospital

Sharon

Sharon Hospital

Holding Company,

Inc. Essent Healthcare, Inc.15

2002

Bridgeport Hospital Bridgeport

Bridgeport Hospital

& Healthcare

Services, Inc.

Yale-New Haven Health

Services Corporation 1996

Greenwich Hospital Greenwich Greenwich Health

Care Services, Inc.


Services Corporation 1998

Yale-New Haven

Hospital New Haven

Yale New Haven

Network

Corporation


Services Corporation N/A

Manchester Memorial

Hospital Manchester

Eastern Connecticut

Health Network,

Inc.

N/A 1995

Rockville General

Hospital Vernon

Eastern Connecticut

Health Network,

Inc.

N/A 1995

Hartford Hospital Hartford Hartford Health

Care Corporation N/A N/A

Hospital of Central

Connecticut

New Britain, Southington

Hartford Health

Care Corporation N/A 2011

MidState Medical Center Meriden Hartford Health


Windham Community

Memorial Hospital, Inc. Willimantic

Hartford Health


Danbury Hospital Danbury

Western

Connecticut Health

Network, Inc.

N/A 2010

New Milford Hospital New

Milford

Western

Connecticut Health

Network, Inc.

N/A 2010

16

14According to Saint Vincent’s Medical Center's FY 2012 Audited Financial Statements, in December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system, which consists primarily of "nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 21 of the United States and the District of Columbia.” 15Essent Healthcare, Inc. is a for-profit company organized for the purpose of owning and operating acute care hospitals. As of October 1, 2011, Essent Healthcare, Inc., through its subsidiaries, owned Sharon Hospital in Connecticut and several hospitals in other states. In November of 2011, RegionalCare Hospital Partners, Inc. completed a merger with Essent Healthcare, Inc. Sharon Hospital is licensed as Essent Healthcare of Connecticut, Inc. d/b/a Sharon Hospital. 16Yale-New Haven Hospital acquired the assets of the Hospital of Saint Raphael and became a single hospital with two main campuses. This merger had been reviewed by OHCA and became effective on September 12, 2012. 17At the time of publication of this report, several merger/affiliation dockets are pending before OHCA. There have been a number of other affiliations reported in the news at the time of this publication, but those matters are not before OHCA for regulatory purposes. 18Moody's Investor Service. (March 8, 2012). Special Comment: New Forces Driving Rise in Not-for-Profit Hospital Consolidation. 19Myers, Chris & Lineen, Jason. (November 2009). Hospital Consolidation Outlook Surviving in a Tough Economy. Healthcare Financial Management. 20Standard & Poor's Research. (January 4, 2013). U.S. Not-For-Profit Health Care Sector Outlook: Providers Prove Adaptable But Face a Test in 2013 as Reform Looms.

Most recently (July, 2013), OHCA authorized a Certificate of Need for the affiliation

of Backus Corporation, the parent corporation for William W. Backus Hospital, with

Hartford HealthCare Corporation, the parent corporation for Hartford Hospital, as

well as Hospital for Central Connecticut, MidState Medical Center and Windham

Community Memorial Hospital. In addition, the merger16 of Hospital of Saint Raphael

into Yale-New Haven Hospital occurred just prior to the start of FY 2012. Another

recent affiliation worth noting is the acquisition of Westerly Hospital of Westerly,

Rhode Island by Lawrence & Memorial Hospital Corporation, the parent corporation

for Lawrence & Memorial Hospital. That affiliation occurred in May 2013. Other

pending matters related to various mergers and affiliations are before OHCA at the

time of this report.17

All of this activity may indicate a renewed interest and/or necessity in hospitals and

their corporate parents entering into conversations or negotiations with other hospital

systems. This may be the result of many factors including, but not limited to, the

current state of the national and state economy, reimbursement issues, strengthening

of position in payer contract negotiations, and access to capital, as well as the

upcoming changes related to Federal health care reform181920.

EXECUTIVE SUMMARY

17

Implications of Federal Health Care Reform on Acute Care Hospitals in Connecticut

This report is released within the context of federal health care reform legislation

passed in 2010, which has the potential to dramatically change the health care

landscape in the coming years.21 A central premise of the reform package is improved

access to quality care for all Americans. The many complex provisions of health care

reform that will be rolled out this coming year and over the next several years are likely

to change where and how people access care and the reimbursement system for such

care, thereby potentially affecting the financial status of many of Connecticut’s

hospitals, as well as the corporate systems within which they operate.

An area that may continue to affect many of Connecticut's hospitals in the near future is

the implementation of the Hospital Readmission Reduction Program, which requires

the Centers for Medicare and Medicaid Services (CMS) to reduce payments to certain

hospitals with excess readmissions (patients readmitted within 30 days), effective for

discharges on or after October 1, 2012.22

As discussed in OHCA's Statewide Health Care Facilities and Services Plan, the

Affordable Care Act (ACA) establishes a new set of requirements for hospitals to

maintain their tax-exempt status in order to ensure that non-profit hospitals continue to

provide community benefit. The ACA requires non-profit hospitals to conduct a

community needs assessment every three years, to adopt implementation strategies to

meet identified community health needs, and to work with others to determine

community health needs and take action to meet those needs.23

This report focuses on the actual financial results of hospitals during Fiscal Year 2012

and therefore does not project the potential effect of federal health care reform on

individual hospitals within the State or on the acute care hospital system as a whole. It

will be critical to monitor Connecticut’s acute care hospitals' utilization and financial

results to understand federal health care reform’s effect on the financial status of these

safety net providers. Financial stability reports in the coming years may well reflect

changes made to, or initiated by, Connecticut’s hospitals as a result of or influenced by

federal reform efforts.

EXECUTIVE SUMMARY

21Connecticut's new health insurance exchange marketplace, called Access Health CT, will begin enrollment in October 2013 with provision of coverage beginning in January 2014. 22Information is from CMS's Readmission Reduction Program webpage. Accessed on 8/23/2013 at http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html. 23Full discussion at Chapter 2, Section 1 Health Care Reform, Subsection 2 Community Benefit on page 12 - 13 of Statewide Health Care Facilities and Services Plan, OHCA, 2012.

http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html

http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html

18

Individual Hospital Data

The following sections provide an aggregate statewide profile of hospital parent

corporations and aggregate statewide profile of hospital summary totals for both

financial and statistical indicators. In addition, individual hospital profiles are

presented for each of Connecticut’s thirty acute care hospitals. The final section of

this report contains detailed appendices by hospital parent corporation and by hospital

as identified in the table of contents. Unless otherwise indicated, the sources of data

used in these sections are the OHCA Hospital Reporting System (HRS) and the

hospitals’ annual filings to OHCA.

EXECUTIVE SUMMARY

19

STATEWIDE HOSPITAL HEALTH SYSTEM PROFILE

Reported below is the total Statewide Health System statement of operations summary for Fiscal

Year 2009 - Fiscal Year 2012, a summary of profitability margins, net assets and selected liquidity

and solvency measures.

STATEWIDE HEALTH SYSTEM

STATEMENT OF OPERATIONS SUMMARY 2009 2010 2011 2012





Income/(Loss) from Operations $999,966 ($17,067,455) ($15,931,784) $146,807,206

Non Operating Revenue $211,717,563 $431,548,329 $436,168,057 $481,194,171

Excess/(Deficiency) of Revenue over Expenses $212,717,529 $414,480,874 $420,236,273 $628,001,377

Source: Hospital Parent Corporation Audited Financial Statements

PROFITABILITY SUMMARY

Health System Operating Margins 0.01% -0.16% -0.14% 1.19%

Health System Non Operating Margins 2.07% 3.93% 3.84% 3.89%

Health System Total Margins 2.08% 3.77% 3.70% 5.08%

NET ASSETS SUMMARY

Health System Unrestricted Net Assets $3,058,218,438 $3,382,448,500 $3,379,406,553 $3,701,170,608

Health System Total Net Assets $4,159,910,405 $4,524,905,466 $4,465,251,776 $4,959,254,689

Health System Change in Total Net Assets ($946,183,095) $364,995,061 ($59,653,690) $494,002,913

Health System Change in Total Net Assets % -18.5% 8.8% -1.3% 11.1%

LIQUIDITY MEASURES SUMMARY

Current Ratio 1.88 1.85 2.00 2.12

Days cash on hand 58 61 64 77

Days in patients accounts receivable 41 39 39 39

Average Payment Period 63 64 62 66

SOLVENCY MEASURES SUMMARY

Equity financing ratio 39.2 40.0 36.7 36.4

Cash flow to total debt ratio 18.9 24.1 21.6 24.0

Long-term debt to Capitalization Ratio 31.6 30.2 36.0 36.2

20

STATEWIDE HOSPITAL PROFILE

A summary of total statewide hospital operating results is provided below and on the following

two pages.

Statewide Hospitals

Statement of Operations Summary 2009 2010 2011 2012







Source: Hospital Audited Financial Statements

21

KEY RESULTS - STATEWIDE HOSPITAL PROFILE

PROFITABILITY SUMMARY 2009 2010 2011 2012

Hospital Operating Margins 2.72% 2.44% 3.11% 4.81%

Hospital Non Operating Margins -0.10% 1.82% 0.52% 1.82%

Hospital Total Margins 2.61% 4.27% 3.63% 6.63%

COST DATA SUMMARY

Ratio of cost to charges 0.40 0.39 0.38 0.36

Private Payment to Cost Ratio 1.22 1.25 1.29 1.35

Medicare Payment to Cost Ratio 0.87 0.86 0.84 0.84

Medicaid Payment to Cost Ratio 0.70 0.67 0.66 0.66


Current Ratio 1.94 1.88 1.92 1.97

Days cash on hand 61 62 58 69

Days in patients accounts receivable 41 39 39 40

Average Payment Period 64 66 63 69


Equity financing ratio 39.9 41.1 37.2 36.0

Cash flow to total debt ratio 20.4 25.2 21.2 27.0

Long-term debt to Capitalization Ratio 32.7 31.4 37.3 38.1

NET ASSETS SUMMARY

Hospital Unrestricted Net Assets $2,634,494,193 $2,956,555,544 $2,888,334,112 $3,160,587,217

Hospital Total Net Assets $3,611,828,955 $3,961,212,856 $3,867,771,579 $4,261,050,591

UNCOMPENSATED CARE

Charity Care $193,333,469 $217,576,322 $220,718,650 $236,566,531

Bad Debts $465,101,021 $429,767,197 $383,342,785 $426,959,558

Total Uncompensated Care Charges $658,434,490 $647,343,519 $604,061,435 $663,526,089

Uncompensated Care Cost $258,913,111 $249,782,666 $222,110,320 $233,601,390

Uncompensated care % of total expenses 3.0% 2.8% 2.4% 2.3%

22

KEY RESULTS - STATEWIDE HOSPITAL PROFILE

UTILIZATION MEASURES 2009 2010 2011 2012

Patient Days 2,081,584 2,055,873 2,077,013 2,034,351

Discharges 430,373 428,276 426,388 418,068

ALOS 4.8 4.8 4.9 4.9

Staffed Beds 6,935 6,769 6,841 6,875

Available Beds 8,327 8,370 8,515 8,610

Licensed Beds 9,358 9,358 9,416 9,430

Occupancy of staffed beds 82% 83% 83% 81%

Occupancy of available beds 68% 67% 67% 65%

Full Time Equivalent Employees 51,401.7 52,140.7 53,374.1 54,341.7

Total Case Mix Index 1.2903 1.2957 1.3202 1.3240

DISCHARGES

Non-Government (Including Uninsured) 167,115 158,967 150,852 144,076

Medicare 177,131 176,978 179,072 176,111

Medical Assistance 83,969 89,933 94,014 95,368

Medicaid 68,669 78,014 93,059 94,553

Other Medical Assistance 15,300 11,919 955 815

Champus / TRICARE 2,158 2,398 2,450 2,513

Uninsured (Included in Non-Government) 9,269 8,295 6,263 6,437

Total Discharges 430,373 428,276 426,388 418,068

EMERGENCY DEPARTMENT VISITS

Emergency Room - Treated and Admitted 240,179 245,647 249,643 248,557

Emergency Room - Treated and Discharged 1,407,862 1,426,466 1,453,852 1,509,958

Total Emergency Room Visits 1,648,041 1,672,113 1,703,495 1,758,515

23

The William W. Backus Hospital is located in Norwich. In FY 2012, the Hospital generated $26.6

million in income from operations and had $12.8 million in non-operating revenue, resulting in an

excess of revenues over expenses of $39.4 million. Reported below is a chart indicating all of the

affiliates of Backus Corporation, the parent corporation of the Hospital, followed by various

financial indicators and selected utilization measures.

WILLIAM W. BACKUS HOSPITAL

The William W.

Backus Hospital

Backus Health

Care, Inc.(O/P Health & Ed.)

WWB Corporation(Collection - includes

investments in MEDConn

& CT-VNA,SE)

Backus Medical

Center

Condominium

Association

CONNCare, Inc.(Occupational Health)

For Profit Entity

Omni Home Health

Services of Eastern

CT, dba Backus

Home Health Care

Community Medical

Partners, Inc.

Backus Physician

Services, LLC

BACKUS

CORPORATION

MedConn Collection

Agency, LLC

BACKUS CORPORATION


Net Patient Revenue $271,765,388 $282,901,504 $285,207,565 $297,604,077


Total Operating Revenue $276,264,075 $287,349,992 $290,188,576 $305,060,897

Total Operating Expenses $268,287,931 $276,737,448 $268,647,757 $281,434,152


Non Operating Revenue $5,607,279 $8,892,661 $2,038,205 $14,102,638Excess/(Deficiency) of Revenue over Expenses $13,583,423 $19,505,205 $23,579,024 $37,729,383

HOSPITAL STATEMENT OF OPERATIONS SUMMARY






Non Operating Revenue ($1,302,635) $6,430,426 $174,374 $12,819,113Excess/(Deficiency) of Revenue over Expenses $11,476,359 $18,751,785 $25,143,143 $39,383,829

Source: Audited Financial Statements

24

KEY RESULTS - WILLIAM W. BACKUS HOSPITAL

Statewide

PROFITABILITY SUMMARY 2009 2010 2011 2012 Avg. 2012

Hospital Operating Margins 4.88% 4.39% 9.01% 8.75% 4.81%

Hospital Non Operating Margins -0.50% 2.29% 0.06% 4.22% 1.82%

Hospital Total Margins 4.38% 6.68% 9.07% 12.98% 6.63%

COST DATA SUMMARY

Ratio of cost to charges 0.44 0.44 0.41 0.42 0.36

Private Payment to Cost Ratio 1.41 1.42 1.53 1.53 1.35

Medicare Payment to Cost Ratio 0.73 0.77 0.82 0.88 0.84

Medicaid Payment to Cost Ratio 0.62 0.61 0.62 0.57 0.66


Current Ratio 3.69 3.90 4.14 4.99 1.97

Days cash on hand 90 108 145 159 69

Days in patients accounts receivable 48 38 37 40 40

Average Payment Period 46 45 51 46 69


Equity financing ratio 36.1 47.4 45.3 50.4 36.0

Cash flow to total debt ratio 30.4 38.3 44.1 59.8 27.0

Long-term debt to Capitalization Ratio 36.2 28.9 27.8 24.7 38.1

NET ASSETS SUMMARY

Hospital Unrestricted Net Assets $102,294,307 $147,348,055 $153,327,362 $187,197,385

Hospital Total Net Assets $112,603,569 $158,925,018 $162,176,033 $197,844,044

UNCOMPENSATED CARE

Charity Care $6,641,717 $6,321,367 $4,672,730 $5,341,790

Bad Debts $17,093,520 $14,508,284 $12,690,606 $8,089,246




Note: Financial measures noted in green are favorable compared to the statewide average while financial measures

noted in red are unfavorable compared to the statewide average. In some cases, the 2012 amount and the statewide

average show the same amount. The red and green formatting is based on additional decimal spaces that are not

shown.

25

KEY RESULTS - WILLIAM W. BACKUS HOSPITAL

*TRICARE is indicated since it comprises greater than 1% of hospital gross and net revenues.


Patient Days 50,032 49,096 49,654 49,361

Discharges 11,885 12,175 11,999 11,911

ALOS 4.2 4.0 4.1 4.1

Staffed Beds 202 202 202 201

Available Beds 233 233 233 233

Licensed Beds 233 233 233 233





DISCHARGES


Medicare 5,039 5,229 5,200 5,508


Medicaid 1,764 1,891 2,318 2,286

Other Medical Assistance 384 398 66 61

Champus / TRICARE 237 217 237 220

Uninsured (Included in Non-Government) 265 176 172 124




Emergency Room - Treated and Discharged 57,305 59,170 56,352 60,738

Total Emergency Room Visits 63,648 65,561 63,198 68,102

26

BRIDGEPORT HOSPITAL

Bridgeport Hospital is located in Bridgeport. In FY 2012, the Hospital generated $32.7 million in

income from operations and had $2.2 million in non-operating revenue, resulting in an excess of

revenues over expenses of $34.9 million. Reported below is a chart indicating all of the affiliates

of Bridgeport Hospital and Healthcare Services, Incorporated, the parent corporation of the

Hospital and an affiliate of the larger Yale-New Haven Health Services Corporation which

includes Greenwich Hospital and Yale New Haven Hospital, followed by various financial

indicators and selected utilization measures.

Yale New Haven

Network Corp

(Parent)

Bridgeport Hospital

and Healthcare

Services, Inc.(Parent)

Greenwich Health

Care Services, Inc.(Parent)

Bridgeport HospitalBridgeport Hospital

Foundation, Inc

Southern Connecticut

Health System

Properties, Inc.

YALE-NEW HAVEN

HEALTH SERVICES

CORPORATION

For Profit Entity

Southern CT Health

Network, Inc.(PHO)

Century Financial

Services, Inc. and

Subsidiary

YNHH-MSO,Inc.(Inactive)

YNHH - Physicians Corp

Bridgeport

Renewal, LLC

The New Clinical

Program Development

Corporation

Northeast Medical

Group, Inc.(Physician Services)

BRIDGPORT HOSPITAL & HEALTHCARE SERVICES INC.







Non Operating Revenue ($3,545,000) $1,766,000 ($38,000) $2,164,000Excess/(Deficiency) of Revenue over Expenses ($157,000) $15,780,000 $26,933,000 $21,532,000







Non Operating Revenue ($3,150,000) $1,766,000 ($38,000) $2,164,000Excess/(Deficiency) of Revenue over Expenses $1,590,000 $17,567,000 $34,006,000 $34,868,000


27

KEY RESULTS - BRIDGEPORT HOSPITAL




shown.

Statewide



Hospital Non Operating Margins -0.89% 0.48% -0.01% 0.49% 1.82%


COST DATA SUMMARY






Current Ratio 1.63 1.95 1.79 1.60 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $15,999,852 $12,024,692 $13,664,086 $14,777,279

Bad Debts $32,293,223 $25,581,567 $28,215,688 $30,026,844




28

KEY RESULTS - BRIDGEPORT HOSPITAL


Patient Days 103,601 104,729 104,095 100,830

Discharges 19,808 19,044 19,058 18,936

ALOS 5.2 5.5 5.5 5.3

Staffed Beds 288 290 289 281







DISCHARGES


Medicare 7,107 6,937 6,932 7,260


Medicaid 4,962 5,266 6,004 5,984









29

BRISTOL HOSPITAL

Bristol Hospital is located in Bristol. In FY 2012, the Hospital generated $1 million in income

from operations and had $1.3 million in non-operating revenue, resulting in an excess of revenues

over expenses of $2.3 million. Reported below is a chart indicating all of the affiliates of Bristol

Hospital and Health Care Group, the parent corporation of the Hospital, followed by various


BRISTOL HOSPITAL & HEALTHCARE GROUP






Income/(Loss) from Operations ($383,094) $924,026 ($452,065) ($98,358)

Non Operating Revenue $390,865 $646,372 $2,170,216 $1,298,723Excess/(Deficiency) of Revenue over Expenses $7,771 $1,570,398 $1,718,151 $1,200,365






Income/(Loss) from Operations $49,791 $1,214,345 $147,269 $1,048,172

Non Operating Revenue $323,607 $571,472 $2,043,267 $1,253,154Excess/(Deficiency) of Revenue over Expenses $373,398 $1,785,817 $2,190,536 $2,301,326


Bristol Health Care,

Inc.(Long Term Care)

Bristol Hospital

Development

Foundation, Inc.(Fund Raising &

Management)

Bristol Hospital, Inc.

BRISTOL HOSPITAL

& HEALTH CARE

GROUP

For Profit Entity

Med-Works LLC(49%)

Bristol MSO, LLC(50%)

MedConn

Collection

Agency, LLC(20%)

Bristol Health

Services, Inc.

CT Occup

Medical Partners(33%)

Health

Connecticut

(4.5%)

Central CT

Endoscopy

Center (6.5%)

Total Laundry

Collaborative

(16.3%)

Bristol Hospital

EMS, LLCIngraham Manor

Bristol Hospital

Multispecialty

Group, Inc.

30

KEY RESULTS - BRISTOL HOSPITAL




shown.

Statewide



Hospital Non Operating Margins 0.25% 0.43% 1.52% 0.92% 1.82%


COST DATA SUMMARY






Current Ratio 1.25 1.37 1.19 1.46 1.97








NET ASSETS SUMMARY

Hospital Unrestricted Net Assets ($255,398) $755,592 $427,122 ($376,115)


UNCOMPENSATED CARE

Charity Care $558,883 $259,103 $223,751 $3,781,958

Bad Debts $9,166,346 $10,944,348 $9,847,024 $6,470,291




31

KEY RESULTS - BRISTOL HOSPITAL


Patient Days 33,658 30,673 28,670 29,383

Discharges 7,846 7,617 7,316 7,565

ALOS 4.3 4.0 3.9 3.9

Staffed Beds 132 132 132 132





Full Time Equivalent Employees 899.4 873.3 860.8 863.7


DISCHARGES


Medicare 3,597 3,426 3,378 3,565


Medicaid 1,084 1,325 1,593 1,625









32

Connecticut Children’s Medical Center (CCMC) is located in Hartford. In FY 2012, the Hospital

experienced a $700,000 loss from operations and had $19.6 million in non-operating revenue,

resulting in an excess of revenues over expenses of $18.9 million. Reported below is a chart

indicating all of the affiliates of CCMC Corporation, Incorporated, the parent corporation of the

Hospital, followed by various financial indicators and selected utilization measures.

CONNECTICUT CHILDREN’S MEDICAL CENTER

Connecticut Children's

Medical Center

Connecticut Children's

Medical Center

Foundation(Fund Raising)

CCMC Affiliates, Inc.(Other Health Care Services)

CCMC Ventures(Health & Education

Services)

CCMC

CORPORATION,

INC.

For Profit Entity

The Children’s Fund of

Connecticut(Foundation)

Connecticut Children’s

Specialty Group

Child Health and

Development Institute

of Connecticut

CCMC CORPORATION INC.






Income/(Loss) from Operations ($2,850,219) ($14,678,483) ($5,915,107) ($17,350,193)







Income/(Loss) from Operations $7,879,931 ($1,258,769) $5,984,535 ($688,420)



33

KEY RESULTS - CONNECTICUT CHILDREN’S MEDICAL CENTER




shown.

Statewide


Hospital Operating Margins 4.01% -0.58% 2.62% -0.25% 4.81%



COST DATA SUMMARY






Current Ratio 0.93 0.96 0.96 1.33 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $442,542 $1,326,729 $1,581,301 $710,025

Bad Debts $3,808,276 $3,302,352 $1,147,789 $4,548,779




34

KEY RESULTS - CONNECTICUT CHILDREN’S MEDICAL CENTER


Patient Days 35,911 36,799 37,834 44,449

Discharges 6,359 6,800 6,203 6,642

ALOS 5.6 5.4 6.1 6.7

Staffed Beds 142 142 182 182







DISCHARGES


Medicare 8 8 14 3


Medicaid 3,255 3,644 3,177 3,392









35

DANBURY HOSPITAL

Danbury Hospital is located in Danbury. In FY 2012, the Hospital generated $29.2 million in



of Western Connecticut Health Network, Inc., the parent corporation of the Hospital and New

Milford Hospital, followed by various financial indicators and selected utilization measures.

Business

Systems, Inc

For Profit Entity

Western Connecticut

Health Network, Inc.

Western CT

Home Care, Inc.

Danbury

Hospital

New Milford

Hospital

Foundation

Western CT

Health Network

Affiliates, Inc.

New Milford

Hospital

Western CT

Health Network

Insurance Co.

New Milford

MRI, LLC (51%)

Western CT

Medical Group,

P.C.

Western CT

Health Network

Joint & Spine, LLC

Western CT

Health Network

Foundation, Inc.

Western CT

Health Network

PHO, Inc.

WESTERN CT HEALTH NETWORK INC.






Income/(Loss) from Operations $26,363,920 $16,981,975 ($8,399,953) $17,863,360

Non Operating Revenue $11,775,650 $21,776,718 $5,592,784 $24,649,093Excess/(Deficiency) of Revenue over Expenses $38,139,570 $38,758,693 ($2,807,169) $42,512,453









Western CT Health Network (formerly Western CT Healthcare and Danbury Health Systems) amounts include New Milford Hospital

Hospital totals beginning in FY 2010.

36

KEY RESULTS - DANBURY HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 4.87 3.21 1.96 2.26 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $12,266,705 $12,767,832 $11,359,623 $13,969,782

Bad Debts $16,695,481 $10,687,109 $18,183,085 $19,413,218




37

KEY RESULTS - DANBURY HOSPITAL


Patient Days 91,794 95,884 96,663 92,010

Discharges 20,497 20,715 20,763 19,668

ALOS 4.5 4.6 4.7 4.7

Staffed Beds 271 278 286 265







DISCHARGES


Medicare 8,566 8,917 9,495 8,736


Medicaid 2,312 2,727 3,069 3,326









38

Day Kimball Hospital is located in Putnam. In FY 2012, the Hospital generated $4.7 million in

income from operations and had $500,000 in non-operating revenue, resulting in an excess of

revenues over expenses of $5.2 million. Reported below is a chart indicating all of the affiliates of

Day Kimball Healthcare Incorporated d/b/a Day Kimball Hospital, followed by various financial


DAY KIMBALL HOSPITAL

Day Kimball

Homemakers(Homemaker services)

DAY KIMBALL

HEALTHCARE INC. d/b/a

Day Kimball Hospital

Physician Services

of Northeast CT.

LLC

For Profit Entity

DAY KIMBALL HEALTHCARE, INC.






Income/(Loss) from Operations $1,292,573 $1,131,545 ($1,515,297) $380,700

Non Operating Revenue ($687,680) $607,272 $1,333,404 $486,938Excess/(Deficiency) of Revenue over Expenses $604,893 $1,738,817 ($181,893) $867,638







Non Operating Revenue ($657,705) $607,272 $1,333,404 $483,967Excess/(Deficiency) of Revenue over Expenses $1,560,002 $4,127,245 $3,291,130 $5,186,931


39

KEY RESULTS - DAY KIMBALL HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 2.27 2.04 1.85 1.97 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $1,210,237 $1,391,261 $446,519 $710,098

Bad Debts $3,445,323 $3,312,220 $3,354,712 $3,462,360




40

KEY RESULTS - DAY KIMBALL HOSPITAL


Patient Days 20,204 18,876 18,418 18,484

Discharges 5,573 5,202 5,182 5,097

ALOS 3.6 3.6 3.6 3.6

Staffed Beds 72 72 72 65







DISCHARGES


Medicare 2,571 2,334 2,368 2,208

Medical Assistance 970 1,096 1,240 1,427

Medicaid 871 1,050 1,240 1,427









41

John Dempsey Hospital is located in Farmington as the teaching hospital of the University of

Connecticut Health Center. In FY 2012, the Hospital experienced an $8.6 million loss from

operations and had $8.6 million in non-operating revenue, resulting in no excess of revenues over

expenses. Reported below is a chart indicating all of the affiliates of the University of

Connecticut Health Center, the parent corporation of the Hospital, followed by various financial


JOHN DEMPSEY HOSPITAL

UNIVERSITY OF CT HEALTH CENTER














Non Operating Revenue $15,159,902 $33,913,006 $19,409,872 $8,564,466Excess/(Deficiency) of Revenue over Expenses $3,371,003 $9,347,526 $2,628,684 $4,834


University of

Connecticut

Board of Trustees

John Dempsey

Hospital

School of

Medicine(Other Health Care

Services)

School of Dental

Medicine(Other Health Care

Services)

University

Dentists(Physicians Services)

UNIVERSITY OF

CONNECTICUT

HEALTH CENTER

Central

Administration &

Finance

Correctional

Managed Health

Care

UConn Medical

Group(Physicians Services)

University of CT

Health Center

Finance Corp.

Dental MSI

UCHC FC Munson

Road Corp.

42

KEY RESULTS - JOHN DEMPSEY HOSPITAL




shown.

Statewide


Hospital Operating Margins -4.36% -8.50% -5.80% -2.82% 4.81%



COST DATA SUMMARY






Current Ratio 1.12 1.58 1.59 1.22 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $727,509 $1,104,104 $873,533 $477,593

Bad Debts $5,537,519 $6,859,997 $2,513,627 $5,650,516




43

KEY RESULTS - JOHN DEMPSEY HOSPITAL


Patient Days 56,119 51,230 51,614 40,295

Discharges 9,587 9,567 9,082 8,374

ALOS 5.9 5.4 5.7 4.8

Staffed Beds 224 145 150 184







DISCHARGES


Medicare 3,860 3,950 3,811 3,700


Medicaid 1,569 1,757 1,872 2,050









44

GREENWICH HOSPITAL

Greenwich Hospital is located in Greenwich. In FY 2012, the Hospital generated $11.9 million in


revenues over expenses of $16 million. Reported below is a chart indicating all of the affiliates of

Greenwich Healthcare Services, Incorporated, the parent corporation of the Hospital and an

affiliate of the larger Yale-New Haven Health Services Corporation which includes Bridgeport

Hospital and Yale New Haven Hospital, followed by various financial indicators and selected

utilization measures.

Northeast Medical

Group, Inc.

(Physician Services)

Bridgeport Hospital

and Healthcare


Greenwich Health


The Greenwich

Hospital

Association

Greenwich

Health Services,

Inc.(Medical Practices)

The Greenwich

Hospital

Endowment Fund

YALE-NEW HAVEN

HEALTH SERVICES

CORPORATION

For Profit Entity


YNHH - Physicians Corp

GH Realty

Holding, LLC

Greenwich

Fertility & IVF

Center, P.C.

Greenwich

Integrative

Medicine, P.C.

Greenwich

Occupational

Health Services

of NJ, PC

Greenwich

Pediatric

Services, P.C.

Greenwich

Ambulatory

Surgery Center,

LLC.

The New Clinical

Program Development

Corporation

Yale New Haven

Network Corp (Parent)

900 King Street

Associates, LLC

Greenwich

Clinical Pathology

Associates, LLC

Greenwich

Pathology

Associates, LLC

The Perryridge

Corporation(Real Estate)

2015 West Main

Street

Associates, LLC

Greenwich

Endoscopy

Center, LLC(Inactive)

Orthopaedic &

Neurosurgery

Center of

Greenwich, LLC

Greenwich

Occupational

Health Services

of NY, PC

GREENWICH HEALTH CARE SERVICES INC.







Non Operating Revenue ($1,089,000) ($378,000) ($6,254,000) ($2,618,000)Excess/(Deficiency) of Revenue over Expenses $6,827,000 $8,106,000 $2,187,000 $10,077,000







Non Operating Revenue ($1,092,000) ($369,000) ($3,626,000) $4,054,000Excess/(Deficiency) of Revenue over Expenses $9,482,000 $12,993,440 $6,022,000 $15,983,000


45

KEY RESULTS - GREENWICH HOSPITAL




shown.

Statewide



Hospital Non Operating Margins -0.37% -0.12% -1.16% 1.23% 1.82%


COST DATA SUMMARY






Current Ratio 2.31 2.69 2.40 2.10 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $21,129,180 $20,038,812 $19,375,204 $16,060,311

Bad Debts $7,851,327 $10,503,632 $9,269,877 $14,042,325




46

KEY RESULTS - GREENWICH HOSPITAL


Patient Days 50,149 53,059 52,638 51,919

Discharges 12,931 13,627 13,479 13,027

ALOS 3.9 3.9 3.9 4.0

Staffed Beds 206 206 206 206







DISCHARGES


Medicare 5,054 5,269 5,255 4,984

Medical Assistance 573 770 779 722

Medicaid 327 517 445 425









47

GRIFFIN HOSPITAL

Griffin Hospital is located in Derby. In FY 2012, the Hospital experienced a $2.3 million loss

from operations and experienced a loss of $1.5 million in non-operating revenue, resulting in a

deficiency of revenues over expenses of $3.8 million. Reported below is a chart indicating all of

the affiliates of Griffin Health Services Corporation, the parent corporation of the Hospital,

followed by various financial indicators and selected utilization measures.

GRIFFIN HEALTH SERVICES CORPORATION






Income/(Loss) from Operations $166,114 ($1,251,699) ($2,331,294) ($7,388,510)

Non Operating Revenue ($4,271,017) ($1,506,876) $194,021 $1,020,932Excess/(Deficiency) of Revenue over Expenses ($4,104,903) ($2,758,575) ($2,137,273) ($6,367,578)






Income/(Loss) from Operations $2,809,201 $1,374,485 $1,857,783 ($2,306,013)

Non Operating Revenue ($1,578,517) ($2,319,609) ($2,036,521) ($1,549,682)Excess/(Deficiency) of Revenue over Expenses $1,230,684 ($945,124) ($178,738) ($3,855,695)


Griffin Hospital

Development Fund(Fund Raising/

Management)

G. H. Ventures(Other Health Care

Services)

Griffin

Hospital

Healthcare Alliance

Insurance Co. LTD.

Planetree, Inc.(Other Health Care

Services)

GRIFFIN

HEALTH SERVICES

CORPORATION

For Profit Entity

Griffin Faculty

Practice Plan(Physician Services)

Griffin Pharmacy &

Gift Shop

NuVal, LLC

(50%)

48

KEY RESULTS - GRIFFIN HOSPITAL




shown.

Statewide


Hospital Operating Margins 2.32% 1.15% 1.47% -1.84% 4.81%

Hospital Non Operating Margins -1.30% -1.94% -1.62% -1.24% 1.82%

Hospital Total Margins 1.02% -0.79% -0.14% -3.08% 6.63%

COST DATA SUMMARY






Current Ratio 1.05 1.03 1.09 0.91 1.97





Equity financing ratio -7.2 -14.1 -26.3 -23.1 36.0



NET ASSETS SUMMARY

Hospital Unrestricted Net Assets ($16,756,232) ($24,966,200) ($39,665,385) ($38,049,002)

Hospital Total Net Assets ($8,817,030) ($17,147,261) ($32,257,854) ($30,035,645)

UNCOMPENSATED CARE

Charity Care $5,752,621 $8,958,645 $7,580,152 $6,785,012

Bad Debts $6,305,896 $1,246,161 $3,349,408 $985,612




49

KEY RESULTS - GRIFFIN HOSPITAL


Patient Days 33,581 33,429 31,549 29,321

Discharges 7,533 7,719 7,494 7,063

ALOS 4.5 4.3 4.2 4.2








DISCHARGES


Medicare 3,622 3,673 3,482 3,301


Medicaid 1,024 1,278 1,306 1,283









50

HARTFORD HOSPITAL

Hartford Hospital is located in Hartford. In FY 2012, the Hospital generated $52.6 million in

income from operations and had $38.8 million in non operating revenue, resulting in an excess of


Hartford Healthcare Corporation, the parent corporation of the Hospital, Midstate Medical Center,

the Hospital of Central Connecticut and Windham Community Memorial Hospital, followed by

various financial indicators and selected utilization measures.

Hartford HealthCare

Corporation

For Profit Entity

Hospital of Central CT

Hartford HospitalMidstate

Medical Center

Midstate

MSO, LLC

Meriden Imaging

Center, Inc.

Windham Hospital

Foundation, Inc.

Windham

Professional Office

Condo. Assoc.

Windham Health

Services, Inc.

Windham Community

Memorial Hospital

Natchaug

Hospital

Clinical Lab

Partners, Inc.

Rushford

Center, Inc.H.H.M.O.B.

Immediate Medical

Care Ctr, Inc.

Eastern Rehab

Network, Inc.

Jefferson House

Institute of Living

Hart/Midsx Clinical

Systems, Inc.

VNA Health

Care, Inc.

VNA Health

Resources Inc.

CHS Insurance

Grand

Indemnity, LTD

Community

Mental Health

Central CT

Sports Medicine

Bradley Health

Services

CENNCONN

Services

MEDCONN

Collection Agency

MRI of

Farmington, Ave

VNA of

Central CT

Southern Care

Center

Central CT Senior

Hlth Services

Mulberry Gardens

of Southington

Orchards at

Southington

NB MRI LTD

Partnership

NB Occupational

Health Center

Central CT Health

Alliance, Inc.

PracticeCentral,

LLC

HARTFORD HEALTHCARE CORPORATION







Non Operating Revenue ($17,330,000) $31,845,000 $182,626,000 $68,563,000Excess/(Deficiency) of Revenue over Expenses ($6,874,000) $49,987,000 $226,159,000 $129,139,000




Total Operating Revenue $829,540,381 $932,599,786 $984,766,126 $1,098,608,254

Total Operating Expenses $824,454,105 $920,001,155 $963,927,041 $1,046,001,610


Non Operating Revenue ($9,327,083) $20,981,787 ($1,519,601) $38,750,468Excess/(Deficiency) of Revenue over Expenses ($4,240,807) $33,580,418 $19,319,484 $91,357,112


Hospital of Central CT was consolidated with Hartford Healthcare Corporation beginning in FY 2011.

51

KEY RESULTS - HARTFORD HOSPITAL




shown.

Statewide



Hospital Non Operating Margins -1.14% 2.20% -0.15% 3.41% 1.82%

Hospital Total Margins -0.52% 3.52% 1.96% 8.03% 6.63%

COST DATA SUMMARY






Current Ratio 1.35 1.52 2.01 1.78 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $23,984,656 $27,507,152 $18,246,408 $23,839,114

Bad Debts $23,850,531 $37,824,767 $12,919,784 $22,645,965




52

KEY RESULTS - HARTFORD HOSPITAL


Patient Days 215,958 220,114 223,555 233,332

Discharges 41,188 41,265 40,674 41,251

ALOS 5.2 5.3 5.5 5.7

Staffed Beds 595 630 640 667







DISCHARGES


Medicare 15,533 15,819 15,795 16,556


Medicaid 6,942 7,923 9,492 9,311









53

HOSPITAL OF CENTRAL CONNECTICUT

The Hospital of Central Connecticut is located in New Britain. In FY 2012, the Hospital generated

income from operations of $19.4 million and had $10 million in non-operating revenue, resulting in an


affiliates of Hartford Healthcare Corporation, the parent corporation of the Hospital, Midstate Medical

Center, Hartford Hospital, and Windham Community Memorial Hospital, followed by various















Income/(Loss) from Operations $11,406,530 ($1,755,614) $24,024,225 $19,428,779

Non Operating Revenue $3,326,810 $7,196,048 $26,025 $9,965,362Excess/(Deficiency) of Revenue over Expenses $14,733,340 $5,440,434 $24,050,250 $29,394,141



Hartford HealthCare

Corporation

For Profit Entity



Medical Center

Midstate

MSO, LLC

Meriden Imaging

Center, Inc.

Windham Hospital

Foundation, Inc.

Windham

Professional Office

Condo. Assoc.

Windham Health

Services, Inc.

Windham Community

Memorial Hospital

Natchaug

Hospital

Clinical Lab

Partners, Inc.

Rushford


Immediate Medical

Care Ctr, Inc.

Eastern Rehab

Network, Inc.

Jefferson House

Institute of Living

Hart/Midsx Clinical

Systems, Inc.

VNA Health

Care, Inc.

VNA Health

Resources Inc.

CHS Insurance

Grand

Indemnity, LTD

Community

Mental Health

Central CT

Sports Medicine

Bradley Health

Services

CENNCONN

Services

MEDCONN

Collection Agency

MRI of

Farmington, Ave

VNA of

Central CT

Southern Care

Center

Central CT Senior

Hlth Services

Mulberry Gardens

of Southington

Orchards at

Southington

NB MRI LTD

Partnership

NB Occupational

Health Center

Central CT Health

Alliance, Inc.

PracticeCentral,

LLC

54

KEY RESULTS - HOSPITAL OF CENTRAL CONNECTICUT




shown.

Statewide


Hospital Operating Margins 2.95% -0.45% 6.12% 4.64% 4.81%



COST DATA SUMMARY






Current Ratio 0.94 0.91 1.00 1.19 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $5,631,704 $8,420,571 $17,262,086 $6,791,581

Bad Debts $19,160,722 $9,548,336 $1,140,529 $17,293,190




55

KEY RESULTS - HOSPITAL OF CENTRAL CONNECTICUT


Patient Days 86,498 81,872 83,137 76,771

Discharges 20,067 19,517 20,546 18,252

ALOS 4.3 4.2 4.0 4.2

Staffed Beds 349 341 356 356







DISCHARGES


Medicare 9,221 8,738 9,651 8,524


Medicaid 3,283 4,042 4,816 4,352









56

CHARLOTTE HUNGERFORD HOSPITAL

The Charlotte Hungerford Hospital is located in Torrington. In FY 2012, the Hospital generated a

gain from operations of $166,000 and had $2.25 million in non-operating revenue, resulting in an


affiliates of Charlotte Hungerford Hospital, followed by various financial indicators and selected


CHARLOTTE HUNGERFORD HOSPITAL






Income/(Loss) from Operations ($32,849) ($783,867) $638,336 $166,279

Non Operating Revenue $145,007 $2,243,445 $2,011,113 $2,249,345Excess/(Deficiency) of Revenue over Expenses $112,158 $1,459,578 $2,649,449 $2,415,624






Income/(Loss) from Operations $849,760 ($425,728) $648,336 $166,279

Non Operating Revenue ($669,899) $1,978,820 $2,011,113 $2,249,345Excess/(Deficiency) of Revenue over Expenses $179,861 $1,553,092 $2,659,449 $2,415,624


Urology Center of NW

CT, LLC

(Outpatient Care)

For Profit Entity

CHARLOTTE

HUNGERFORD

HOSPITAL

Advanced Medical

Imaging of Northwest

CT, LLC

Litchfield County

Healthcare Services

Corporation(Physician Services)

MedConn

Collection Agency, LLC

57

KEY RESULTS - CHARLOTTE HUNGERFORD HOSPITAL




shown.

Statewide


Hospital Operating Margins 0.84% -0.39% 0.56% 0.13% 4.81%



COST DATA SUMMARY






Current Ratio 1.09 1.23 1.33 1.39 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $1,438,204 $1,421,695 $1,726,098 $1,766,984

Bad Debts $2,247,042 $2,413,649 $2,129,955 $3,125,364




58

KEY RESULTS - CHARLOTTE HUNGERFORD HOSPITAL


Patient Days 28,581 27,979 27,425 25,249

Discharges 6,320 6,438 6,512 6,338

ALOS 4.5 4.3 4.2 4.0








DISCHARGES


Medicare 3,405 3,371 3,532 3,482

Medical Assistance 994 1,133 1,200 1,105

Medicaid 735 935 1,192 1,103









59

JOHNSON MEMORIAL HOSPITAL

Johnson Memorial Hospital is located in Stafford. In FY 2012, the Hospital experienced a

$380,000 loss from operations and had $430,000 in non-operating revenue, resulting in an excess

of revenues over expenses of $50,000. Reported below is a chart indicating all of the affiliates of

Johnson Memorial Medical Center, Inc., the parent corporation of the Hospital, followed by


Johnson Memorial

Hospital

Johnson Health

Care, Inc.

(Occupational Center)

Johnson

Development Fund,

Inc.(Fund Raising/

Management)

The Johnson

Evergreen Corp. d/

b/a Evergreen

Health Care Center(Long-term Care)

Home & Community

Health Services(Home Health/VNA)

Wellcare, Inc.(Relationship terminated

in August 2000 -

currently inactive)

JOHNSON MEMORIAL

MEDICAL CENTER, INC.

For Profit Entity

Johnson Professional

Associates, P.C.(O/B GYN & Mental Health)

Northeast Regional

Radiation Oncology

Network(Oncology Services)

Johnson Medical

Specialists P.C.

Tolland Imaging

Center

JOHNSON MEMORIAL MEDICAL CENTER INC.



Other Operating Revenue $6,489,182 $1,507,077 $1,633,180 $896,986




Non Operating Revenue ($672,962) $33,842,025 $1,205,975 $447,582Excess/(Deficiency) of Revenue over Expenses ($5,991,672) $27,193,977 ($2,020,967) ($2,765,421)



Other Operating Revenue $54,542 $252,845 $623,863 $282,934



Income/(Loss) from Operations ($3,556,551) ($6,095,586) ($1,453,874) ($379,705)

Non Operating Revenue ($2,288,430) $33,467,213 $1,205,826 $430,461Excess/(Deficiency) of Revenue over Expenses ($5,844,981) $27,371,627 ($248,048) $50,756


The hospital's financial statements were not audited in FY 2009.

60

KEY RESULTS - JOHNSON MEMORIAL HOSPITAL

(Note: Johnson Memorial Hospital financial statements were not audited in FY 2009.)




shown.

Statewide




Hospital Total Margins -9.65% 28.80% -0.40% 0.08% 6.63%

COST DATA SUMMARY






Current Ratio 1.92 0.89 0.95 0.95 1.97





Equity financing ratio -35.6 18.6 20.1 22.5 36.0

Cash flow to total debt ratio -14.1 105.7 12.3 13.8 27.0

Long-term debt to Capitalization Ratio -332.1 58.9 58.3 55.0 38.1

NET ASSETS SUMMARY

Hospital Unrestricted Net Assets ($20,718,900) $4,607,135 $4,359,087 $4,961,873

Hospital Total Net Assets ($16,710,766) $8,733,965 $8,690,013 $9,684,598

UNCOMPENSATED CARE

Charity Care $559,676 $280,655 $465,816 $193,108

Bad Debts $7,812,094 $2,544,094 $2,141,072 $3,564,251




61

KEY RESULTS - JOHNSON MEMORIAL HOSPITAL


Patient Days 17,998 17,737 15,790 16,189

Discharges 3,618 3,437 3,268 3,251

ALOS 5.0 5.2 4.8 5.0








DISCHARGES

Non-Government (Including Uninsured) 1,333 1,143 979 985

Medicare 1,807 1,733 1,616 1,601


Medicaid 404 509 643 646









62

LAWRENCE & MEMORIAL HOSPITAL

Lawrence and Memorial Hospital is located in New London. In FY 2012, the Hospital generated

$21.3 million in income from operations and had $4.6 million in non-operating revenue, resulting

in an excess of revenues over expenses of $25.9 million. Reported below is a chart indicating all

of the affiliates of Lawrence & Memorial Corporation, the parent corporation of the Hospital,


LAWRENCE & MEMORIAL CORPORATION






Income/(Loss) from Operations $6,518,406 $11,053,901 $9,248,211 $707,471








Non Operating Revenue ($425,131) ($18,052,615) $4,137,772 $4,584,564Excess/(Deficiency) of Revenue over Expenses $15,104,649 $3,567,263 $26,677,609 $25,916,329


Lawrence & Memorial

Hospital, Inc.

Lawrence &

Memorial

Foundation, Inc.(inactive)

L & M Systems,

Inc.(Medical Practices)

VNA of

Southeastern

Connecticut

L & M Health

Care, Inc.(Inactive)

LAWRENCE &

MEMORIAL

CORPORATION

For Profit Entity

Associated

Specialists of

Southeastern CT,

LLC

L & M Physician

Association, Inc.

Southeastern

CT Health

“Partners” Inc.

L&M Indemnity

Company, LTD

LMW

Health Care, Inc.

LMW

Physicians, Inc.

63

KEY RESULTS - LAWRENCE & MEMORIAL HOSPITAL




shown.

Statewide



Hospital Non Operating Margins -0.15% -5.95% 1.22% 1.33% 1.82%


COST DATA SUMMARY






Current Ratio 4.31 3.71 3.88 4.06 1.97

Days cash on hand 162 175 180 185 69







NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $2,405,415 $3,153,445 $3,148,344 $2,828,618

Bad Debts $15,090,956 $14,381,177 $13,865,210 $11,930,618




64

KEY RESULTS - LAWRENCE & MEMORIAL HOSPITAL


Patient Days 69,025 71,761 74,082 70,558

Discharges 14,857 15,464 15,328 14,932

ALOS 4.6 4.6 4.8 4.7

Staffed Beds 252 256 256 256







DISCHARGES


Medicare 6,498 6,829 6,897 6,829


Medicaid 2,254 2,568 3,192 3,028









*TRICARE is indicated since it comprises greater than 1% of hospital gross and net revenues.

65

MANCHESTER MEMORIAL HOSPITAL

Manchester Memorial Hospital is located in Manchester. In FY 2012, the Hospital generated

$10.6 million in income from operations and experienced a loss of $900,000 in non-operating

revenue, resulting in an excess of revenues over expenses of $9.7 million. Reported below is a

chart indicating all of the affiliates of Eastern Connecticut Health Network, Inc., the parent

corporation of the Hospital, and Rockville General Hospital, followed by various financial


Manchester Memorial

Hospital

ECHN Community

Healthcare

Foundation, Inc.(Fund Raising/Management)

ECHN Eldercare

Services, Inc. (Nursing Home)

EASTERN

CONNECTICUT

HEALTH NETWORK,

INC.

For Profit Entity

ECHN

Enterprises, Inc.(Affiliate Support

Services)

Rockville General

Hospital, Inc.

ECHN Joint Ventures/

Investments

CT Healthcare

Insurance Company

(Malpractice

Insurance)

Haynes Street

Medical

Associates, LLC

Haynes Street

Medical

Associates II,

LLC

Evergreen

Medical

Associates II,

LLC

Evergreen

Medical

Associates, LLC

Ambulance

Service of

Manchester, LLC

Metro Wheelchair

Service, Inc.

Aetna Ambulance

Service, Inc.

CT Occupational

Medicine

Partners, LLC

Evergreen

Endoscopy Center,

LLC

Visiting Nurse and

Health Services of

CT, Inc.

Northeast Regional

Radiation Oncology

Network, dba

Community Cancer Care

Tolland Imaging

Center, LLC

Eastern CT

Physician Hospital

Org., Inc.

WBC Connecticut

East, LLC

Medical Practice

Partners, LLC

Eastern CT

Medical

Professionals

Foundation, Inc.

ECHN Corporate

Services, Inc.

Manchester

Physician Hospital

Org. Inc. (Inactive)

EASTERN CT HEALTH NETWORK INC.






Income/(Loss) from Operations $7,119,501 $6,538,328 $42,677 $4,927,692

Non Operating Revenue ($3,903,448) ($1,785,503) ($1,341,596) ($1,200,536)Excess/(Deficiency) of Revenue over Expenses $3,216,053 $4,752,825 ($1,298,919) $3,727,156







Non Operating Revenue ($1,467,453) ($842,128) ($364,307) ($868,637)Excess/(Deficiency) of Revenue over Expenses $5,945,570 $5,682,134 $6,063,645 $9,764,864


66

KEY RESULTS - MANCHESTER MEMORIAL HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 1.17 0.98 1.01 1.31 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $1,418,730 $2,236,613 $4,838,371 $4,953,633

Bad Debts $7,895,004 $6,712,599 $6,164,670 $6,382,307




67

KEY RESULTS - MANCHESTER MEMORIAL HOSPITAL


Patient Days 44,631 44,935 43,475 45,545

Discharges 8,989 9,109 9,281 8,831

ALOS 5.0 4.9 4.7 5.2

Staffed Beds 140 140 171 171







DISCHARGES


Medicare 3,770 3,774 3,626 3,537


Medicaid 1,166 1,295 1,854 1,957









68

MIDDLESEX HOSPITAL

Middlesex Hospital is located in Middletown. In FY 2012, the Hospital generated $25.2 million

in income from operations and had $3.9 million in non-operating revenue, resulting in an excess

of revenues over expenses of $29.1 million. Reported below is a chart indicating all of the

affiliates of Middlesex Health System Incorporated, the parent corporation of the Hospital,


MHS Primary

Care, Inc.IRMA, LLC

(Inactive)Middlesex Hospital

Middlesex Health

Resources, Inc.(Real Estate)

MIDDLESEX

HEALTH SYSTEM,

INC.

For Profit Entity

Hartford-Middlesex

Clinical System, LLC(Affiliate Support Services)

Middlesex Health

Services, Inc.(Care for the Aged)

Middlesex Center for

Advanced Orthopedic

Surgery, LLC(Ambulatory OP Surgery)

Middlesex Hospital

Foundation, Inc.

MIDDLESEX HEALTH SYSTEM INC.
















69

KEY RESULTS - MIDDLESEX HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 2.17 2.21 1.97 1.75 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $7,535,167 $9,520,361 $6,856,094 $7,509,399

Bad Debts $17,055,645 $11,858,436 $13,570,742 $12,199,395




70

KEY RESULTS - MIDDLESEX HOSPITAL


Patient Days 57,628 57,829 59,935 59,473

Discharges 13,964 13,918 13,855 14,158

ALOS 4.1 4.2 4.3 4.2

Staffed Beds 176 178 183 183







DISCHARGES


Medicare 7,401 7,204 7,373 7,537


Medicaid 1,313 1,665 2,028 2,138









71

MIDSTATE MEDICAL CENTER

MidState Medical Center is located in Meriden. In FY 2012, the Hospital generated $24.9 million in



Hartford Healthcare Corporation, the parent corporation of the Hospital, Hartford Hospital, the

Hospital of Central Connecticut, and Windham Community Memorial Hospital, followed by various


Hartford HealthCare

Corporation

For Profit Entity



Medical Center

Midstate

MSO, LLC

Meriden Imaging

Center, Inc.

Windham Hospital

Foundation, Inc.

Windham

Professional Office

Condo. Assoc.

Windham Health

Services, Inc.

Windham Community

Memorial Hospital

Natchaug

Hospital

Clinical Lab

Partners, Inc.

Rushford


Immediate Medical

Care Ctr, Inc.

Eastern Rehab

Network, Inc.

Jefferson House

Institute of Living

Hart/Midsx Clinical

Systems, Inc.

VNA Health

Care, Inc.

VNA Health

Resources Inc.

CHS Insurance

Grand

Indemnity, LTD

Community

Mental Health

Central CT

Sports Medicine

Bradley Health

Services

CENNCONN

Services

MEDCONN

Collection Agency

MRI of

Farmington, Ave

VNA of

Central CT

Southern Care

Center

Central CT Senior

Hlth Services

Mulberry Gardens

of Southington

Orchards at

Southington

NB MRI LTD

Partnership

NB Occupational

Health Center

Central CT Health

Alliance, Inc.

PracticeCentral,

LLC















Non Operating Revenue ($345,750) $534,112 $455,490 $1,222,491Excess/(Deficiency) of Revenue over Expenses $5,369,331 $11,069,925 $8,120,050 $26,116,794



72

KEY RESULTS - MIDSTATE MEDICAL CENTER




shown.

Statewide





COST DATA SUMMARY






Current Ratio 2.38 1.93 1.93 3.08 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $3,370,587 $3,637,983 $3,025,038 $4,233,596

Bad Debts $9,717,615 $10,465,542 $7,875,420 $6,461,499




73

KEY RESULTS - MIDSTATE MEDICAL CENTER


Patient Days 42,873 42,359 44,604 42,530

Discharges 9,955 9,818 10,235 10,330

ALOS 4.3 4.3 4.4 4.1

Staffed Beds 140 142 144 144





Full Time Equivalent Employees 950.5 985.8 1,018.6 1,054.6


DISCHARGES


Medicare 4,708 4,619 4,826 5,054


Medicaid 1,542 1,741 2,106 2,151









74

MILFORD HOSPITAL

Milford Hospital is located in Milford. In FY 2012, the Hospital experienced a $3.7 million loss

from operations and had $1.9 million in non-operating revenue, resulting in a deficiency of revenues

over expenses of $1.8 million. Reported below is a chart indicating all of the affiliates of Milford

Health and Medical, Incorporated, the parent corporation of the Hospital, followed by various


Milford Healthcare

Services, Inc.(Community Health

Services)

Milford Hospital

Foundation, Inc.(Fund Raising/

Management)

Milford Hospital, Inc.

Seabridge

Corporation(Imaging, Lab, Real

Estate Services)

Home Care Plus,

Inc.(Home Health Care)

SBDI Holding,

LLC

MILFORD HEALTH

AND MEDICAL, INC.

For Profit Entity

Torry Corporation

(Property Management)

SBDI Associates,

LLC

Milford Medical

Laboratory, Inc.

Seabridge Aesthetic

Center - SBAC, LLC

MILFORD HEALTH & MEDICAL, INC.







Non Operating Revenue $2,214,662 $3,718,367 $111,096 $2,793,652Excess/(Deficiency) of Revenue over Expenses ($4,687,677) ($4,227,878) ($7,079,524) ($2,562,631)



Other Operating Revenue $1,109,354 $1,165,893 $653,094 $2,505,143




Non Operating Revenue $1,282,609 $2,825,570 ($333,921) $1,943,229Excess/(Deficiency) of Revenue over Expenses ($3,626,792) ($3,826,377) ($5,407,814) ($1,785,767)


75

KEY RESULTS - MILFORD HOSPITAL




shown.

Statewide



Hospital Non Operating Margins 1.51% 3.44% -0.42% 2.19% 1.82%

Hospital Total Margins -4.27% -4.65% -6.74% -2.01% 6.63%

COST DATA SUMMARY






Current Ratio 1.01 0.99 1.03 1.04 1.97






Cash flow to total debt ratio 1.8 -1.4 -12.9 6.2 27.0


NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $122,057 $299,029 $187,766 $192,533

Bad Debts $6,998,451 $6,738,669 $7,611,773 $7,028,914




76

KEY RESULTS - MILFORD HOSPITAL


Patient Days 20,370 17,708 17,312 14,756

Discharges 4,800 4,540 4,374 3,580

ALOS 4.2 3.9 4.0 4.1








DISCHARGES


Medicare 2,423 2,362 2,050 1,986


Medicaid 417 406 517 349









77

NEW MILFORD HOSPITAL

New Milford Hospital is located in New Milford. In FY 2012, the Hospital experienced a $6.5

million loss from operations and had $22,000 in non-operating revenue, resulting in a deficiency

of revenues over expenses of almost $6.5 million. Reported below is a chart indicating all of the

affiliates of Western Connecticut Health Network, Inc., the parent corporation of the Hospital and

Danbury Hospital, followed by various financial indicators and selected utilization measures.

Business

Systems, Inc

For Profit Entity

Western Connecticut

Health Network, Inc.

Western CT

Home Care, Inc.

Danbury

Hospital

New Milford

Hospital

Foundation

Western CT

Health Network

Affiliates, Inc.

New Milford

Hospital

Western CT

Health Network

Insurance Co.

New Milford

MRI, LLC (51%)

Western CT

Medical Group,

P.C.

Western CT

Health Network

Joint & Spine, LLC

Western CT

Health Network

Foundation, Inc.

Western CT

Health Network

PHO, Inc.

WESTERN CT HEALTH NETWORK, INC.













Income/(Loss) from Operations ($5,526,712) $118,101 ($91,370) ($6,478,071)

Non Operating Revenue $361,642 $72,146 ($2,572) $21,958Excess/(Deficiency) of Revenue over Expenses ($5,165,070) $190,247 ($93,942) ($6,456,113)


Western CT Health Network (formerly Western CT Healthcare and Danbury Health Systems) amounts include New Milford Hospital

Hospital totals beginning in FY 2010.

78

KEY RESULTS - NEW MILFORD HOSPITAL




shown.

Statewide


Hospital Operating Margins -5.91% 0.13% -0.10% -7.85% 4.81%


Hospital Total Margins -5.52% 0.21% -0.10% -7.83% 6.63%

COST DATA SUMMARY






Current Ratio 1.28 1.68 1.42 1.01 1.97






Cash flow to total debt ratio -0.9 27.3 23.2 -4.8 27.0


NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $1,620,381 $2,208,785 $1,734,591 $1,181,756

Bad Debts $4,081,840 $3,065,190 $2,545,989 $3,125,172




79

KEY RESULTS - NEW MILFORD HOSPITAL


Patient Days 9,874 9,382 9,347 8,537

Discharges 2,774 2,512 2,516 2,288

ALOS 3.6 3.7 3.7 3.7








DISCHARGES

Non-Government (Including Uninsured) 1,285 1,057 1,068 888

Medicare 1,248 1,167 1,199 1,118


Medicaid 208 252 236 265









80

NORWALK HOSPITAL

Norwalk Hospital is located in Norwalk. In FY 2012, the Hospital generated $21.6 million in

income from operations and had $7.9 million in non operating revenue, resulting in an excess of


of Norwalk Health Services Corporation, the parent corporation of the Hospital, followed by


Norwalk Health

Care, Inc. (Honey

Hill Care Center -

LT Care)

Norwalk Hospital

Foundation, Inc.

Norwalk Hospital

Association

S.W.C.

Corporation(Pharmacy)

NORWALK

HEALTH SERVICES

CORPORATION

For Profit Entity

Maple Street

Indemnity

Company, Ltd

Norwalk Surgery

Center, LLC

Norwalk Hospital

Physicians and

Surgeons, Inc.

Advanced Center

for Rehab.

Medicine (Inactive)

NORWALK HEALTH SERVICES CORPORATION






Income/(Loss) from Operations $11,833,641 ($1,817,509) $15,625,018 $20,098,638

Non Operating Revenue $809,408 $3,595,122 ($4,026,811) $6,256,474Excess/(Deficiency) of Revenue over Expenses $12,643,049 $1,777,613 $11,598,207 $26,355,112







Non Operating Revenue $1,080,679 $2,351,981 ($658,476) $7,929,614Excess/(Deficiency) of Revenue over Expenses $15,003,482 $5,244,652 $23,784,969 $29,556,638


81

KEY RESULTS - NORWALK HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 2.30 2.05 2.13 2.21 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $17,554,000 $18,026,000 $17,327,000 $17,929,000

Bad Debts $21,000,769 $23,255,695 $20,654,069 $23,530,477




82

KEY RESULTS - NORWALK HOSPITAL


Patient Days 71,363 69,417 70,355 67,341

Discharges 15,332 14,483 14,878 15,003

ALOS 4.7 4.8 4.7 4.5

Staffed Beds 200 194 196 193







DISCHARGES


Medicare 5,539 5,684 6,008 6,147


Medicaid 2,254 2,458 3,038 3,002









83

ROCKVILLE GENERAL HOSPITAL

Rockville General Hospital is located in Vernon. In FY 2012, the Hospital generated $680,000

in income from operations and experienced a loss of $180,000 in non-operating revenue, resulting

in an excess of revenues over expenses of $500,000. Reported below is a chart indicating all of

the affiliates of Eastern Connecticut Health Network Inc., the parent corporation of the Hospital,

and Manchester Memorial Hospital, followed by various financial indicators and selected


Manchester Memorial

Hospital

ECHN Community

Healthcare

Foundation, Inc.(Fund Raising/Management)

ECHN Eldercare

Services, Inc. (Nursing Home)

EASTERN

CONNECTICUT

HEALTH NETWORK,

INC.

For Profit Entity

ECHN

Enterprises, Inc.(Affiliate Support

Services)

Rockville General

Hospital, Inc.

ECHN Joint Ventures/

Investments

CT Healthcare

Insurance Company

(Malpractice

Insurance)

Haynes Street

Medical

Associates, LLC

Haynes Street

Medical

Associates II,

LLC

Evergreen

Medical

Associates II,

LLC

Evergreen

Medical

Associates, LLC

Ambulance

Service of

Manchester, LLC

Metro Wheelchair

Service, Inc.

Aetna Ambulance

Service, Inc.

CT Occupational

Medicine

Partners, LLC

Evergreen

Endoscopy Center,

LLC

Visiting Nurse and

Health Services of

CT, Inc.

Northeast Regional

Radiation Oncology

Network, dba

Community Cancer Care

Tolland Imaging

Center, LLC

Eastern CT

Physician Hospital

Org., Inc.

WBC Connecticut

East, LLC

Medical Practice

Partners, LLC

Eastern CT

Medical

Professionals

Foundation, Inc.

ECHN Corporate

Services, Inc.

Manchester

Physician Hospital

Org. Inc. (Inactive)

EASTERN CT HEALTH NETWORK INC.






Income/(Loss) from Operations $7,119,501 $6,538,328 $42,677 $4,927,692







Income/(Loss) from Operations $3,741,942 $3,556,338 $162,972 $680,292

Non Operating Revenue ($2,380,797) ($468,466) ($855,256) ($179,961)Excess/(Deficiency) of Revenue over Expenses $1,361,145 $3,087,872 ($692,284) $500,331


84

KEY RESULTS - ROCKVILLE GENERAL HOSPITAL




shown.

Statewide




Hospital Total Margins 2.01% 4.48% -1.03% 0.67% 6.63%

COST DATA SUMMARY






Current Ratio 1.84 1.73 1.45 1.20 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $550,997 $772,244 $821,721 $2,192,753

Bad Debts $3,876,624 $3,601,814 $2,925,278 $3,309,948




85

KEY RESULTS - ROCKVILLE GENERAL HOSPITAL


Patient Days 15,355 14,180 12,370 13,056

Discharges 3,510 3,386 2,515 2,519

ALOS 4.4 4.2 4.9 5.2








DISCHARGES

Non-Government (Including Uninsured) 1,190 1,129 663 594

Medicare 1,766 1,595 1,581 1,655


Medicaid 458 548 268 266









86

SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

Saint Francis Hospital and Medical Center is located in Hartford. In FY 2012, the Hospital

generated an $8.5 million gain from operations and experienced a loss of $10.8 million in non-

operating revenue, resulting in a deficiency of revenues over expenses of $2.3 million. Reported

below is a chart indicating all of the affiliates of Saint Francis Care, Incorporated, the parent

corporation of the Hospital, followed by various financial indicators and selected utilization

measures.

Asylum Hill Family

Medicine Center, Inc.

Saint Francis Care

Medical Group, P.C.

Saint Francis Hospital

& Medical Center

Mount Sinai

Rehabilitation Hospital

St. Francis Medical

Group, Inc.(Physicians Services)

Saint Francis

Healthcare

Partners, Inc.(50% Ownership)

One Thousand

Corporation

Collaborative

Laboratory Services,

LLC

Saint Francis

Behavioral Health

Group, P.C.

SAINT FRANCIS

CARE, INC.

For Profit Services

Saint Francis Hospital

and Medical Center

Foundation Inc.

Saint Francis PHO

Foundation

Total Laundry

Collaborative, LLC

Saint Francis

Indemnity Company

Saint Francis

Healthcare Partners

ACO, Inc.

St. Francis Emergency

Medical Group, Inc.

SAINT FRANCIS CARE, INC.














Non Operating Revenue ($5,731,045) ($9,227,596) ($12,703,120) ($10,794,169)Excess/(Deficiency) of Revenue over Expenses $10,641,363 ($7,045,664) ($15,869,874) ($2,261,302)


87

KEY RESULTS - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER




shown.

Statewide


Hospital Operating Margins 2.72% 0.36% -0.50% 1.27% 4.81%


Hospital Total Margins 1.77% -1.16% -2.52% -0.34% 6.63%

COST DATA SUMMARY






Current Ratio 1.78 1.59 2.19 2.24 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $5,153,062 $5,320,840 $5,103,750 $6,110,468

Bad Debts $21,328,662 $18,896,554 $15,406,823 $18,629,069




88

KEY RESULTS - SAINT FRANCIS HOSPITAL AND MEDICAL CENTER


Patient Days 162,158 154,460 157,959 157,534

Discharges 33,057 31,400 31,842 32,111

ALOS 4.9 4.9 5.0 4.9

Staffed Beds 593 593 595 595







DISCHARGES


Medicare 13,748 13,376 13,685 13,861


Medicaid 5,525 6,038 7,447 7,872

Other Medical Assistance 1,624 721 0 0








89

SAINT MARY’S HOSPITAL

Saint Mary’s Hospital is located in Waterbury. In FY 2012, the Hospital generated $12.6 million

in income from operations and had $2.4 million in non-operating revenue, resulting in an excess

of revenues over expenses of $15 million. Reported below is a chart indicating all of the affiliates

of Saint Mary’s Health System, Incorporated, the parent corporation of the Hospital, followed by


St. Mary's Hospital

Foundation

St. Mary's Hospital

Corporation

Naugatuck Valley

MRI Limited

Partnership

Saint Mary’s Health

System, Inc.

For Profit Entity

Diagnostic Imaging

of Southbury, LLC(Imaging Services)

Harold Leever

Regional Cancer

Ctr, Inc.(Not for Profit)

Franklin Medical

Group, P.C.

Heart Ctr. of Greater

Waterbury, Inc.Joint Cardiac Program

with Waterbury Hospital

St. Mary’s Indemnity

Company, LLC

ST. MARY'S HEALTH SYSTEM, INC.







Non Operating Revenue $285,000 $2,435,000 $553,000 $2,620,000Excess/(Deficiency) of Revenue over Expenses $8,453,000 $6,537,000 ($1,768,000) $7,155,000







Non Operating Revenue $3,520,657 $3,675,712 ($1,136,371) $2,413,724Excess/(Deficiency) of Revenue over Expenses $12,774,951 $13,626,779 $5,758,226 $15,035,927


90

KEY RESULTS - SAINT MARY’S HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 1.69 1.75 1.54 1.58 1.97








NET ASSETS SUMMARY

Hospital Unrestricted Net Assets ($4,907,594) $6,754,167 ($2,602,946) $72,000


UNCOMPENSATED CARE

Charity Care $493,000 $1,043,954 $629,356 $384,059

Bad Debts $11,724,327 $11,904,617 $7,589,833 $10,501,359




91

KEY RESULTS - SAINT MARY’S HOSPITAL


Patient Days 53,096 52,607 55,915 51,556

Discharges 12,462 12,208 12,534 12,078

ALOS 4.3 4.3 4.5 4.3

Staffed Beds 196 181 179 182







DISCHARGES


Medicare 5,300 5,130 5,576 5,198


Medicaid 2,603 2,687 3,197 3,231









92

SAINT RAPHAEL, HOSPITAL OF

The Hospital of Saint Raphael is located in New Haven. In FY 2012, the Hospital generated $1.8

million in income from operations and had $22.2 in non-operating revenue, resulting in an excess

of revenues over expenses of $24 million. Reported below is a chart indicating all of the affiliates

of the Saint Raphael Healthcare System, Incorporated, the parent corporation of the Hospital,


Hospital of Saint

Raphael

Saint Raphael

Foundation, Inc.

Saint Regis Health

Center, Inc. (dba Sister

Anne Virginie Grimes Health

Center - L/T Care)

SAINT RAPHAEL

HEALTHCARE

SYSTEM, INC.

St. Raphael

Healthcare System

Affiliated Physicians

ST. RAPHAEL HEALTHCARE SYSTEM, INC.






Income/(Loss) from Operations ($18,821,311) ($3,153,598) $114,595 ($8,627,354)

Non Operating Revenue $1,333,580 $3,888,443 $802,444 $12,047,468Excess/(Deficiency) of Revenue over Expenses ($17,487,731) $734,845 $917,039 $3,420,114






Income/(Loss) from Operations ($6,224,131) ($141,249) $3,169,158 $1,803,477

Non Operating Revenue $20,065 $349,940 $70,555 $22,197,189Excess/(Deficiency) of Revenue over Expenses ($6,204,066) $208,691 $3,239,713 $24,000,666


93

KEY RESULTS - SAINT RAPHAEL, HOSPITAL OF




shown.

Statewide


Hospital Operating Margins -1.30% -0.03% 0.63% 0.37% 4.81%


Hospital Total Margins -1.30% 0.04% 0.65% 4.90% 6.63%

COST DATA SUMMARY






Current Ratio 0.68 0.72 0.68 2.79 1.97





Equity financing ratio -11.9 -4.0 -19.7 7.1 36.0


Long-term debt to Capitalization Ratio -11.6 -23.7 -1.4 0.0 38.1

NET ASSETS SUMMARY


Hospital Total Net Assets ($30,730,319) ($10,170,252) ($48,404,289) $11,366,084

UNCOMPENSATED CARE

Charity Care $4,656,971 $5,390,523 $5,784,587 $2,239,962

Bad Debts $20,632,999 $24,670,997 $22,840,000 $13,531,774




94

KEY RESULTS - SAINT RAPHAEL, HOSPITAL OF


Patient Days 130,965 124,273 121,615 102,401

Discharges 24,505 23,924 22,801 19,676

ALOS 5.3 5.2 5.3 5.2

Staffed Beds 417 364 369 354







DISCHARGES


Medicare 13,225 13,102 12,686 10,750


Medicaid 2,704 3,298 3,916 3,554









95

SAINT VINCENT’S MEDICAL CENTER

Saint Vincent’s Medical Center is located in Bridgeport. In FY 2012, the Hospital generated

$63.9 million in income from operations and had $23.2 million in non-operating revenue,

resulting in an excess of revenues over expenses of $87.1 million. Reported below is a chart

indicating all of the affiliates of Saint Vincent’s Health Services Corporation, the parent

corporation of the Hospital, followed by various financial indicators and selected utilization

measures. St. Vincent’s Medical Center is also a member of Ascension Health, a nationally based

Catholic health system.

St. Vincent's Medical

Center

St. Vincent's Special

Needs Center(Health Education Services)

St. Vincent's

Development, Corp.(Real Estate)

St. Vincent's Medical

Center Foundation

Vincentures, Inc.(Real Estate)

{Inactive}

Hall-Brooke Behavioral

Health Services, Inc.(Mental Health Facility)

St. Vincent's College(Health Education)

ST. VINCENT'S

HEALTH SERVICES

CORPORATION

For Profit Entity

Ascension Health

St. Vincent's

Multispecialty Group(Physician Services)

ST. VINCENT'S HEALTH SERVICES CORP.
















96

KEY RESULTS - SAINT VINCENT’S MEDICAL CENTER




shown.

Statewide





COST DATA SUMMARY






Current Ratio 1.26 1.63 1.34 1.28 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $8,833,000 $7,662,000 $9,025,000 $15,330,000

Bad Debts $30,554,626 $30,582,008 $32,811,000 $27,411,000




97

KEY RESULTS - SAINT VINCENT’S MEDICAL CENTER


Patient Days 125,447 122,812 122,440 122,878

Discharges 21,743 21,873 22,100 21,912

ALOS 5.8 5.6 5.5 5.6

Staffed Beds 415 423 423 456







DISCHARGES


Medicare 9,746 9,920 10,164 10,153


Medicaid 3,120 3,652 4,488 4,773



Uninsured (Included in Non-Government) 955 1,024 991 950






98

Essent-Sharon Hospital is located in Sharon. In FY 2012, the Hospital generated an excess of

revenue over expenses of $3.3 million which did not include any non-operating income. Reported

below is a chart indicating all of the affiliates of Sharon Hospital Holding Company, Incorporated,

the Connecticut parent corporation of the Hospital, followed by various financial indicators and

selected utilization measures.

Essent Healthcare of

Connecticut, Inc.

d/b/a Sharon Hospital

Essent

Healthcare Inc.

For Profit Entity

Sharon Hospital

Holding Company

Regional Healthcare

Associates, LLC

Foundation for Community

Health, Inc.

Tri State Women’s

Services, LLC

SHARON HOSPITAL

SHARON HOSPITAL HOLDING COMPANY, INC.






Income/(Loss) from Operations $1,873,583 $1,573,006 $1,496,783 ($20,601)

Non Operating Revenue $0 $0 $0 $0Excess/(Deficiency) of Revenue over Expenses $1,873,583 $1,573,006 $1,496,783 ($20,601)







Non Operating Revenue $0 $0 $0 $0Excess/(Deficiency) of Revenue over Expenses $2,713,402 $2,917,330 $2,933,270 $3,267,241


99

KEY RESULTS - SHARON HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 1.52 1.51 1.37 1.78 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $430,330 $767,288 $942,411 $760,089

Bad Debts $2,953,540 $1,748,130 $3,537,228 $2,999,367


Uncompensated Care Cost $1,461,984 $995,025 $1,825,630 $1,400,677


100


Patient Days 11,466 11,622 12,355 11,914

Discharges 2,658 2,681 2,703 2,685

ALOS 4.3 4.3 4.6 4.4








DISCHARGES

Non-Government (Including Uninsured) 877 808 794 743

Medicare 1,484 1,479 1,530 1,554


Medicaid 142 217 223 194









KEY RESULTS - SHARON HOSPITAL

101

STAMFORD HOSPITAL

The Stamford Hospital is located in Stamford. In FY 2012, the Hospital generated $47.1 million

in income from operations and experienced a loss of $10.1 million in non-operating revenue,

resulting in an excess of revenues over expenses of $37 million. Reported below is a chart

indicating all of the affiliates of Stamford Health System, the parent corporation of the Hospital,


The Stamford

Hospital

STAMFORD

HEALTH SYSTEM

For Profit Entity

Stamford Health

Integrated Practices

Healthstar Indemnity

Company, Ltd

Stamford Hospital

Foundation(Inactive)

Continuing Care

Retirement Comm. of

Greater Stamford(Edgehill)

Miller Hall Medical

Suites, LLC(Real Estate)

Stamford Health

Resources(Inactive)

Fairfield County

Surgical Specialists,

P.C.

Fairfield County

Obstetrics &

Gynecology, LLC

Fairfield County

Primary Care, P.C.

Stamford OB/GYN

Associates, P.C.

Premier Medical

Group, P.C.

Stamford NSC, LLC

Southwest Connecticut

Radiology, LLC

STAMFORD HEALTH SYSTEM







Non Operating Revenue ($3,299,305) $4,877,409 ($724,009) ($2,165,592)Excess/(Deficiency) of Revenue over Expenses $21,669,487 $27,581,620 $27,260,770 $24,712,108







Non Operating Revenue ($988,395) ($167,187) $221,386 ($10,097,527)Excess/(Deficiency) of Revenue over Expenses $17,690,992 $25,387,293 $36,722,427 $37,016,852


102

KEY RESULTS - STAMFORD HOSPITAL




shown.

Statewide



Hospital Non Operating Margins -0.22% -0.04% 0.04% -1.95% 1.82%


COST DATA SUMMARY






Current Ratio 1.18 1.72 1.91 1.80 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $11,909,791 $23,197,082 $27,344,589 $34,807,823

Bad Debts $47,934,677 $42,704,703 $46,972,113 $51,939,073




103

KEY RESULTS - STAMFORD HOSPITAL


Patient Days 75,272 76,225 74,442 70,911

Discharges 14,888 15,089 14,940 14,294

ALOS 5.1 5.1 5.0 5.0

Staffed Beds 321 269 271 267







DISCHARGES


Medicare 5,093 5,382 5,251 5,144


Medicaid 2,285 2,457 3,039 3,089









104

WATERBURY HOSPITAL

The Waterbury Hospital is located in Waterbury. In FY 2012, the Hospital generated a $9.8

million gain from operations and had $2 million in non-operating revenue, resulting in an excess

of revenues over expenses of $11.8 million. Reported below is a chart indicating all of the

affiliates of Greater Waterbury Health Network, Inc., the parent corporation of the Hospital,


Alliance Medical

Group, PC(Medical Practices)

Greater Waterbury

Health Services(Inactive - Affiliate

Support Services)

Waterbury Hospital

Acute Care

Greater Waterbury

Mgt. Resources(Management Svcs)

Greater Waterbury

Imaging Center,

LLP MRI

Imaging Partners,

LLC

GREATER

WATERBURY

HEALTH NETWORK

For Profit Entity

VNA Health at

Home, Inc. (Home

Health & Hospice)

Valley Imaging

Partners, LLC(MRI / CT)

Harold Leever

Regional Cancer

Center, Inc.

Access Rehab

Centers, LLC.

Heart Ctr. of Greater

Waterbury, Inc.Joint Cardiac Program

with St. Mary’s Hospital

Children’s Center of

Greater Waterbury

Health Network, Inc.(Other Health Services)

Waterbury

Gastroenterology

Co-Mgt, LLC

Cardiology

Associates of

Greater

Waterbury,LLC

GREATER WATERBURY HEALTH NETWORK, INC.






Income/(Loss) from Operations ($5,192,985) ($4,377,234) ($8,003,922) $201,923

Non Operating Revenue $1,888,849 $477,042 ($3,981,175) $2,087,588Excess/(Deficiency) of Revenue over Expenses ($3,304,136) ($3,900,192) ($11,985,097) $2,289,511






Income/(Loss) from Operations ($4,986,257) ($642,169) ($1,535,513) $9,783,914

Non Operating Revenue $3,066,686 $969,525 $134,208 $2,035,841Excess/(Deficiency) of Revenue over Expenses ($1,919,571) $327,356 ($1,401,305) $11,819,755


105

KEY RESULTS – WATERBURY HOSPITAL




shown.

Statewide


Hospital Operating Margins -1.98% -0.27% -0.65% 4.02% 4.81%


Hospital Total Margins -0.76% 0.14% -0.59% 4.85% 6.63%

COST DATA SUMMARY






Current Ratio 2.00 1.79 1.38 1.49 1.97








NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $1,809,921 $1,910,845 $2,456,277 $1,389,352

Bad Debts $14,319,487 $14,985,815 $13,122,386 $10,435,502




106

KEY RESULTS – WATERBURY HOSPITAL


Patient Days 67,682 59,271 58,780 57,548

Discharges 13,916 13,046 12,758 12,364

ALOS 4.9 4.5 4.6 4.7

Staffed Beds 214 192 190 190







DISCHARGES


Medicare 6,496 6,077 5,972 5,734


Medicaid 2,363 2,411 3,059 3,210









107

WINDHAM COMMUNITY MEMORIAL HOSPITAL

Windham Community Memorial Hospital is located in Willimantic. In FY 2012, the Hospital

experienced a $528,000 loss from operations and experienced a loss of $185,000 in non-operating

revenue, resulting in a deficiency of revenues over expenses of $713,000. Reported below is a

chart indicating all of the affiliates of Hartford Healthcare Corporation, the parent corporation of

the Hospital, Hartford Hospital, the Hospital of Central Connecticut, and Midstate Medical Center,


HARTFORD HEALTCARE CORPORATION













Income/(Loss) from Operations $605,868 ($1,936,448) ($3,739,802) ($528,038)

Non Operating Revenue ($1,790,872) $273,628 ($323,008) ($185,298)Excess/(Deficiency) of Revenue over Expenses ($1,185,004) ($1,662,820) ($4,062,810) ($713,336)



Hartford HealthCare

Corporation

For Profit Entity



Medical Center

Midstate

MSO, LLC

Meriden Imaging

Center, Inc.

Windham Hospital

Foundation, Inc.

Windham

Professional Office

Condo. Assoc.

Windham Health

Services, Inc.

Windham Community

Memorial Hospital

Natchaug

Hospital

Clinical Lab

Partners, Inc.

Rushford


Immediate Medical

Care Ctr, Inc.

Eastern Rehab

Network, Inc.

Jefferson House

Institute of Living

Hart/Midsx Clinical

Systems, Inc.

VNA Health

Care, Inc.

VNA Health

Resources Inc.

CHS Insurance

Grand

Indemnity, LTD

Community

Mental Health

Central CT

Sports Medicine

Bradley Health

Services

CENNCONN

Services

MEDCONN

Collection Agency

MRI of

Farmington, Ave

VNA of

Central CT

Southern Care

Center

Central CT Senior

Hlth Services

Mulberry Gardens

of Southington

Orchards at

Southington

NB MRI LTD

Partnership

NB Occupational

Health Center

Central CT Health

Alliance, Inc.

PracticeCentral,

LLC

108

KEY RESULTS - WINDHAM COMMUNITY MEMORIAL HOSPITAL




shown.

Statewide


Hospital Operating Margins 0.72% -2.16% -4.22% -0.55% 4.81%

Hospital Non Operating Margins -2.13% 0.30% -0.36% -0.19% 1.82%

Hospital Total Margins -1.41% -1.85% -4.59% -0.75% 6.63%

COST DATA SUMMARY






Current Ratio 2.63 2.10 1.31 0.94 1.97





Equity financing ratio -28.9 -29.4 -46.8 -53.1 36.0


Long-term debt to Capitalization Ratio -4164.0 -3881.7 -166.3 -83.7 38.1

NET ASSETS SUMMARY


Hospital Total Net Assets ($20,171,322) ($19,935,723) ($31,049,573) ($42,522,947)

UNCOMPENSATED CARE

Charity Care $2,094,259 $2,446,867 $2,956,537 $3,573,641

Bad Debts $4,141,249 $3,867,045 $3,100,374 $3,254,865




109

KEY RESULTS - WINDHAM COMMUNITY MEMORIAL HOSPITAL


Patient Days 20,696 20,850 19,996 18,673

Discharges 5,343 5,100 4,701 4,506

ALOS 3.9 4.1 4.3 4.1








DISCHARGES


Medicare 2,534 2,517 2,372 2,326

Medical Assistance 1,195 1,188 1,055 985

Medicaid 961 1,061 1,035 970









110

YALE-NEW HAVEN HOSPITAL

Yale-New Haven Hospital is located in New Haven. In FY 2012, the Hospital generated $106.6

million in income from operations and had $24 million in non-operating revenue, resulting in an

excess of revenues over expenses of $130.6 million. Reported below is a chart indicating all of

the affiliates of Yale New Haven Network Corporation, the parent corporation of the Hospital and

an affiliate of the larger Yale-New Haven Health Services Corporation which includes Bridgeport

Hospital and Greenwich Hospital, followed by various financial indicators and selected utilization

measures.

YALE NEW HAVEN NETWORK CORPORATION
















Yale New Haven

Network Corp

(Parent)

Bridgeport Hospital

and Healthcare


Greenwich Health


YALE-NEW HAVEN

HEALTH SERVICES

CORPORATION

For Profit Entity

Yale-New Haven

Ambulatory Serv.

Corp.

Yale New Haven

Hospital, Inc.

Yale New Haven

Shoreline Surgery

Center, LLC

Temple Women’s

Ambulatory Center

Division

Temple Imaging

Center Division

Recovery Care

Center Division

York Enterprises

Inc.

Medical Center

Realty

Medical Center

Pharmacy and

Home Care Center

Inc.

Century Financial

Services, Inc. and

Subsidary

Yale New Haven

Medical Center, Inc.


YNHH - Physicians

Corporation

Community

Healthcare

Physicians, PC

Quinnipiac Medical,

PC

Temple Ambulatory

Surgery Center

Division

YNH Geriatric

Services, PC

YNH Medical

Services, PC

The New Clinical

Program Development

Corporation

SSC II, LLC(Endoscopy Surgery

Center)

Northeast Medical

Group, Inc.(Physician Services)

YNH Care

Continuum

Corporation

Lukan Indemnity

Company, LTD

Caritas Insurance

Company, LTD

Northeast Pediatric

Specialists, Inc.

Greater NH

Partnership for a

Healthy

Community, Inc.

111

KEY RESULTS - YALE-NEW HAVEN HOSPITAL




shown.

Statewide





COST DATA SUMMARY






Current Ratio 3.33 2.72 3.05 2.27 1.97

Days cash on hand 165 120 125 147 69







NET ASSETS SUMMARY



UNCOMPENSATED CARE

Charity Care $27,032,315 $28,159,845 $31,059,911 $35,745,214

Bad Debts $70,527,250 $61,051,690 $55,846,721 $74,971,258




112

KEY RESULTS - YALE-NEW HAVEN HOSPITAL


Patient Days 279,599 284,705 300,989 311,547

Discharges 54,408 56,602 57,451 59,426

ALOS 5.1 5.0 5.2 5.2

Staffed Beds 851 871 827 859

Available Beds 895 919 918 1,001

Licensed Beds 944 944 944 1,541





DISCHARGES


Medicare 16,762 17,357 17,747 18,100


Medicaid 10,822 12,396 16,249 17,294



Uninsured (Included in Non-Government) 1,533 1,436 939 977






113

APPENDIX A: FY 2012 HOSPITAL HEALTH SYSTEM - STATEMENT OF OPERATIONS DATA

FY

20

12

HO

SP

ITA

L H

EA

LT

H S

YS

TE

M -

ST

AT

EM

EN

T O

F O

PE

RA

TIO

NS

DA

TA

FY

2012

FY

2012

FY

2012

FY

201

2F

Y 2

012

FY

2012

FY

2012

NE

TO

TH

ER

R

EV

EN

UE

NE

TG

AIN

/N

ON

RE

VE

NU

E

PA

TIE

NT

O

PE

RA

TIN

GF

RO

MO

PE

RA

TIN

G(L

OS

S)

OP

ER

AT

ING

OV

ER

/(U

ND

ER

)

RE

VE

NU

ER

EV

EN

UE

OP

ER

AT

ION

SE

XP

EN

SE

SF

RO

M

RE

VE

NU

EE

XP

EN

SE

S

OP

ER

AT

ION

S

BA

CK

US

CO

RP

OR

AT

ION

$297,6

04,0

77

$7,4

56,8

20

$305,0

60,8

97

$281,4

34,1

52

$23,6

26,7

45

$14,1

02,6

38

$37,7

29,3

83

BR

IST

OL H

OS

PIT

AL &

HE

ALT

HC

AR

E G

RO

UP

$160,2

23,2

50

$7,0

71,2

96

$167,2

94,5

46

$167,3

92,9

04

($98,3

58)

$1,2

98,7

23

$1,2

00,3

65

CC

MC

CO

RP

OR

AT

ION

IN

C.

$277,6

04,7

55

$37,3

20,5

65

$314,9

25,3

20

$332,2

75,5

13

($17,3

50,1

93)

$24,5

93,0

06

$7,2

42,8

13

DA

Y K

IMB

ALL H

EA

LT

HC

AR

E IN

C.

$128,9

76,1

57

$7,4

27,5

25

$136,4

03,6

82

$136,0

22,9

82

$380,7

00

$486,9

38

$867,6

38

EA

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

IN

C.

$277,0

42,9

97

$28,8

39,1

84

$305,8

82,1

81

$300,9

54,4

89

$4,9

27,6

92

($1,2

00,5

36)

$3,7

27,1

56

GR

EA

TE

R W

AT

ER

BU

RY

HE

AL

TH

NE

TW

OR

K, IN

C.

$273,4

84,0

98

$13,2

27,6

94

$286,7

11,7

92

$286,5

09,8

69

$201,9

23

$2,0

87,5

88

$2,2

89,5

11

GR

IFF

IN H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

$123,9

80,4

07

$23,4

28,7

06

$147,4

09,1

13

$154,7

97,6

23

($7,3

88

,510)

$1,0

20,9

32

($6,3

67,5

78)

HA

RT

FO

RD

HE

ALT

HC

AR

E C

OR

PO

RA

TIO

N$1,8

79,7

48,0

00

$267,5

38,0

00

$2,1

47,2

86,0

00

$2,0

86,7

10,0

00

$60,5

76,0

00

$68,5

63,0

00

$129,1

39,0

00

C. H

UN

GE

RF

OR

D H

OS

PIT

AL

$116,3

13,8

32

$5,7

35,1

28

$122,0

48,9

60

$121,8

82,6

81

$166,2

79

$2,2

49,3

45

$2,4

15,6

24

JO

HN

SO

N M

EM

OR

IAL M

ED

ICA

L C

EN

TE

R, IN

C.

$92,8

70,4

50

$896,9

86

$93,7

67,4

36

$96,9

80,4

39

($3,2

13

,003)

$447,5

82

($2,7

65,4

21)

LA

WR

EN

CE

& M

EM

OR

IAL C

OR

PO

RA

TIO

N$354,0

42,0

19

$16,0

80,9

43

$370,1

22,9

62

$369,4

15,4

91

$707,4

71

$7,0

13,8

60

$7,7

21,3

31

MID

DLE

SE

X H

EA

LT

H S

YS

TE

M, IN

C.

$361,4

66,0

00

$12,5

34,0

00

$374,0

00,0

00

$351,6

57,0

00

$22,3

43,0

00

$3,9

06,0

00

$26,2

49,0

00

MIL

FO

RD

HE

ALT

H &

ME

DIC

AL, IN

C.

$89,1

30,3

20

$3,5

85,4

78

$92,7

15,7

98

$98,0

72,0

81

($5,3

56

,283)

$2,7

93,6

52

($2,5

62,6

31)

NO

RW

ALK

HE

ALT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

$388,6

62,5

45

$23,5

48,5

15

$412,2

11,0

60

$392,1

12,4

22

$20,0

98,6

38

$6,2

56,4

74

$26,3

55,1

12

SA

INT

FR

AN

CIS

CA

RE

, IN

C.

$734,7

27,0

00

$55,3

22,0

00

$790,0

49,0

00

$774,6

95,0

00

$15,3

54,0

00

($10

,790,0

00)

$4,5

64,0

00

SA

INT

MA

RY

'S H

EA

LT

H S

YS

TE

M, IN

C.

$259,8

20,0

00

$6,6

95,0

00

$266,5

15,0

00

$261,9

80,0

00

$4,5

35,0

00

$2,6

20,0

00

$7,1

55,0

00

SA

INT

RA

PH

AE

L H

EA

LT

H C

AR

E S

YS

TE

M, IN

C.

$463,6

29,3

07

$29,0

56,1

77

$492,6

85,4

84

$501,3

12,8

38

($8,6

27

,354)

$12,0

47,4

68

$3,4

20,1

14

SA

INT

VIN

CE

NT

'S H

EA

LT

H S

ER

VIC

ES

CO

RP

.$442,0

96,0

00

$44,0

22,0

00

$486,1

18,0

00

$424,8

03,0

00

$61,3

15,0

00

$25,5

65,0

00

$86,8

80,0

00

SH

AR

ON

HO

SP

ITA

L H

OLD

ING

CO

MP

AN

Y, IN

C.

$59,3

79,0

84

$482,7

04

$59,8

61,7

88

$59,8

82,3

89

($20,6

01)

$0

($20,6

01)

ST

AM

FO

RD

HE

ALT

H S

YS

TE

M$528,7

44,0

00

$27,0

41,4

94

$555,7

85,4

94

$528,9

07,7

94

$26,8

77,7

00

($2,1

65,5

92)

$24,7

12,1

08

UN

IVE

RS

ITY

OF

CT

HE

ALT

H C

EN

TE

R$436,4

37,2

54

$192,0

70,0

00

$628,5

07,2

54

$838,2

45,2

54

($20

9,7

38

,000)

$273,2

50,0

00

$63,5

12,0

00

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

, IN

C.

$736,9

21,3

69

$29,9

07,2

85

$766,8

28,6

54

$748,9

65,2

94

$17,8

63,3

60

$24,6

49,0

93

$42,5

12,4

53

YA

LE

-NE

W H

AV

EN

HE

ALT

H S

ER

VIC

ES

B

RID

GE

PO

RT

HO

SP

& H

EA

LT

HC

AR

E S

ER

V. IN

C.

$420,6

16,0

00

$19,0

50,0

00

$439,6

66,0

00

$420,2

98,0

00

$19,3

68,0

00

$2,1

64,0

00

$21,5

32,0

00

G

RE

EN

WIC

H H

EA

LT

H C

AR

E S

ER

VIC

ES

, IN

C.

$327,3

82,0

00

$13,2

49,0

00

$340,6

31,0

00

$327,9

36,0

00

$12,6

95,0

00

($2,6

18,0

00)

$10,0

77,0

00

Y

ALE

-NE

W H

AV

EN

NE

TW

OR

K C

OR

PO

RA

TIO

N$1,7

33,2

52,0

00

$49,5

18,0

00

$1,7

82,7

70,0

00

$1,6

75,2

07,0

00

$107,5

63,0

00

$22,8

53,0

00

$130,4

16,0

00

ST

AT

EW

IDE

TO

TA

L$10,9

64,1

52,9

21

$921,1

04,5

00

$11,8

85,2

57,4

21

$11,7

38,4

50,2

15

$146,8

07,2

06

$481,1

94,1

71

$628,0

01,3

77

Sourc

e: F

Y 2

012 A

udited F

ina

ncia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

385

In F

Y 2

012 O

HC

A c

ate

gorized b

ad d

ebts

exp

ense

as p

art

of

opera

ting e

xpenses c

onsis

tent w

ith p

revio

us y

ears

whic

h r

eq

uired a

dju

stm

ents

to s

om

e h

osp

itals

inputs

sin

ce s

evera

l hospitals

report

ed

bad d

ebts

as a

deduction f

rom

either

gro

ss o

r net re

venues in their A

FS

.

114

APPENDIX B: FY 2012 HOSPITAL HEALTH SYSTEM - MARGIN DATA

FY

20

12

HO

SP

ITA

L H

EA

LT

H S

YS

TE

M -

MA

RG

IN D

AT

A

FY

201

2F

Y 2

01

2F

Y 2

01

2

OP

ER

AT

ING

NO

N-O

PE

RA

TIN

GT

OT

AL

MA

RG

INM

AR

GIN

MA

RG

IN

Gain

/(Loss)

from

Oper

/

(Revenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

Non O

per

Revenue /

(Revenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

Revenue O

ver/

Under

Exp

/ (R

evenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

BA

CK

US

CO

RP

OR

AT

ION

7.4

0%

4.4

2%

11.8

2%

BR

IST

OL

HO

SP

ITA

L &

HE

AL

TH

CA

RE

GR

OU

P-0

.06

%0.7

7%

0.7

1%

CC

MC

CO

RP

OR

AT

ION

IN

C.

-5.1

1%

7.2

4%

2.1

3%

DA

Y K

IMB

AL

L H

EA

LT

HC

AR

E I

NC

.0.2

8%

0.3

6%

0.6

3%

EA

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

IN

C.

1.6

2%

-0.3

9%

1.2

2%

GR

EA

TE

R W

AT

ER

BU

RY

HE

AL

TH

NE

TW

OR

K,

INC

.0.0

7%

0.7

2%

0.7

9%

GR

IFF

IN H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

-4.9

8%

0.6

9%

-4.2

9%

HA

RT

FO

RD

HE

AL

TH

CA

RE

CO

RP

OR

AT

ION

2.7

3%

3.0

9%

5.8

3%

C.

HU

NG

ER

FO

RD

HO

SP

ITA

L0.1

3%

1.8

1%

1.9

4%

JO

HN

SO

N M

EM

OR

IAL

ME

DIC

AL

CE

NT

ER

, IN

C.

-3.4

1%

0.4

8%

-2.9

4%

LA

WR

EN

CE

& M

EM

OR

IAL

CO

RP

OR

AT

ION

0.1

9%

1.8

6%

2.0

5%

MID

DL

ES

EX

HE

AL

TH

SY

ST

EM

, IN

C.

5.9

1%

1.0

3%

6.9

5%

MIL

FO

RD

HE

AL

TH

& M

ED

ICA

L, IN

C.

-5.6

1%

2.9

3%

-2.6

8%

NO

RW

AL

K H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

4.8

0%

1.5

0%

6.3

0%

SA

INT

FR

AN

CIS

CA

RE

, IN

C.

1.9

7%

-1.3

8%

0.5

9%

SA

INT

MA

RY

'S H

EA

LT

H S

YS

TE

M, IN

C.

1.6

9%

0.9

7%

2.6

6%

SA

INT

RA

PH

AE

L H

EA

LT

H C

AR

E S

YS

TE

M, IN

C.

-1.7

1%

2.3

9%

0.6

8%

SA

INT

VIN

CE

NT

'S H

EA

LT

H S

ER

VIC

ES

CO

RP

.11.9

8%

5.0

0%

16.9

8%

SH

AR

ON

HO

SP

ITA

L H

OL

DIN

G C

OM

PA

NY

, IN

C.

-0.0

3%

0.0

0%

-0.0

3%

ST

AM

FO

RD

HE

AL

TH

SY

ST

EM

4.8

5%

-0.3

9%

4.4

6%

UN

IVE

RS

ITY

OF

CT

HE

AL

TH

CE

NT

ER

-23.2

6%

30.3

0%

7.0

4%

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

, IN

C.

2.2

6%

3.1

1%

5.3

7%

YA

LE

-NE

W H

AV

EN

HE

AL

TH

SE

RV

ICE

S

B

RID

GE

PO

RT

HO

SP

& H

EA

LT

HC

AR

E S

ER

V.

INC

.4.3

8%

0.4

9%

4.8

7%

G

RE

EN

WIC

H H

EA

LT

H C

AR

E S

ER

VIC

ES

, IN

C.

3.7

6%

-0.7

7%

2.9

8%

Y

AL

E-N

EW

HA

VE

N N

ET

WO

RK

CO

RP

OR

AT

ION

5.9

6%

1.2

7%

7.2

2%

ST

AT

EW

IDE

AV

ER

AG

E1.1

9%

3.8

9%

5.0

8%

ST

AT

EW

IDE

ME

DIA

N1.6

2%

1.0

3%

2.1

3%

So

urc

e: F

Y 2

01

2 A

udite

d F

ina

ncia

l S

tate

me

nts

data

fro

m H

osp

ita

l R

epo

rtin

g S

yste

m R

eport

385

115

APPENDIX C: FY 2012 HOSPITAL HEALTH SYSTEM - OPERATING MARGINS

DE

MP

SE

Y

MIL

FO

RD

CT

CH

ILD

RE

N'S

GR

IFF

IN

JO

HN

SO

N

SA

INT

RA

PH

AE

L

BR

IST

OL

SH

AR

ON

WA

TE

RB

UR

Y

HU

NG

ER

FO

RD

LA

WR

EN

CE

DA

Y K

IMB

ALL

MA

NC

HE

ST

ER

/ R

KV

LE

ME

DIA

N

SA

INT

MA

RY

SA

INT

FR

AN

CIS

DA

NB

UR

Y /

NM

ILF

HA

RT

FO

RD

SY

ST

EM

GR

EE

NW

ICH

BR

IDG

EP

OR

T

NO

RW

ALK

ST

AM

FO

RD

MID

DLE

SE

X

YA

LE

-NE

W H

AV

EN

BA

CK

US

SA

INT

VIN

CE

NT

-24

.0%

-20

.0%

-16

.0%

-12

.0%

-8.0

%-4

.0%

0.0

%4.0

%8.0

%12

.0%

16

.0%

So

urc

e: F

Y 2

01

2 A

ud

ite

d F

ina

ncia

l Sta

tem

en

ts D

ata

FY

201

2 H

OS

PIT

AL

HE

ALT

H S

YS

TE

M -

OP

ER

AT

ING

MA

RG

INS

116

APPENDIX D: FY 2012 HOSPITAL HEALTH SYSTEM - NON - OPERATING MARGINS

SA

INT

FR

AN

CIS

GR

EE

NW

ICH

MA

NC

HE

ST

ER

/ R

KV

LE

ST

AM

FO

RD

SH

AR

ON

DA

Y K

IMB

ALL

JO

HN

SO

N

BR

IDG

EP

OR

T

GR

IFF

IN

WA

TE

RB

UR

Y

BR

IST

OL

SA

INT

MA

RY

MID

DLE

SE

X

ME

DIA

N

YA

LE

-NE

W H

AV

EN

NO

RW

ALK

HU

NG

ER

FO

RD

LA

WR

EN

CE

SA

INT

RA

PH

AE

L

MIL

FO

RD

HA

RT

FO

RD

SY

ST

EM

DA

NB

UR

Y /

NM

ILF

BA

CK

US

SA

INT

VIN

CE

NT

CT

CH

ILD

RE

N'S

DE

MP

SE

Y

-8.0

%-4

.0%

0.0

%4.0

%8.0

%12

.0%

16

.0%

20

.0%

24

.0%

28

.0%

32

.0%

So

urc

e: F

Y 2

01

2 A

ud

ite

d F

ina

ncia

l S

tate

me

nts

Da

ta

FY

20

12

HO

SP

ITA

L H

EA

LT

H S

YS

TE

M

-N

ON

-OP

ER

AT

ING

MA

RG

INS

117

APPENDIX E: FY 2012 HOSPITAL HEALTH SYSTEM - TOTAL MARGINS

GR

IFF

IN

JO

HN

SO

N

MIL

FO

RD

SH

AR

ON

SA

INT

FR

AN

CIS

DA

Y K

IMB

ALL

SA

INT

RA

PH

AE

L

BR

IST

OL

WA

TE

RB

UR

Y

MA

NC

HE

ST

ER

/ R

KV

LE

HU

NG

ER

FO

RD

LA

WR

EN

CE

CT

CH

ILD

RE

N'S

ME

DIA

N

SA

INT

MA

RY

GR

EE

NW

ICH

ST

AM

FO

RD

BR

IDG

EP

OR

T

DA

NB

UR

Y /

NM

ILF

HA

RT

FO

RD

SY

ST

EM

NO

RW

ALK

MID

DLE

SE

X

DE

MP

SE

Y

YA

LE

-NE

W H

AV

EN

BA

CK

US

SA

INT

VIN

CE

NT

-8.0

%-4

.0%

0.0

%4.0

%8.0

%12

.0%

16

.0%

20

.0%

So

urc

e: F

Y 2

01

2 A

ud

ite

d F

ina

ncia

l S

tate

me

nts

Data

FY

20

12

HO

SP

ITA

L H

EA

LT

H S

YS

TE

M -

TO

TA

L M

AR

GIN

S

118

APPENDIX F: FY 2012 HOSPITAL HEALTH SYSTEM - NET ASSETS DATA

FY

200

9 -

FY

201

2 H

OS

PIT

AL

HE

AL

TH

SY

ST

EM

NE

T A

SS

ET

S D

AT

A

FY

2012

TO

TA

LT

OT

AL

TO

TA

LT

OT

AL

CH

AN

GE

IN

%

CH

AN

GE

IN

UN

RE

ST

RIC

TE

D

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S

NE

T A

SS

ET

S

NE

T A

SS

ET

S

EQ

UIT

Y F

OR

E

QU

ITY

FO

R

EQ

UIT

Y F

OR

E

QU

ITY

FO

R

OR

EQ

UIT

YO

R E

QU

ITY

OR

EQ

UIT

YF

Y 2

012

FY

2011

FY

2010

FY

2009

FY

2009-2

012

FY

2009-2

012

BA

CK

US

CO

RP

OR

AT

ION

$187,3

77,6

43

$198,0

24,3

02

$162,7

62,6

14

$160,8

30,7

13

$115,0

85,7

25

$82,9

38,5

77

72.1

%

BR

IDG

EP

OR

T H

OS

P &

HE

ALT

HC

AR

E S

ER

VIC

ES

, IN

C.

$72,0

28,0

00

$120,7

32,0

00

$116,1

42,0

00

$100,5

92,0

00

$86,6

91,0

00

$34,0

41,0

00

39.3

%

BR

IST

OL H

OS

PIT

AL A

ND

HE

ALT

HC

AR

E G

RO

UP

$1,1

27,6

53

$11,4

05,8

27

$11,4

95,4

14

$11,3

28,7

76

$8,7

10,8

15

$2,6

95,0

12

30.9

%

CC

MC

CO

RP

OR

AT

ION

, IN

C.

$125,2

54,3

32

$239,5

49,6

31

$212,1

56,9

45

$214,4

09,0

58

$184,6

07,2

69

$54,9

42,3

62

29.8

%

DA

Y K

IMB

ALL H

EA

LT

HC

AR

E, IN

C.

$6,1

43,3

59

$16,6

65,0

37

$18,3

23,6

63

$19,2

09,3

37

$22,7

35,2

53

($6,0

70,2

16)

-26.7

%

EA

ST

ER

N C

ON

NE

CT

ICU

T H

EA

LT

H N

ET

WO

RK

, IN

C.

$36,5

49,3

84

$51,6

01,2

61

$55,1

61,6

57

$71,4

76,4

82

$75,4

33,6

76

($23,8

32,4

15)

-31.6

%

GR

EA

TH

ER

WA

TE

RB

UR

Y H

EA

LT

H N

ET

WO

RK

, IN

C.

$49,6

87,4

65

$102,3

43,0

84

$94,0

30,4

25

$115,8

59,0

15

$117,6

77,1

59

($15,3

34,0

75)

-13.0

%

GR

EE

NW

ICH

HE

ALT

H C

AR

E S

ER

VIC

ES

, IN

C.

$299,3

29,0

00

$351,1

17,0

00

$341,9

83,0

00

$359,7

41,0

00

$356,6

26,0

00

($5,5

09,0

00)

-1.5

%

GR

IFF

IN H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

($38,3

33,9

14)

($30,2

68,7

35)

($35,8

34,5

84)

($16,2

14,6

07)

($9,4

16,9

56)

($20,8

51,7

79)

-221.4

%

HA

RT

FO

RD

HE

ALT

HC

AR

E C

OR

PO

RA

TIO

N**

$509,4

79,0

00

$911,9

13,0

00

$847,9

57,0

00

$864,1

42,8

18

$801,0

99,0

99

$110,8

13,9

01

13.8

%

C. H

UN

GE

RF

OR

D H

OS

PIT

AL

$40,9

34,2

07

$61,7

91,6

79

$65,9

85,8

50

$58,5

41,5

84

$60,1

95,0

02

$1,5

96,6

77

2.7

%

JO

HN

SO

N M

EM

OR

IAL M

ED

ICA

L C

EN

TE

R, IN

C.*

**($

1,3

39,9

02)

$3,5

91,7

86

$5,4

05,7

84

$7,2

32,4

93

($14,8

68,3

43)

$18,4

60,1

29

124.2

%

LA

WR

EN

CE

& M

EM

OR

IAL C

OR

PO

RA

TIO

N$225,8

62,7

51

$253,1

09,4

14

$242,1

26,9

73

$227,6

19,6

98

$210,6

56,0

12

$42,4

53,4

02

20.2

%

MID

DLE

SE

X H

EA

LT

H S

YS

TE

M, IN

C.

$150,6

51,0

00

$166,8

10,0

00

$143,5

45,0

00

$148,4

52,0

00

$141,9

81,0

00

$24,8

29,0

00

17.5

%

MIL

FO

RD

HE

ALT

H &

ME

DIC

AL, IN

C.

$15,4

62,1

35

$16,8

05,3

39

$25,0

31,5

45

$36,8

14,7

04

$46,5

59,3

74

($29,7

54,0

35)

-63.9

%

NO

RW

ALK

HE

ALT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

$147,5

89,7

26

$204,1

38,7

24

$169,9

19,6

97

$174,6

95,1

30

$180,1

42,7

34

$23,9

95,9

90

13.3

%

SA

INT

FR

AN

CIS

CA

RE

, IN

C.

$45,6

65,0

00

$144,1

58,0

00

$184,0

22,8

01

$228,6

89,1

25

$232,1

26,0

32

($87,9

68,0

32)

-37.9

%

SA

INT

MA

RY

'S H

EA

LT

H S

YS

TE

M, IN

C.

$2,3

33,0

00

$20,1

85,0

00

$14,0

93,0

00

$24,6

97,0

00

$13,1

43,0

00

$7,0

42,0

00

53.6

%

SA

INT

RA

PH

AE

L H

EA

LT

H C

AR

E S

YS

TE

M, IN

C.

($3,1

20,2

35)

$22,0

04,7

59

($24,9

19,3

75)

$183,2

03

($19,8

87,5

42)

$41,8

92,3

01

210.6

%

SA

INT

VIN

CE

NT

'S H

EA

LT

H S

ER

VIC

ES

CO

RP

.$537,1

87,0

00

$564,3

26,0

00

$506,3

61,0

00

$454,6

22,0

00

$411,2

85,0

00

$153,0

41,0

00

37.2

%

SH

AR

ON

HO

SP

ITA

L H

OLD

ING

CO

MP

AN

Y, IN

C.

$15,9

92,8

19

$15,9

92,8

19

$16,0

34,9

25

$14,5

18,9

56

$13,0

49,0

49

$2,9

43,7

70

22.6

%

ST

AM

FO

RD

HE

ALT

H S

YS

TE

M$266,4

05,0

00

$308,9

32,0

00

$198,1

14,0

00

$178,8

18,0

00

$168,3

86,0

00

$140,5

46,0

00

83.5

%

UN

IVE

RS

ITY

OF

CO

NN

EC

TIC

UT

HE

ALT

H C

EN

TE

R$45,2

88,0

00

$101,1

53,1

81

$61,7

46,0

00

$102,7

52,3

17

$94,9

60,8

18

$6,1

92,3

63

6.5

%

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

, IN

C.*

$277,0

89,1

85

$343,8

74,5

81

$348,4

04,4

42

$310,3

80,6

64

$262,9

66,2

29

$80,9

08,3

52

30.8

%

YA

LE

-NE

W H

AV

EN

NE

TW

OR

K C

OR

PO

RA

TIO

N$686,5

29,0

00

$759,2

99,0

00

$685,2

02,0

00

$655,5

14,0

00

$599,9

67,0

00

$159,3

32,0

00

26.6

%

TO

TA

L$3,7

01,1

70,6

08

$4,9

59,2

54,6

89

$4,4

65,2

51,7

76

$4,5

24,9

05,4

66

$4,1

59,9

10,4

05

$799,3

44,2

84

19.2

%

Sourc

e: F

Y 2

011 A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

385

Note

: *N

ew

Milf

ord

Hospital am

ounts

are

consolid

ate

d w

ith W

este

rn C

T H

ealthcare

's f

or

all

years

.

**

Win

dham

Com

munity M

em

orial H

ospital and C

entr

al C

T H

ealth A

lliance a

mounts

have b

een c

onsolid

ate

d w

ith H

art

ford

Healthcare

's f

or

all

years

.

*

**Johnson M

em

orial M

edic

al C

ente

r's f

inancia

l sta

tem

ents

were

not audited in F

Y 2

009.

119

APPENDIX G: FY 2012 HOSPITAL HEALTH SYSTEM - SOLVENCY RATIOS

FY

201

2 H

OS

PIT

AL

HE

AL

TH

SY

ST

EM

SO

LV

EN

CY

RA

TIO

S

Ratio:

EQ

UIT

Y

FIN

AN

CIN

G

RA

TIO

CA

SH

FL

OW

TO

TO

TA

L D

EB

T

LO

NG

TE

RM

DE

BT

TO

CA

PIT

AL

IZA

TIO

N

Calc

ula

tion:

Net A

ssets

/ T

ota

l

Assets

(Excess R

evenue O

ver

Expen

se

+

Depre

cia

tion)

/ (C

urr

ent

Lia

b. +

Long T

erm

Debt)

Long T

erm

Debt /

(Long T

erm

De

bt +

Net

Asse

ts)

Sourc

e:

Report

385

Report

385

Re

port

385

BA

CK

US

CO

RP

OR

AT

ION

50.0

56.9

24.7

BR

IDG

EP

OR

T H

OS

P &

HE

ALT

HC

AR

E S

ER

VIC

ES

, IN

C.

30.7

32.9

28.2

BR

IST

OL H

OS

PIT

AL A

ND

HE

ALT

HC

AR

E G

RO

UP

9.3

13.6

72.7

CC

MC

CO

RP

OR

AT

ION

, IN

C.

57.9

15.9

19.0

DA

Y K

IMB

ALL H

EA

LT

HC

AR

E, IN

C.

18.8

16.3

49.8

EA

ST

ER

N C

ON

NE

CT

ICU

T H

EA

LT

H N

ET

WO

RK

, IN

C.

18.2

10.6

62.9

GR

EA

TH

ER

WA

TE

RB

UR

Y H

EA

LT

H N

ET

WO

RK

, IN

C52.7

17.5

21.2

GR

EE

NW

ICH

HE

ALT

H C

AR

E S

ER

VIC

ES

, IN

C.

65.1

31.1

10.3

GR

IFF

IN H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

(17.8

)(0

.2)

253.9

HA

RT

FO

RD

HE

ALT

HC

AR

E C

OR

PO

RA

TIO

N37.8

29.3

30.7

C. H

UN

GE

RF

OR

D H

OS

PIT

AL

48.8

36.3

5.0

JO

HN

SO

N M

EM

OR

IAL M

ED

ICA

L C

EN

TE

R, IN

C.

6.3

3.6

88.9

LA

WR

EN

CE

& M

EM

OR

IAL C

OR

PO

RA

TIO

N55.2

20.2

23.9

MID

DLE

SE

X H

EA

LT

H S

YS

TE

M, IN

C.

36.7

34.2

29.4

MIL

FO

RD

HE

ALT

H &

ME

DIC

AL, IN

C.

22.3

2.5

28.7

NO

RW

ALK

HE

ALT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

42.2

40.6

21.6

SA

INT

FR

AN

CIS

CA

RE

, IN

C.

17.5

11.4

64.2

SA

INT

MA

RY

'S H

EA

LT

H S

YS

TE

M, IN

C.

10.1

23.6

52.5

SA

INT

RA

PH

AE

L H

EA

LT

H C

AR

E S

YS

TE

M, IN

C.

12.8

34.9

0.0

SA

INT

VIN

CE

NT

'S H

EA

LT

H S

ER

VIC

ES

CO

RP

.77.7

80.5

9.4

SH

AR

ON

HO

SIT

AL H

OLD

ING

CO

MP

AN

Y, IN

C.

33.2

10.6

60.2

ST

AM

FO

RD

HE

ALT

H S

YS

TE

M31.3

10.1

55.5

UN

IVE

RS

ITY

OF

CO

NN

EC

TIC

UT

HE

ALT

H C

EN

TE

R18.0

81.1

13.9

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

, IN

C.

37.7

24.5

42.2

YA

LE

-NE

W H

AV

EN

NE

TW

OR

K C

OR

PO

RA

TIO

N29.9

17.7

49.1

ST

AT

EW

IDE

AV

ER

AG

E36.4

24.0

36.2

Sourc

e: F

Y 2

012 A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

385

120

APPENDIX H: FY 2012 HOSPITAL HEALTH SYSTEM - LIQUIDITY RATIOS

FY

201

2 H

OS

PIT

AL

HE

AL

TH

SY

ST

EM

LIQ

UID

ITY

RA

TIO

S

Ra

tio:

CU

RR

EN

T

RA

TIO

DA

YS

CA

SH

ON

HA

ND

DA

YS

RE

VE

NU

E

IN P

AT

IEN

TS

AC

CO

UN

TS

RE

CE

IVA

BL

E

AV

ER

AG

E

PA

YM

EN

T P

ER

IOD

Ca

lcu

latio

n:

Cu

rre

nt

Asse

ts /

Cu

rre

nt

Lia

bili

ties

(Ca

sh

+S

hort

Te

rm

Inve

stm

ents

) /

((T

ota

l

Exp

en

se

s -

De

pre

cia

tion)/

365

)

Ne

t P

atie

nt

Acco

un

t

Re

ce

iva

ble

an

d

Th

ird

Pa

rty

Pa

yer

Activ

ity /

(Ne

t P

atie

nt

Re

venu

es /

36

5)

Cu

rre

nt

Lia

bili

ties /

(To

tal E

xp

en

se

s -

De

pre

cia

tion)/

365

So

urc

e:

Re

port

38

5R

ep

ort

38

5R

ep

ort

38

5R

ep

ort

38

5

BA

CK

US

CO

RP

OR

AT

ION

4.7

4

150

39

46

BR

IDG

EP

OR

T H

OS

P &

HE

AL

TH

CA

RE

SE

RV

ICE

S,

INC

.1.9

9

78

37

73

BR

IST

OL

HO

SP

ITA

L A

ND

HE

AL

TH

CA

RE

GR

OU

P1.4

8

30

51

68

CC

MC

CO

RP

OR

AT

ION

IN

C.

1.4

1

21

48

68

DA

Y K

IMB

AL

L H

EA

LT

HC

AR

E,

INC

.1.6

8

27

49

52

EA

ST

ER

N C

ON

NE

CT

ICU

T H

EA

LT

H N

ET

WO

RK

, IN

C.

1.4

6

25

64

74

GR

EA

TH

ER

WA

TE

RB

UR

Y H

EA

LT

H N

ET

WO

RK

, IN

C.

1.8

0

40

42

52

GR

EE

NW

ICH

HE

AL

TH

CA

RE

SE

RV

ICE

S,

INC

.1.8

5

56

44

66

GR

IFF

IN H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

1.8

9

131

39

103

HA

RT

FO

RD

HE

AL

TH

CA

RE

CO

RP

OR

AT

ION

1.6

7

38

47

65

C.

HU

NG

ER

FO

RD

HO

SP

ITA

L1.3

9

31

39

63

JO

HN

SO

N M

EM

OR

IAL

ME

DIC

AL

CE

NT

ER

, IN

C.

0.9

7

5

38

63

LA

WR

EN

CE

& M

EM

OR

IAL

CO

RP

OR

AT

ION

5.0

1

233

27

57

MID

DL

ES

EX

HE

AL

TH

SY

ST

EM

, IN

C.

1.7

6

76

43

80

MIL

FO

RD

HE

AL

TH

& M

ED

ICA

L, IN

C.

1.0

6

7

49

66

NO

RW

AL

K H

EA

LT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

2.9

3

129

28

59

SA

INT

FR

AN

CIS

CA

RE

, IN

C.

2.3

3

71

33

50

SA

INT

MA

RY

'S H

EA

LT

H S

YS

TE

M, IN

C.

1.4

3

34

38

70

SA

INT

RA

PH

AE

L H

EA

LT

H C

AR

E S

YS

TE

M, IN

C.

2.8

3

71

21

37

SA

INT

VIN

CE

NT

'S H

EA

LT

H S

ER

VIC

ES

CO

RP

.1.2

0

25

35

73

SH

AR

ON

HO

SP

ITA

L H

OL

DIN

G C

OM

PA

NY

, IN

C.

1.6

7

0

46

38

ST

AM

FO

RD

HE

AL

TH

SY

ST

EM

2.2

3

142

31

97

UN

IVE

RS

ITY

OF

CO

NN

EC

TIC

UT

HE

AL

TH

CE

NT

ER

2.3

9

38

29

45

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

, IN

C.

2.2

6

38

33

43

YA

LE

-NE

W H

AV

EN

NE

TW

OR

K C

OR

PO

RA

TIO

N2.3

6

156

43

98

ST

AT

EW

IDE

AV

ER

AG

E2.1

2

77

39

66

So

urc

e: F

Y 2

01

2 A

udite

d F

ina

ncia

l Sta

tem

ents

data

fro

m H

osp

ital R

epo

rtin

g S

yste

m R

epo

rt 3

85

121

APPENDIX I: FY 2012 HOSPITAL STATEMENT OF OPERATIONS DATA F

Y 2

01

2 H

OS

PIT

AL

ST

AT

EM

EN

T O

F O

PE

RA

TIO

NS

DA

TA

FY

2012

FY

2012

FY

2012

FY

2012

FY

2012

FY

2012

FY

2012

NE

TO

TH

ER

R

EV

EN

UE

NE

TG

AIN

/N

ON

-OP

ER

AT

ING

RE

VE

NU

E

PA

TIE

NT

O

PE

RA

TIN

GF

RO

MO

PE

RA

TIN

G(L

OS

S)

RE

VE

NU

EO

VE

R/(

UN

DE

R)

RE

VE

NU

ER

EV

EN

UE

OP

ER

AT

ION

SE

XP

EN

SE

SF

RO

M

EX

PE

NS

ES

OP

ER

AT

ION

S

AS

CE

NS

ION

HE

ALT

H

SA

INT

VIN

CE

NT

'S$424,5

65,0

00

$12,9

22,0

00

$437,4

87,0

00

$373,6

01,0

00

$63,8

86,0

00

$23,2

24,0

00

$87,1

10,0

00

EA

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

MA

NC

HE

ST

ER

$175,2

17,5

66

$19,8

61,9

36

$195,0

79,5

02

$184,4

46,0

01

$10,6

33,5

01

($868,6

37)

$9,7

64,8

64

RO

CK

VIL

LE

$67,8

47,6

38

$6,8

71,6

08

$74,7

19,2

46

$74,0

38,9

54

$680,2

92

($179,9

61)

$500,3

31

HA

RT

FO

RD

HE

ALT

HC

AR

E C

OR

PO

RA

TIO

N

HA

RT

FO

RD

$926,6

33,0

51

$171,9

75,2

03

$1,0

98,6

08,2

54

$1,0

46,0

01,6

10

$52,6

06,6

44

$38,7

50,4

68

$91,3

57,1

12

HO

SP

OF

CE

NT

RA

L C

T$393,5

28,9

86

$15,4

21,2

87

$408,9

50,2

73

$389,5

21,4

94

$19,4

28,7

79

$9,9

65,3

62

$29,3

94,1

41

MID

ST

AT

E$218,3

53,7

48

$27,8

46,8

50

$246,2

00,5

98

$221,3

06,2

95

$24,8

94,3

03

$1,2

22,4

91

$26,1

16,7

94

WIN

DH

AM

$90,1

60,3

81

$5,7

61,6

98

$95,9

22,0

79

$96,4

50,1

17

($528,0

38)

($185,2

98)

($713,3

36)

RE

GIO

NA

L H

EA

LT

HC

AR

E A

SS

OC

IAT

ES

SH

AR

ON

$54,5

58,8

25

$453,5

30

$55,0

12,3

55

$51,7

45,1

14

$3,2

67,2

41

$0

$3,2

67,2

41

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

DA

NB

UR

Y$521,8

36,0

00

$22,1

26,5

83

$543,9

62,5

83

$514,7

97,1

96

$29,1

65,3

87

$24,2

10,8

74

$53,3

76,2

61

NE

W M

ILF

OR

D$81,2

36,0

73

$1,2

44,6

65

$82,4

80,7

38

$88,9

58,8

09

($6,4

78,0

71)

$21,9

58

($6,4

56,1

13)

YA

LE

NE

W H

AV

EN

HE

ALT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

BR

IDG

EP

OR

T$420,6

16,0

00

$16,0

75,0

00

$436,6

91,0

00

$403,9

87,0

00

$32,7

04,0

00

$2,1

64,0

00

$34,8

68,0

00

GR

EE

NW

ICH

$304,3

46,0

00

$20,1

42,0

00

$324,4

88,0

00

$312,5

59,0

00

$11,9

29,0

00

$4,0

54,0

00

$15,9

83,0

00

YA

LE

-NE

W H

AV

EN

$1,7

13,2

71,0

00

$47,5

60,0

00

$1,7

60,8

31,0

00

$1,6

54,2

51,0

00

$106,5

80,0

00

$24,0

29,0

00

$130,6

09,0

00

IND

IVID

UA

L H

OS

PIT

AL S

YS

TE

MS

BA

CK

US

$283,2

19,7

55

$7,4

56,6

92

$290,6

76,4

47

$264,1

11,7

31

$26,5

64,7

16

$12,8

19,1

13

$39,3

83,8

29

BR

IST

OL

$130,3

60,4

93

$5,1

73,9

82

$135,5

34,4

75

$134,4

86,3

03

$1,0

48,1

72

$1,2

53,1

54

$2,3

01,3

26

CT

CH

ILD

RE

N'S

$231,1

97,6

35

$19,7

75,9

90

$250,9

73,6

25

$251,6

62,0

45

($688,4

20)

$19,5

97,3

15

$18,9

08,8

95

DA

Y K

IMB

ALL

$113,4

05,3

35

$6,5

39,0

58

$119,9

44,3

93

$115,2

41,4

29

$4,7

02,9

64

$483,9

67

$5,1

86,9

31

DE

MP

SE

Y$278,9

85,6

70

$15,8

89,1

86

$294,8

74,8

56

$303,4

34,4

88

($8,5

59,6

32)

$8,5

64,4

66

$4,8

34

GR

IFF

IN$121,0

61,3

15

$5,7

48,3

84

$126,8

09,6

99

$129,1

15,7

12

($2,3

06,0

13)

($1,5

49,6

82)

($3,8

55,6

95)

HU

NG

ER

FO

RD

$116,3

13,8

32

$5,7

35,1

28

$122,0

48,9

60

$121,8

82,6

81

$166,2

79

$2,2

49,3

45

$2,4

15,6

24

JO

HN

SO

N$65,3

18,4

19

$282,9

34

$65,6

01,3

53

$65,9

81,0

58

($379,7

05)

$430,4

61

$50,7

56

LA

WR

EN

CE

$323,6

43,1

97

$15,8

83,2

84

$339,5

26,4

81

$318,1

94,7

16

$21,3

31,7

65

$4,5

84,5

64

$25,9

16,3

29

MID

DLE

SE

X$347,8

35,6

24

$11,8

71,3

99

$359,7

07,0

23

$334,5

37,2

91

$25,1

69,7

32

$3,9

03,9

58

$29,0

73,6

90

MIL

FO

RD

$84,4

51,7

15

$2,5

05,1

43

$86,9

56,8

58

$90,6

85,8

54

($3,7

28,9

96)

$1,9

43,2

29

($1,7

85,7

67)

NO

RW

ALK

$363,2

67,8

77

$20,3

10,5

92

$383,5

78,4

69

$361,9

51,4

45

$21,6

27,0

24

$7,9

29,6

14

$29,5

56,6

38

SA

INT

FR

AN

CIS

$645,4

64,5

33

$37,8

99,0

33

$683,3

63,5

66

$674,8

30,6

99

$8,5

32,8

67

($10,7

94,1

69)

($2,2

61,3

02)

SA

INT

MA

RY

'S$225,7

42,9

44

$5,2

63,8

91

$231,0

06,8

35

$218,3

84,6

32

$12,6

22,2

03

$2,4

13,7

24

$15,0

35,9

27

SA

INT

RA

PH

AE

L$443,9

53,2

58

$23,3

99,9

45

$467,3

53,2

03

$465,5

49,7

26

$1,8

03,4

77

$22,1

97,1

89

$24,0

00,6

66

ST

AM

FO

RD

$504,8

56,8

44

$24,3

82,1

36

$529,2

38,9

80

$482,1

24,6

01

$47,1

14,3

79

($10,0

97,5

27)

$37,0

16,8

52

WA

TE

RB

UR

Y$230,7

80,7

00

$10,6

62,1

89

$241,4

42,8

89

$231,6

58,9

75

$9,7

83,9

14

$2,0

35,8

41

$11,8

19,7

55

ST

AT

EW

IDE

TO

TA

L$9,9

02,0

29,4

14

$587,0

41,3

26

$10,4

89,0

70,7

40

$9,9

75,4

96,9

76

$513,5

73,7

64

$194,3

72,8

19

$707,9

46,5

83

Sourc

e: F

Y 2

012 A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

185

In F

Y 2

012 O

HC

A c

ate

gorized b

ad d

ebts

expense a

s p

art

of

opera

ting e

xpenses c

onsis

tent w

ith p

revio

us y

ears

whic

h r

equired a

dju

stm

ents

to s

om

e h

ospitals

inputs

sin

ce s

evera

l hospitals

report

ed b

ad d

ebts

as a

deduction f

rom

either

gro

ss o

r net re

venues in their A

FS

.

122

APPENDIX J: FY 2012 HOSPITAL MARGIN DATA F

Y 2

01

2 H

OS

PIT

AL

MA

RG

IN D

AT

A

FY

2012

FY

2012

FY

2012

OP

ER

AT

ING

NO

N-O

PE

RA

TIN

GT

OT

AL

MA

RG

INM

AR

GIN

MA

RG

IN

Gain

/(Loss)

from

Oper

/

(Revenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

Non O

per

Revenue /

(Revenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

Revenue O

ver/

Under

Exp

/ (R

evenue f

rom

Opera

tio

ns+

Non

Opera

tin

g R

ev)

AS

CE

NS

ION

HE

ALT

H

SA

INT

VIN

CE

NT

'S13.8

7%

5.0

4%

18.9

1%

EA

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

MA

NC

HE

ST

ER

5.4

8%

-0.4

5%

5.0

3%

RO

CK

VIL

LE

0.9

1%

-0.2

4%

0.6

7%

HA

RT

FO

RD

HE

ALT

HC

AR

E C

OR

PO

RA

TIO

N

HA

RT

FO

RD

4.6

3%

3.4

1%

8.0

3%

HO

SP

OF

CE

NT

RA

L C

T4.6

4%

2.3

8%

7.0

2%

MID

ST

AT

E10.0

6%

0.4

9%

10.5

6%

WIN

DH

AM

-0.5

5%

-0.1

9%

-0.7

5%

RE

GIO

NA

L H

EA

LT

HC

AR

E A

SS

OC

IAT

ES

SH

AR

ON

5.9

4%

0.0

0%

5.9

4%

WE

ST

ER

N C

T H

EA

LT

H N

ET

WO

RK

DA

NB

UR

Y5.1

3%

4.2

6%

9.3

9%

NE

W M

ILF

OR

D-7

.85%

0.0

3%

-7.8

3%

YA

LE

NE

W H

AV

EN

HE

ALT

H S

ER

VIC

ES

CO

RP

OR

AT

ION

BR

IDG

EP

OR

T7.4

5%

0.4

9%

7.9

5%

GR

EE

NW

ICH

3.6

3%

1.2

3%

4.8

6%

YA

LE

-NE

W H

AV

EN

5.9

7%

1.3

5%

7.3

2%

IND

IVID

UA

L H

OS

PIT

AL S

YS

TE

MS

BA

CK

US

8.7

5%

4.2

2%

12.9

8%

BR

IST

OL

0.7

7%

0.9

2%

1.6

8%

CT

CH

ILD

RE

N'S

-0.2

5%

7.2

4%

6.9

9%

DA

Y K

IMB

ALL

3.9

1%

0.4

0%

4.3

1%

DE

MP

SE

Y-2

.82%

2.8

2%

0.0

0%

GR

IFF

IN-1

.84%

-1.2

4%

-3.0

8%

HU

NG

ER

FO

RD

0.1

3%

1.8

1%

1.9

4%

JO

HN

SO

N-0

.58%

0.6

5%

0.0

8%

LA

WR

EN

CE

6.2

0%

1.3

3%

7.5

3%

MID

DLE

SE

X6.9

2%

1.0

7%

8.0

0%

MIL

FO

RD

-4.1

9%

2.1

9%

-2.0

1%

NO

RW

ALK

5.5

2%

2.0

3%

7.5

5%

SA

INT

FR

AN

CIS

1.2

7%

-1.6

0%

-0.3

4%

SA

INT

MA

RY

'S5.4

1%

1.0

3%

6.4

4%

SA

INT

RA

PH

AE

L0.3

7%

4.5

3%

4.9

0%

ST

AM

FO

RD

9.0

8%

-1.9

5%

7.1

3%

WA

TE

RB

UR

Y4.0

2%

0.8

4%

4.8

5%

ST

AT

EW

IDE

AV

ER

AG

E4.8

1%

1.8

2%

6.6

3%

ST

AT

EW

IDE

ME

DIA

N4.3

2%

1.0

5%

5.4

8%

Sourc

e: F

Y 2

012 A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

185

123

APPENDIX K: FY 2012 HOSPITAL OPERATING MARGINS

NE

W M

ILF

OR

DM

ILF

OR

D

DE

MP

SE

Y

GR

IFF

IN

JO

HN

SO

N

WIN

DH

AM

CT

CH

ILD

RE

N'S

HU

NG

ER

FO

RD

SA

INT

RA

PH

AE

L

BR

IST

OL

RO

CK

VIL

LE

SA

INT

FR

AN

CIS

GR

EE

NW

ICH

DA

Y K

IMB

ALL

WA

TE

RB

UR

Y

ME

DIA

N

HA

RT

FO

RD

HO

SP

OF

CE

NT

RA

L C

T

DA

NB

UR

Y

SA

INT

MA

RY

'S

MA

NC

HE

ST

ER

NO

RW

ALK

SH

AR

ON

YA

LE

-NE

W H

AV

EN

LA

WR

EN

CE

MID

DLE

SE

X

BR

IDG

EP

OR

T

BA

CK

US

ST

AM

FO

RD

MID

ST

AT

ES

AIN

T V

INC

EN

T'S

-8.0

%-4

.0%

0.0

%4.0

%8.0

%12

.0%

16

.0%

So

urc

e:

FY

20

12

Au

dit

ed

Fin

an

cia

l S

tate

me

nts

Da

ta

FY

20

12

HO

SP

ITA

L O

PE

RA

TIN

G M

AR

GIN

S

124

APPENDIX L: FY 2012 HOSPITAL NON-OPERATING MARGINS

ST

AM

FO

RD

SA

INT

FR

AN

CIS

GR

IFF

IN

MA

NC

HE

ST

ER

RO

CK

VIL

LE

WIN

DH

AM

SH

AR

ON

NE

W M

ILF

OR

D

DA

Y K

IMB

ALL

BR

IDG

EP

OR

T

MID

ST

AT

E

JO

HN

SO

N

WA

TE

RB

UR

Y

BR

IST

OL

SA

INT

MA

RY

'S

ME

DIA

N

MID

DLE

SE

X

GR

EE

NW

ICH

LA

WR

EN

CE

YA

LE

-NE

W H

AV

EN

HU

NG

ER

FO

RD

NO

RW

ALK

MIL

FO

RD

HO

SP

OF

CE

NT

RA

L C

T

DE

MP

SE

Y

HA

RT

FO

RD

BA

CK

US

DA

NB

UR

Y

SA

INT

RA

PH

AE

L

SA

INT

VIN

CE

NT

'SC

T C

HIL

DR

EN

'S

-4.0

%0.0

%4.0

%8.0

%

So

urc

e:

FY

20

12

Au

dit

ed

Fin

an

cia

l S

tate

me

nts

Da

ta

FY

20

12

HO

SP

ITA

L N

ON

-OP

ER

AT

ING

MA

RG

INS

125

APPENDIX M: FY 2012 HOSPITAL TOTAL MARGINS

NE

W M

ILF

OR

D

GR

IFF

IN

MIL

FO

RD

WIN

DH

AM

SA

INT

FR

AN

CIS

DE

MP

SE

Y

JO

HN

SO

N

RO

CK

VIL

LE

BR

IST

OL

HU

NG

ER

FO

RD

DA

Y K

IMB

AL

L

WA

TE

RB

UR

Y

GR

EE

NW

ICH

SA

INT

RA

PH

AE

L

MA

NC

HE

ST

ER

ME

DIA

N

SH

AR

ON

SA

INT

MA

RY

'S

CT

CH

ILD

RE

N'S

HO

SP

OF

CE

NT

RA

L C

T

ST

AM

FO

RD

YA

LE

-NE

W H

AV

EN

LA

WR

EN

CE

NO

RW

AL

K

BR

IDG

EP

OR

T

MID

DL

ES

EX

HA

RT

FO

RD

DA

NB

UR

Y

MID

ST

AT

EBA

CK

US

SA

INT

VIN

CE

NT

'S

-12

.0%

-6.0

%0.0

%6.0

%12

.0%

18

.0%

24

.0%

So

urc

e:

FY

20

12

Au

dit

ed

Fin

an

cia

l S

tate

me

nts

Da

ta

FY

20

12

HO

SP

ITA

L T

OTA

L M

AR

GIN

S

126

APPENDIX N: FY 2012 HOSPITAL NET ASSETS DATA

FY

201

2 H

OS

PIT

AL

NE

T A

SS

ET

S D

AT

A

FY

2012

TO

TA

LT

OT

AL

TO

TA

LT

OT

AL

CH

AN

GE

IN

%

CH

AN

GE

IN

UN

RE

ST

RIC

TE

D

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S O

R

NE

T A

SS

ET

S

NE

T A

SS

ET

S

NE

T A

SS

ET

S

EQ

UIT

Y F

OR

E

QU

ITY

FO

R

EQ

UIT

Y F

OR

E

QU

ITY

FO

R

OR

EQ

UIT

YO

R E

QU

ITY

OR

EQ

UIT

YF

Y 2

012

FY

2011

FY

2010

FY

2009

FY

2009-2

012

FY

2009-2

012

BA

CK

US

$187,1

97,3

85

$197,8

44,0

44

$162,1

76,0

33

$158,9

25,0

18

$112,6

03,5

69

$85,2

40,4

75

75.7

%

BR

IDG

EP

OR

T$74,5

54,0

00

$123,2

58,0

00

$118,8

14,0

00

$103,0

99,0

00

$88,8

52,0

00

$34,4

06,0

00

38.7

%

BR

IST

OL

($376,1

15)

$10,6

31,3

35

$8,0

15,6

88

$8,2

20,5

33

$7,2

39,2

60

$3,3

92,0

75

46.9

%

CT

CH

ILD

RE

N'S

$96,6

84,5

90

$209,3

37,9

25

$187,0

10,4

17

$184,2

21,9

88

$151,9

77,2

52

$57,3

60,6

73

37.7

%

DA

NB

UR

Y$386,0

02,2

65

$444,6

21,0

99

$388,2

41,5

78

$424,0

05,1

27

$380,6

66,9

88

$63,9

54,1

11

16.8

%

DA

Y K

IMB

ALL

$16,9

01,2

58

$27,4

15,9

50

$24,7

58,5

34

$22,1

73,9

61

$23,3

06,1

05

$4,1

09,8

45

17.6

%

DE

MP

SE

Y$68,0

41,4

05

$68,0

41,4

05

$68,0

36,5

70

$65,4

07,8

86

$56,0

60,3

60

$11,9

81,0

45

21.4

%

GR

EE

NW

ICH

$267,9

39,0

00

$319,7

27,0

00

$311,3

02,0

00

$331,5

18,0

00

$328,1

00,0

00

($8,3

73,0

00)

-2.6

%

GR

IFF

IN($

38,0

49,0

02)

($30,0

35,6

45)

($32,2

57,8

54)

($17,1

47,2

61)

($8,8

17,0

30)

($21,2

18,6

15)

-240.7

%

HA

RT

FO

RD

$169,6

20,1

59

$440,7

09,1

05

$402,4

92,1

84

$427,7

19,7

74

$403,9

88,3

98

$36,7

20,7

07

9.1

%

HO

SP

OF

CE

NT

RA

L C

T$93,2

03,1

14

$135,0

10,9

87

$165,4

43,1

12

$133,5

55,1

40

$122,4

85,3

52

$12,5

25,6

35

10.2

%

HU

NG

ER

FO

RD

$40,9

34,2

07

$61,7

91,6

79

$65,9

85,8

50

$58,5

41,5

84

$60,0

28,9

96

$1,7

62,6

83

2.9

%

JO

HN

SO

N$4,9

61,8

73

$9,6

84,5

98

$8,6

90,0

13

$8,7

33,9

65

($16,7

10,7

66)

$26,3

95,3

64

158.0

%

LA

WR

EN

CE

$144,0

38,5

76

$169,9

95,6

22

$165,7

80,6

74

$161,6

16,6

78

$163,7

76,7

37

$6,2

18,8

85

3.8

%

MA

NC

HE

ST

ER

$4,9

25,5

15

$15,0

05,7

73

$12,1

41,6

42

$15,1

91,3

87

$21,9

27,8

67

($6,9

22,0

94)

-31.6

%

MID

DLE

SE

X$144,9

92,0

00

$161,0

05,0

00

$138,0

72,0

00

$144,8

10,0

00

$138,1

10,0

00

$22,8

95,0

00

16.6

%

MID

ST

AT

E$73,6

37,7

50

$89,9

18,6

28

$67,2

47,6

06

$73,7

44,0

07

$62,9

32,1

16

$26,9

86,5

12

42.9

%

MIL

FO

RD

$5,9

27,2

59

$7,2

70,4

63

$15,4

95,2

19

$26,8

11,9

74

$38,0

98,8

99

($30,8

28,4

36)

-80.9

%

NE

W M

ILF

OR

D$12,4

87,3

73

$20,5

45,9

03

$30,3

88,9

96

$34,7

04,6

04

$23,7

68,4

02

($3,2

22,4

99)

-13.6

%

NO

RW

ALK

$123,0

00,4

20

$166,6

92,9

92

$135,6

96,8

01

$135,1

76,6

38

$148,9

19,9

22

$17,7

73,0

70

11.9

%

RO

CK

VIL

LE

$17,0

66,0

97

$21,3

15,0

11

$29,0

17,3

64

$38,6

64,6

31

$36,4

62,2

15

($15,1

47,2

04)

-41.5

%

SA

INT

FR

AN

CIS

$5,9

44,0

00

$103,3

70,0

00

$120,2

16,2

53

$170,2

67,4

16

$184,3

26,4

69

($80,9

56,4

69)

-43.9

%

SA

INT

MA

RY

'S$72,0

00

$17,9

24,0

00

$13,6

26,1

71

$23,7

14,1

39

$11,2

61,3

10

$6,6

62,6

90

59.2

%

SA

INT

RA

PH

AE

L($

6,6

52,3

84)

$11,3

66,0

84

($48,4

04,2

89)

($10,1

70,2

52)

($30,7

30,3

19)

$42,0

96,4

03

137.0

%

SA

INT

VIN

CE

NT

'S$475,1

80,0

00

$495,2

84,0

00

$445,9

27,0

00

$396,7

26,0

00

$356,5

10,0

00

$138,7

74,0

00

38.9

%

SH

AR

ON

$24,8

78,6

51

$24,8

78,6

51

$21,6

32,9

14

$18,2

67,8

22

$15,4

53,5

91

$9,4

25,0

60

61.0

%

ST

AM

FO

RD

$120,8

95,0

00

$161,0

14,0

00

$135,1

99,0

00

$109,5

83,0

00

$70,8

13,0

00

$90,2

01,0

00

127.4

%

WA

TE

RB

UR

Y$18,5

16,3

10

$71,1

71,9

29

$63,9

88,6

76

$90,7

53,8

20

$93,0

58,5

84

($21,8

86,6

55)

-23.5

%

WIN

DH

AM

($47,9

43,4

89)

($42,5

22,9

47)

($31,0

49,5

73)

($19,9

35,7

23)

($20,1

71,3

22)

($22,3

51,6

25)

-110.8

%

YA

LE

-NE

W H

AV

EN

$676,0

08,0

00

$748,7

78,0

00

$674,0

87,0

00

$642,3

12,0

00

$587,5

31,0

00

$161,2

47,0

00

27.4

%

ST

AT

EW

IDE

TO

TA

L$3,1

60,5

87,2

17

$4,2

61,0

50,5

91

$3,8

67,7

71,5

79

$3,9

61,2

12,8

56

$3,6

11,8

28,9

55

$649,2

21,6

36

18.0

%

Sourc

e: A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

185

Note

: Johnson M

em

orial H

ospital's

fin

ancia

l sta

tem

ents

were

not audited in F

Y 2

009.

127

APPENDIX O: HOSPITAL RATIO OF COST TO CHARGE DATA F

Y 2

01

2 H

OS

PIT

AL

RA

TIO

OF

CO

ST

TO

CH

AR

GE

DA

TA

Rati

o:

TO

TA

L

EX

PE

NS

ES

TO

TA

L G

RO

SS

RE

VE

NU

E

TO

TA

L O

TH

ER

OP

ER

AT

ING

RE

VE

NU

E

RA

TIO

OF

CO

ST

TO

CH

AR

GE

S

(RC

C)*

ME

DIC

AR

E

CH

AR

GE

S

ME

DIC

AR

E

PA

YM

EN

TS

ME

DIC

AR

E

PA

YM

EN

T T

O

CO

ST

DA

TA

Calc

ula

tio

n:

Tota

l O

per

Exp/(

Gro

ss R

ev +

Oth

er

Oper

Rev)

Medic

are

Paym

ents

/

(Medic

are

Chrg

es *

RC

C)

So

urc

e:

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

BA

CK

US

$264,1

11,7

31

$615,5

24,4

63

$7,4

56,6

92

0.4

2$246,4

44,1

56

$91,8

57,7

00

0.8

8

BR

IDG

EP

OR

T$403,9

87,0

00

$1,3

90,7

97,8

63

$3,7

24,7

03

0.2

9$537,9

69,0

72

$152,1

53,8

15

0.9

8

BR

IST

OL

$134,4

86,3

03

$385,9

13,0

45

$5,1

73,9

82

0.3

4$171,2

61,8

29

$49,4

10,2

91

0.8

4

CT

CH

ILD

RE

N'S

$251,6

62,0

45

$506,5

81,5

01

$29,8

26,2

30

0.4

7$496,9

56

$2,9

51,5

03

12.6

6

DA

NB

UR

Y$514,7

97,1

96

$1,1

77,0

78,0

60

$19,5

98,2

57

0.4

3$508,7

36,7

98

$170,6

34,2

78

0.7

8

DA

Y K

IMB

ALL

$115,2

41,4

29

$212,3

23,6

92

$6,2

24,4

34

0.5

3$81,1

87,1

19

$39,3

30,5

19

0.9

2

DE

MP

SE

Y$296,5

23,3

49

$535,1

41,3

91

$18,6

59,1

32

0.5

4$224,9

10,1

55

$100,9

92,2

81

0.8

4

GR

EE

NW

ICH

$312,5

59,0

00

$971,6

11,0

45

$24,7

31,2

29

0.3

1$372,3

43,9

11

$76,7

62,1

53

0.6

6

GR

IFF

IN$129,1

15,7

12

$417,9

91,0

29

$5,7

48,3

84

0.3

0$183,6

19,8

78

$47,4

96,5

12

0.8

5

HA

RT

FO

RD

$1,0

46,0

01,6

10

$2,2

55,7

61,1

88

$164,6

00,6

38

0.4

3$1,0

00,5

36,9

56

$381,9

26,0

73

0.8

8

HO

SP

OF

CE

NT

RA

L C

T$389,5

21,4

94

$860,7

48,1

19

$28,1

14,6

19

0.4

4$386,2

56,0

49

$140,6

74,1

34

0.8

3

HU

NG

ER

FO

RD

$121,8

82,6

81

$237,0

69,4

19

$5,7

35,1

28

0.5

0$109,4

32,3

64

$53,3

62,8

38

0.9

7

JO

HN

SO

N$65,9

81,0

58

$152,6

79,6

40

$282,9

34

0.4

3$68,9

64,9

53

$24,6

69,7

33

0.8

3

LA

WR

EN

CE

$318,1

94,7

16

$691,9

87,1

97

$15,4

33,7

09

0.4

5$280,6

22,0

72

$107,0

64,0

62

0.8

5

MA

NC

HE

ST

ER

$184,4

46,0

01

$491,9

01,8

06

$19,8

61,9

36

0.3

6$211,8

96,2

50

$59,4

14,3

63

0.7

8

MID

DLE

SE

X$334,5

37,2

91

$1,1

19,1

50,2

79

$11,8

71,3

99

0.3

0$520,3

87,2

62

$119,0

65,1

11

0.7

7

MID

ST

AT

E$221,3

06,2

95

$479,6

45,6

35

$27,5

19,5

93

0.4

4$211,2

53,2

56

$77,2

25,1

55

0.8

4

MIL

FO

RD

$90,6

85,8

54

$189,4

22,1

64

$2,5

05,1

43

0.4

7$90,1

91,6

54

$29,6

32,8

16

0.7

0

NE

W M

ILF

OR

D$88,9

58,8

09

$204,3

81,6

27

$1,2

44,6

65

0.4

3$90,4

12,0

74

$24,2

42,0

71

0.6

2

NO

RW

ALK

$361,9

51,4

45

$908,9

58,3

62

$20,3

10,5

92

0.3

9$373,7

90,3

10

$97,6

74,7

68

0.6

7

RO

CK

VIL

LE

$74,0

38,9

54

$188,0

69,2

98

$6,8

71,6

08

0.3

8$86,3

52,5

90

$24,9

86,3

18

0.7

6

SA

INT

FR

AN

CIS

$674,8

30,6

99

$1,7

57,6

58,3

30

$31,0

85,5

11

0.3

8$768,9

82,0

42

$264,9

81,3

99

0.9

1

SA

INT

MA

RY

'S$218,3

84,6

32

$571,6

18,0

09

$7,5

71,7

60

0.3

8$223,6

92,0

67

$85,0

79,8

47

1.0

1

SA

INT

RA

PH

AE

L$465,5

49,7

26

$1,2

58,1

38,4

62

$23,3

99,9

45

0.3

6$674,0

43,9

92

$204,8

45,0

96

0.8

4

SA

INT

VIN

CE

NT

'S$373,6

01,0

00

$1,1

16,1

85,9

46

$12,6

40,0

00

0.3

3$523,5

82,7

24

$162,0

70,5

92

0.9

4

SH

AR

ON

$51,7

45,1

14

$138,4

31,7

70

$453,5

30

0.3

7$71,3

93,4

32

$24,4

73,5

38

0.9

2

ST

AM

FO

RD

$482,1

24,6

01

$1,6

42,5

90,5

08

$23,1

15,0

00

0.2

9$608,6

80,7

50

$112,0

70,2

18

0.6

4

WA

TE

RB

UR

Y$231,6

58,9

75

$883,1

68,7

47

$10,6

62,1

89

0.2

6$414,7

49,5

31

$101,8

80,3

38

0.9

5

WIN

DH

AM

$96,4

50,1

17

$210,1

50,0

88

$5,7

61,6

98

0.4

5$86,5

71,9

77

$37,8

02,3

03

0.9

8

YA

LE

-NE

W H

AV

EN

$1,6

54,2

51,0

00

$5,7

40,3

04,0

76

$3,0

34,9

22

0.2

9$2,0

20,6

37,3

83

$482,9

71,1

70

0.8

3

ST

AT

EW

IDE

TO

TA

L$9,9

68,5

85,8

37

$27,3

10,9

82,7

59

$543,2

19,5

62

0.3

6$11,1

49,3

99,5

62

$3,3

47,7

00,9

95

0.8

4

ST

AT

EW

IDE

ME

DIA

N$257,8

86,8

88

$593,5

71,2

36

$11,2

66,7

94

0.3

8$235,6

77,1

56

$88,4

68,7

74

0.8

4

* R

CC

is r

ounded to tw

o d

igits f

or

pre

senta

tion p

urp

oses.

Note

, th

ere

are

diffe

rent w

ays

hospitals

report

DS

H taxes a

nd p

aym

ents

in their a

udited f

inancia

l sta

tem

ents

. A

s a

result, th

e tota

l expense a

mount above, w

hic

h

agre

es to the a

udited f

inancia

l sta

tem

ents

, w

ill h

ave d

iffe

rent com

ponents

dependin

g o

n the h

ospital.

128

APPENDIX O: HOSPITAL RATIO OF COST TO CHARGE DATA

FY

2012 H

OS

PIT

AL

RA

TIO

OF

CO

ST

TO

CH

AR

GE

DA

TA

Ra

tio

:

ME

DIC

AID

CH

AR

GE

S

ME

DIC

AID

PA

YM

EN

TS

ME

DIC

AID

PA

YM

EN

T T

O

CO

ST

DA

TA

TO

TA

L N

ON

GO

VT

CH

AR

GE

S

TO

TA

L N

ON

GO

VT

PA

YM

EN

TS

TO

TA

L

UN

INS

UR

ED

CH

AR

GE

S

TO

TA

L

UN

INS

UR

ED

PA

YM

EN

TS

PR

IVA

TE

PA

YM

EN

T T

O

CO

ST

DA

TA

Ca

lcu

lati

on

:

Me

dic

aid

Paym

ents

/

(Me

dic

aid

Chrg

es *

RC

C)

Non-G

ovt

Pym

ts -

Unin

srd

Pym

ts/(

(Non-

Govt

Chrg

s-U

nin

srd

Chrg

s)*

RC

C)

So

urc

e:

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

OH

CA

's H

RS

Report

185

BA

CK

US

$107,5

46,7

05

$26,0

68,4

40

0.5

7$248,7

82,0

24

$155,4

06,7

62

$13,1

23,0

61

$2,6

81,1

50

1.5

3

BR

IDG

EP

OR

T$376,2

22,2

34

$80,5

45,7

12

0.7

4$475,0

57,0

71

$179,0

25,7

86

$47,5

16,2

24

$4,3

62,9

81

1.4

1

BR

IST

OL

$71,8

04,7

97

$16,3

31,8

51

0.6

6$142,0

39,7

04

$58,1

48,9

95

$7,3

57,3

05

$49,8

04

1.2

5

CT

CH

ILD

RE

N'S

$267,1

33,9

09

$84,3

46,0

91

0.6

7$233,9

14,9

60

$131,4

40,2

12

$4,5

94,2

19

$1,4

03,3

15

1.2

1

DA

NB

UR

Y$143,8

73,7

07

$35,3

64,8

33

0.5

7$521,0

61,0

67

$300,3

40,4

64

$36,5

47,9

12

$7,7

36,6

55

1.4

0

DA

Y K

IMB

AL

L$43,9

19,3

79

$19,0

19,8

32

0.8

2$85,6

90,4

55

$49,7

06,6

80

$4,6

43,9

18

$201,0

68

1.1

6

DE

MP

SE

Y$102,0

63,7

71

$37,4

51,1

83

0.6

9$205,3

94,0

65

$125,8

37,6

07

$3,4

04,4

40

$603,1

70

1.1

6

GR

EE

NW

ICH

$31,6

04,6

72

$3,8

85,4

32

0.3

9$546,2

09,5

08

$221,3

25,5

14

$43,3

80,0

63

$13,2

77,4

28

1.3

2

GR

IFF

IN$62,0

61,1

67

$11,5

30,5

90

0.6

1$171,2

04,8

04

$62,1

92,2

40

$7,2

91,8

35

$548,2

36

1.2

3

HA

RT

FO

RD

$415,7

28,2

95

$117,0

63,7

03

0.6

5$828,9

03,4

53

$441,2

68,8

11

$49,4

04,9

97

$6,1

73,8

71

1.2

9

HO

SP

OF

CE

NT

RA

L C

T$188,2

72,2

65

$55,9

54,6

58

0.6

8$284,8

37,3

07

$168,1

14,2

96

$23,0

65,4

84

$4,5

46,6

15

1.4

3

HU

NG

ER

FO

RD

$42,1

33,9

68

$14,8

78,2

29

0.7

0$84,2

19,9

06

$44,2

02,2

49

$6,5

10,5

90

$1,6

57,8

45

1.0

9

JO

HN

SO

N$24,2

41,3

43

$7,0

96,2

51

0.6

8$58,5

88,4

70

$30,7

63,7

76

$3,1

92,9

70

$122,2

87

1.2

8

LA

WR

EN

CE

$115,5

21,0

54

$35,0

00,1

27

0.6

7$258,3

58,8

82

$157,0

13,1

23

$11,1

13,9

75

$0

1.4

1

MA

NC

HE

ST

ER

$85,6

56,2

16

$21,4

29,1

06

0.6

9$192,6

65,5

12

$87,6

93,9

23

$11,5

85,7

61

$355,2

94

1.3

4

MID

DL

ES

EX

$159,5

68,9

40

$31,0

82,7

95

0.6

6$435,2

28,0

54

$188,0

50,9

08

$20,0

44,5

28

$7,7

79,4

87

1.4

7

MID

ST

AT

E$90,6

83,0

66

$25,5

50,8

83

0.6

5$176,6

70,4

60

$114,1

44,2

04

$11,2

29,9

38

$1,1

85,0

69

1.5

6

MIL

FO

RD

$19,5

82,1

75

$5,1

77,4

95

0.5

6$79,2

03,6

42

$35,5

03,7

35

$5,6

28,4

94

$249,7

64

1.0

1

NE

W M

ILF

OR

D$17,4

09,8

83

$5,0

18,8

98

0.6

7$95,7

05,8

89

$48,1

76,9

88

$4,4

70,5

10

$175,3

60

1.2

2

NO

RW

AL

K$133,3

27,2

91

$35,5

80,7

88

0.6

9$399,1

77,8

25

$201,4

49,7

88

$35,1

87,5

99

$2,2

87,2

81

1.4

0

RO

CK

VIL

LE

$30,2

46,1

71

$5,9

21,8

81

0.5

2$70,7

53,1

55

$33,9

98,5

05

$5,7

57,4

04

$257,1

34

1.3

7

SA

INT

FR

AN

CIS

$372,0

81,6

78

$94,0

27,4

52

0.6

7$611,7

79,2

00

$280,7

63,7

54

$33,2

35,7

76

$976,4

12

1.2

8

SA

INT

MA

RY

'S$133,7

51,4

30

$38,7

05,5

16

0.7

7$213,3

80,6

00

$85,4

86,4

63

$14,4

60,5

46

$520,0

59

1.1

3

SA

INT

RA

PH

AE

L$210,4

06,1

44

$50,9

02,3

71

0.6

7$372,1

32,6

77

$179,1

77,0

80

$20,7

07,8

67

$6,2

10,5

63

1.3

5

SA

INT

VIN

CE

NT

'S$217,0

89,1

72

$50,0

85,9

98

0.7

0$372,8

48,8

07

$177,8

67,4

93

$54,3

47,5

60

$2,4

57,0

82

1.6

6

SH

AR

ON

$8,0

64,3

61

$2,0

02,9

07

0.6

7$52,5

14,4

75

$23,3

41,7

97

$3,9

11,6

73

$680,1

19

1.2

5

ST

AM

FO

RD

$217,7

48,3

63

$36,8

19,9

09

0.5

8$809,7

29,1

02

$313,9

55,9

58

$88,0

59,0

17

$2,0

10,5

66

1.4

9

WA

TE

RB

UR

Y$172,0

24,0

35

$25,2

38,9

64

0.5

7$295,3

32,6

74

$91,7

43,5

93

$12,0

67,2

24

$604,0

80

1.2

4

WIN

DH

AM

$41,9

90,4

53

$11,9

28,8

01

0.6

4$80,4

76,8

65

$36,9

03,7

65

$5,0

38,2

39

$123,7

82

1.0

9

YA

LE

-NE

W H

AV

EN

$1,3

41,4

36,5

94

$254,8

34,1

52

0.6

6$2,3

45,7

78,8

78

$910,7

03,8

94

$117,0

29,6

74

$11,1

06,3

05

1.4

0

ST

AT

EW

IDE

TO

TA

L$5,2

43,1

93,2

38

$1,2

38,8

44,8

48

0.6

6$10,7

47,6

39,4

91

$4,9

33,7

48,3

63

$703,9

08,8

03

$80,3

42,7

82

1.3

5

ST

AT

EW

IDE

ME

DIA

N$111,5

33,8

80

$28,5

75,6

18

0.6

7$241,3

48,4

92

$128,6

38,9

10

$11,8

26,4

93

$1,0

80,7

41

1.3

1

129

APPENDIX P: HOSPITAL SOLVENCY RATIOS F

Y 2

012 H

OS

PIT

AL

SO

LV

EN

CY

RA

TIO

S

Ratio:

EQ

UIT

Y F

INA

NC

ING

RA

TIO

CA

SH

FL

OW

TO

TO

TA

L D

EB

T

LO

NG

TE

RM

DE

BT

TO

CA

PIT

AL

IZA

TIO

N

Calc

ula

tion:

Net A

ssets

/ T

ota

l

Assets

(Excess R

evenue O

ver

Expense +

Depre

cia

tion)

/ (C

urr

ent Lia

b. +

Long

Term

Debt)

Long T

erm

Debt / (L

ong

Term

Debt +

Net A

ssets

)

Sourc

e:

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

BA

CK

US

50.4

59.8

24.7

BR

IDG

EP

OR

T31.6

42.9

27.8

BR

IST

OL

9.4

16.3

71.0

CT

CH

ILD

RE

N'S

58.1

28.8

21.1

DA

NB

UR

Y57.5

27.2

36.0

DA

Y K

IMB

ALL

28.1

29.9

37.6

DE

MP

SE

Y58.8

22.7

0.0

GR

EE

NW

ICH

63.5

37.0

11.2

GR

IFF

IN-2

3.1

2.5

277.5

HA

RT

FO

RD

36.6

38.6

30.0

HO

SP

ITA

L O

F C

EN

TR

AL C

T33.8

61.9

1.0

HU

NG

ER

FO

RD

48.8

36.3

5.0

JO

HN

SO

N22.5

13.8

55.0

LA

WR

EN

CE

46.0

34.3

31.9

MA

NC

HE

ST

ER

8.8

19.1

77.5

MID

DLE

SE

X36.6

38.0

28.2

MID

ST

AT

E30.9

33.0

49.7

MIL

FO

RD

12.5

6.2

0.0

NE

W M

ILF

OR

D31.0

-4.8

19.0

NO

RW

ALK

38.0

44.7

24.0

RO

CK

VIL

LE

26.7

11.4

53.4

SA

INT

FR

AN

CIS

14.1

9.6

71.5

SA

INT

MA

RY

'S10.5

39.7

54.4

SA

INT

RA

PH

AE

L7.1

76.9

0.0

SA

INT

VIN

CE

NT

'S77.6

88.9

10.4

SH

AR

ON

52.9

31.4

37.5

ST

AM

FO

RD

20.2

13.1

70.2

WA

TE

RB

UR

Y45.5

31.2

26.7

WIN

DH

AM

-53.1

6.5

-83.7

YA

LE

-NE

W H

AV

EN

30.2

17.7

49.3

ST

AT

EW

IDE

AV

ER

AG

E36.0

27.0

38.1

ST

AT

EW

IDE

ME

DIA

N31.3

30.6

29.1

Sourc

e: F

Y 2

012 A

udited F

inancia

l S

tate

ments

data

fro

m H

ospital R

eport

ing S

yste

m R

eport

185

130

APPENDIX Q: HOSPITAL LIQUIDITY RATIOS F

Y 2

01

2 H

OS

PIT

AL

LIQ

UID

ITY

RA

TIO

S

Ratio:

CU

RR

EN

T

RA

TIO

DA

YS

CA

SH

ON

HA

ND

DA

YS

RE

VE

NU

E IN

PA

TIE

NT

S

AC

CO

UN

TS

RE

CE

IVA

BL

E

AV

ER

AG

E

PA

YM

EN

T

PE

RIO

D

Calc

ula

tion:

Curr

ent A

ssets

/

Curr

ent Lia

bili

ties

(Cash+

Short

Term

Investm

ents

) /

((T

ota

l E

xpenses -

De

pre

cia

tion)/

365)

Net

Patient A

cco

unt

Receiv

able

and

Third P

art

y P

aye

r

Activity

/

(Net

Patient

Revenues /

365)

Curr

ent

Lia

bili

ties /

(To

tal E

xp

ense

s -

De

pre

cia

tio

n)/

365

Sourc

e:

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

18

5H

RS

Report

185

BA

CK

US

4.9

9159

40

46

BR

IDG

EP

OR

T1.6

054

37

77

BR

IST

OL

1.4

627

52

76

CT

CH

ILD

RE

N'S

1.3

31

49

70

DA

NB

UR

Y2.2

640

35

48

DA

Y K

IMB

ALL

1.9

728

50

56

DE

MP

SE

Y1.2

20

32

49

GR

EE

NW

ICH

2.1

056

43

65

GR

IFF

IN0.9

140

38

106

HA

RT

FO

RD

1.7

832

58

61

HO

SP

ITA

L O

F C

EN

TR

AL C

T1.1

927

27

76

HU

NG

ER

FO

RD

1.3

931

39

63

JO

HN

SO

N0.9

55

38

67

LA

WR

EN

CE

4.0

6185

26

62

MA

NC

HE

ST

ER

1.3

113

60

73

MID

DLE

SE

X1.7

576

44

81

MID

ST

AT

E3.0

881

36

52

MIL

FO

RD

1.0

43

49

67

NE

W M

ILF

OR

D1.0

116

28

65

NO

RW

ALK

2.2

195

28

63

RO

CK

VIL

LE

1.2

08

57

71

SA

INT

FR

AN

CIS

2.2

461

33

47

SA

INT

MA

RY

'S1.5

838

40

67

SA

INT

RA

PH

AE

L2.7

975

21

39

SA

INT

VIN

CE

NT

'S1.2

820

34

69

SH

AR

ON

1.7

80

46

39

ST

AM

FO

RD

1.8

079

43

82

WA

TE

RB

UR

Y1.4

937

42

62

WIN

DH

AM

0.9

416

78

131

YA

LE

-NE

W H

AV

EN

2.2

7147

43

97

ST

AT

EW

IDE

AV

ER

AG

E1.9

769

40

69

ST

AT

EW

IDE

ME

DIA

N1.5

935

40

66

Sourc

e: F

Y 2

012 A

udited F

ina

ncia

l S

tate

me

nts

data

fro

m H

ospital R

eport

ing S

yste

m R

epo

rt 1

85

131

APPENDIX R: HOSPITAL UNCOMPENSATED CARE DATA F

Y 2

012 H

OS

PIT

AL

UN

CO

MP

EN

SA

TE

D C

AR

E D

AT

A

CH

AR

ITY

CA

RE

BA

D D

EB

TS

TO

TA

L

UN

CO

MP

EN

SA

TE

D

CA

RE

CH

AR

GE

S

RA

TIO

OF

CO

ST

TO

CH

AR

GE

*

UN

CO

MP

EN

SA

TE

D

CA

RE

CO

ST

S

TO

TA

L

HO

SP

ITA

L

EX

PE

NS

ES

UC

C %

OF

TO

TA

L

EX

PE

NS

ES

Ca

lcu

lati

on

:N

/AN

/A

(Charity

Care

+ B

ad D

ebts

)

Tota

l O

per

Exp/

(Gro

ss R

ev +

Oth

er

Oper

Rev)

(Charity

Care

+ B

ad

Debts

)* R

CC

N/A

Uncom

p

Care

/Tota

l

Expenses

So

urc

e:

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S

Report

185

HR

S

Report

185

BA

CK

US

$5,3

41,7

90

$8,0

89,2

46

$13,4

31,0

36

0.4

2

$5,6

94,0

63

$264,1

11,7

31

2.2

%

BR

IDG

EP

OR

T$14,7

77,2

79

$30,0

26,8

44

$44,8

04,1

23

0.2

9

$12,9

79,5

56

$403,9

87,0

00

3.2

%

BR

IST

OL

$3,7

81,9

58

$6,4

70,2

91

$10,2

52,2

49

0.3

4

$3,5

25,5

25

$134,4

86,3

03

2.6

%

CT

CH

ILD

RE

N'S

$710,0

25

$4,5

48,7

79

$5,2

58,8

04

0.4

7

$2,4

67,2

30

$251,6

62,0

45

1.0

%

DA

NB

UR

Y$13,9

69,7

82

$19,4

13,2

18

$33,3

83,0

00

0.4

3

$14,3

61,0

05

$514,7

97,1

96

2.8

%

DA

Y K

IMB

ALL

$710,0

98

$3,4

62,3

60

$4,1

72,4

58

0.5

3

$2,2

00,1

56

$115,2

41,4

29

1.9

%

DE

MP

SE

Y$477,5

93

$5,6

50,5

16

$6,1

28,1

09

0.5

4

$3,2

81,1

95

$296,5

23,3

49

1.1

%

GR

EE

NW

ICH

$16,0

60,3

11

$14,0

42,3

25

$30,1

02,6

36

0.3

1

$9,4

43,3

91

$312,5

59,0

00

3.0

%

GR

IFF

IN$6,7

85,0

12

$985,6

12

$7,7

70,6

24

0.3

0

$2,3

67,7

52

$129,1

15,7

12

1.8

%

HA

RT

FO

RD

$23,8

39,1

14

$22,6

45,9

65

$46,4

85,0

79

0.4

3

$20,0

89,3

38

$1,0

46,0

01,6

10

1.9

%

HO

SP

ITA

L O

F C

EN

TR

AL C

T$6,7

91,5

81

$17,2

93,1

90

$24,0

84,7

71

0.4

4

$10,5

54,5

38

$389,5

21,4

94

2.7

%

HU

NG

ER

FO

RD

$1,7

66,9

84

$3,1

25,3

64

$4,8

92,3

48

0.5

0

$2,4

55,8

54

$121,8

82,6

81

2.0

%

JO

HN

SO

N$193,1

08

$3,5

64,2

51

$3,7

57,3

59

0.4

3

$1,6

20,7

53

$65,9

81,0

58

2.5

%

LA

WR

EN

CE

$2,8

28,6

18

$11,9

30,6

18

$14,7

59,2

36

0.4

5

$6,6

38,6

37

$318,1

94,7

16

2.1

%

MA

NC

HE

ST

ER

$4,9

53,6

33

$6,3

82,3

07

$11,3

35,9

40

0.3

6

$4,0

85,6

13

$184,4

46,0

01

2.2

%

MID

DLE

SE

X$7,5

09,3

99

$12,1

99,3

95

$19,7

08,7

94

0.3

0

$5,8

29,5

32

$334,5

37,2

91

1.7

%

MID

ST

AT

E$4,2

33,5

96

$6,4

61,4

99

$10,6

95,0

95

0.4

4

$4,6

66,9

05

$221,3

06,2

95

2.1

%

MIL

FO

RD

$192,5

33

$7,0

28,9

14

$7,2

21,4

47

0.4

7

$3,4

12,1

41

$90,6

85,8

54

3.8

%

NE

W M

ILF

OR

D$1,1

81,7

56

$3,1

25,1

72

$4,3

06,9

28

0.4

3

$1,8

63,2

79

$88,9

58,8

09

2.1

%

NO

RW

ALK

$17,9

29,0

00

$23,5

30,4

77

$41,4

59,4

77

0.3

9

$16,1

48,5

19

$361,9

51,4

45

4.5

%

RO

CK

VIL

LE

$2,1

92,7

53

$3,3

09,9

48

$5,5

02,7

01

0.3

8

$2,0

89,9

37

$74,0

38,9

54

2.8

%

SA

INT

FR

AN

CIS

$6,1

10,4

68

$18,6

29,0

69

$24,7

39,5

37

0.3

8

$9,3

33,3

65

$674,8

30,6

99

1.4

%

SA

INT

MA

RY

'S$384,0

59

$10,5

01,3

59

$10,8

85,4

18

0.3

8

$4,1

04,3

68

$218,3

84,6

32

1.9

%

SA

INT

RA

PH

AE

L$2,2

39,9

62

$13,5

31,7

74

$15,7

71,7

36

0.3

6

$5,7

29,4

63

$465,5

49,7

26

1.2

%

SA

INT

VIN

CE

NT

'S$15,3

30,0

00

$27,4

11,0

00

$42,7

41,0

00

0.3

3

$14,1

45,7

42

$373,6

01,0

00

3.8

%

SH

AR

ON

$760,0

89

$2,9

99,3

67

$3,7

59,4

56

0.3

7

$1,4

00,6

77

$51,7

45,1

14

2.7

%

ST

AM

FO

RD

$34,8

07,8

23

$51,9

39,0

73

$86,7

46,8

96

0.2

9

$25,1

08,1

67

$482,1

24,6

01

5.2

%

WA

TE

RB

UR

Y$1,3

89,3

52

$10,4

35,5

02

$11,8

24,8

54

0.2

6

$3,0

64,7

11

$231,6

58,9

75

1.3

%

WIN

DH

AM

$3,5

73,6

41

$3,2

54,8

65

$6,8

28,5

06

0.4

5

$3,0

50,3

67

$96,4

50,1

17

3.2

%

YA

LE

-NE

W H

AV

EN

$35,7

45,2

14

$74,9

71,2

58

$110,7

16,4

72

0.2

9

$31,8

89,6

09

$1,6

54,2

51,0

00

1.9

%

ST

AT

EW

IDE

TO

TA

L$236,5

66,5

31

$426,9

59,5

58

$663,5

26,0

89

0.3

6

$233,6

01,3

90

$9,9

68,5

85,8

37

2.3

%

ST

AT

EW

IDE

ME

DIA

N2.1

%

* R

CC

is r

oun

de

d t

o t

wo

dig

its f

or

pre

se

nta

tio

n p

urp

ose

s.

So

urc

e: F

Y 2

01

2 A

udite

d F

ina

ncia

l S

tate

me

nts

data

fro

m H

osp

ita

l R

epo

rtin

g S

yste

m R

epo

rt 1

85

132

APPENDIX S: HOSPITAL UTILIZATION DATA

FY

201

2 H

OS

PIT

AL

UT

ILIZ

AT

ION

DA

TA

Utiliz

atio

n M

ea

su

re

PA

TIE

NT

DA

YS

DIS

CH

AR

GE

S

AV

ER

AG

E

LE

NG

TH

OF

ST

AY

ST

AF

FE

D

BE

DS

AV

AIL

AB

LE

BE

DS

LIC

EN

SE

D

BE

DS

OC

CU

PA

NC

Y

OF

ST

AF

FE

D

BE

DS

OC

CU

PA

NC

Y O

F

AV

AIL

AB

LE

BE

DS

FU

LL

TIM

E

EQ

UIV

AL

EN

TS

So

urc

e:

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

BA

CK

US

49,3

61

11,9

11

4.1

201

233

233

67%

58%

1,5

42.8

BR

IDG

EP

OR

T100,8

30

18,9

36

5.3

281

371

383

98%

74%

2,1

10.6

BR

IST

OL

29,3

83

7,5

65

3.9

132

154

154

61%

52%

863.7

CT

CH

ILD

RE

N'S

44,4

49

6,6

42

6.7

182

187

187

67%

65%

1,3

31.9

DA

NB

UR

Y92,0

10

19,6

68

4.7

265

371

371

95%

68%

2,4

03.9

DA

Y K

IMB

ALL

18,4

84

5,0

97

3.6

65

122

122

78%

42%

835.4

DE

MP

SE

Y40,2

95

8,3

74

4.8

184

234

234

60%

47%

1,5

44.9

GR

EE

NW

ICH

51,9

19

13,0

27

4.0

206

206

206

69%

69%

1,4

89.3

GR

IFF

IN29,3

21

7,0

63

4.2

82

180

180

98%

45%

973.0

HA

RT

FO

RD

233,3

32

41,2

51

5.7

667

802

867

96%

80%

6,0

33.5

HO

SP

OF

CE

NT

RA

L C

T76,7

71

18,2

52

4.2

356

383

446

59%

55%

2,2

99.5

HU

NG

ER

FO

RD

25,2

49

6,3

38

4.0

75

122

122

92%

57%

768.4

JO

HN

SO

N16,1

89

3,2

51

5.0

72

95

101

62%

47%

464.2

LA

WR

EN

CE

70,5

58

14,9

32

4.7

256

256

308

76%

76%

1,9

54.8

MA

NC

HE

ST

ER

45,5

45

8,8

31

5.2

171

283

283

73%

44%

1,0

75.8

MID

DLE

SE

X59,4

73

14,1

58

4.2

183

260

297

89%

63%

2,0

80.0

MID

ST

AT

E42,5

30

10,3

30

4.1

144

156

156

81%

75%

1,0

54.6

MIL

FO

RD

14,7

56

3,5

80

4.1

47

118

118

86%

34%

507.0

NE

W M

ILF

OR

D8,5

37

2,2

88

3.7

27

95

95

87%

25%

420.3

NO

RW

ALK

67,3

41

15,0

03

4.5

193

320

366

96%

58%

1,6

98.8

RO

CK

VIL

LE

13,0

56

2,5

19

5.2

47

118

118

76%

30%

376.6

SA

INT

FR

AN

CIS

157,5

34

32,1

11

4.9

595

595

682

73%

73%

3,6

94.5

SA

INT

MA

RY

'S51,5

56

12,0

78

4.3

182

182

379

78%

78%

1,3

55.2

SA

INT

RA

PH

AE

L102,4

01

19,6

76

5.2

354

467

079%

60%

3,0

42.5

SA

INT

VIN

CE

NT

'S122,8

78

21,9

12

5.6

456

456

520

74%

74%

2,0

78.2

SH

AR

ON

11,9

14

2,6

85

4.4

49

94

94

67%

35%

255.6

ST

AM

FO

RD

70,9

11

14,2

94

5.0

267

325

330

73%

60%

2,0

34.6

WA

TE

RB

UR

Y57,5

48

12,3

64

4.7

190

280

393

83%

56%

1,2

99.9

WIN

DH

AM

18,6

73

4,5

06

4.1

87

144

144

59%

36%

601.6

YA

LE

-NE

W H

AV

EN

311,5

47

59,4

26

5.2

859

1,0

01

1,5

41

99%

85%

8,1

50.6

ST

AT

EW

IDE

TO

TA

L2,0

34,3

51

418,0

68

4.9

6,8

75

8,6

10

9,4

30

81%

65%

54,3

41.7

So

urc

e: H

osp

ita

l R

epo

rtin

g S

yste

m R

epo

rt 1

85

133

APPENDIX T: HOSPITAL GROSS REVENUE PAYER MIX

FY

2012 H

OS

PIT

AL

GR

OS

S R

EV

EN

UE

PA

YE

R M

IX

Paye

r

NO

N

GO

VE

RN

ME

NT

ME

DIC

AR

EM

ED

ICA

ID

OT

HE

R

ME

DIC

AL

AS

SIS

TA

NC

EU

NIN

SU

RE

D

Sourc

e:

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S

Report

185

BA

CK

US

38%

42%

18%

0%

2%

BR

IDG

EP

OR

T31%

39%

27%

0%

3%

BR

IST

OL

35%

44%

19%

0%

2%

CT

CH

ILD

RE

N'S

45%

1%

53%

0%

1%

DA

NB

UR

Y41%

44%

12%

0%

3%

DA

Y K

IMB

ALL

38%

39%

21%

0%

2%

DE

MP

SE

Y38%

42%

19%

0%

1%

GR

EE

NW

ICH

52%

38%

3%

2%

5%

GR

IFF

IN39%

44%

15%

0%

2%

HA

RT

FO

RD

35%

45%

18%

0%

2%

HO

SP

ITA

L O

F C

EN

TR

AL C

T30%

45%

22%

0%

3%

HU

NG

ER

FO

RD

33%

46%

18%

0%

3%

JO

HN

SO

N36%

46%

16%

0%

2%

LA

WR

EN

CE

36%

46%

17%

0%

1%

MA

NC

HE

ST

ER

37%

44%

17%

0%

2%

MID

DLE

SE

X37%

47%

14%

0%

2%

MID

ST

AT

E35%

44%

19%

0%

2%

MIL

FO

RD

39%

48%

10%

0%

3%

NE

W M

ILF

OR

D45%

44%

9%

0%

2%

NO

RW

ALK

40%

41%

15%

0%

4%

RO

CK

VIL

LE

35%

46%

16%

0%

3%

SA

INT

FR

AN

CIS

33%

44%

21%

0%

2%

SA

INT

MA

RY

'S35%

39%

23%

0%

3%

SA

INT

RA

PH

AE

L28%

54%

17%

0%

1%

SA

INT

VIN

CE

NT

'S29%

47%

19%

0%

5%

SH

AR

ON

35%

52%

6%

4%

3%

ST

AM

FO

RD

44%

37%

13%

0%

6%

WA

TE

RB

UR

Y32%

47%

20%

0%

1%

WIN

DH

AM

36%

42%

20%

0%

2%

YA

LE

-NE

W H

AV

EN

39%

36%

23%

0%

2%

ST

AT

EW

IDE

AV

ER

AG

E37%

41%

19%

0%

3%

*The M

edic

are

perc

enta

ges in

clu

de T

RIC

AR

E.

Only

Th

e W

illia

m W

. B

ackus H

ospital and L

aw

rence &

Mem

oria

l

Hospital have T

RIC

AR

E g

ross r

evenues o

f gre

ate

r th

an 1

%.

Sourc

e: H

ospital R

eport

ing S

yste

m R

eport

185

134

APPENDIX U: HOSPITAL NET REVENUE PAYER MIX

FY

2012 H

OS

PIT

AL

NE

T R

EV

EN

UE

PA

YE

R M

IX

Pa

yer

NO

N

GO

VE

RN

ME

NT

ME

DIC

AR

EM

ED

ICA

ID

OT

HE

R

ME

DIC

AL

AS

SIS

TA

NC

EU

NIN

SU

RE

D

So

urc

e:

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S R

eport

185

HR

S

Report

185

BA

CK

US

55%

34%

10%

0%

1%

BR

IDG

EP

OR

T42%

37%

20%

0%

1%

BR

IST

OL

47%

40%

13%

0%

0%

CT

CH

ILD

RE

N'S

59%

2%

38%

0%

1%

DA

NB

UR

Y58%

34%

7%

0%

1%

DA

Y K

IMB

ALL

46%

37%

17%

0%

0%

DE

MP

SE

Y47%

39%

14%

0%

0%

GR

EE

NW

ICH

68%

25%

1%

1%

5%

GR

IFF

IN51%

39%

10%

0%

0%

HA

RT

FO

RD

46%

41%

12%

0%

1%

HO

SP

ITA

L O

F C

EN

TR

AL C

T45%

39%

15%

0%

1%

HU

NG

ER

FO

RD

38%

48%

13%

0%

1%

JO

HN

SO

N49%

40%

11%

0%

0%

LA

WR

EN

CE

50%

39%

11%

0%

0%

MA

NC

HE

ST

ER

51%

36%

13%

0%

0%

MID

DLE

SE

X53%

36%

9%

0%

2%

MID

ST

AT

E52%

36%

12%

0%

0%

MIL

FO

RD

50%

42%

7%

0%

1%

NE

W M

ILF

OR

D62%

31%

7%

0%

0%

NO

RW

ALK

59%

29%

11%

0%

1%

RO

CK

VIL

LE

52%

39%

9%

0%

0%

SA

INT

FR

AN

CIS

44%

41%

15%

0%

0%

SA

INT

MA

RY

'S41%

41%

18%

0%

0%

SA

INT

RA

PH

AE

L40%

47%

12%

0%

1%

SA

INT

VIN

CE

NT

'S45%

41%

13%

0%

1%

SH

AR

ON

44%

48%

4%

3%

1%

ST

AM

FO

RD

67%

24%

8%

0%

1%

WA

TE

RB

UR

Y42%

47%

11%

0%

0%

WIN

DH

AM

42%

44%

14%

0%

0%

YA

LE

-NE

W H

AV

EN

54%

30%

15%

0%

1%

ST

AT

EW

IDE

AV

ER

AG

E51%

35%

13%

0%

1%

*The M

edic

are

perc

enta

ges inclu

de T

RIC

AR

E.

Only

The W

illia

m W

. B

ackus H

ospital and L

aw

rence &

Mem

orial

Hospital have T

RIC

AR

E n

et

revenues o

f gre

ate

r th

an 1

%.

So

urc

e: H

osp

ita

l R

epo

rtin

g S

yste

m R

epo

rt 1

85

135

APPENDIX V: HOSPITAL DISCHARGES BY PAYER

FY

2012 H

OS

PIT

AL

DIS

CH

AR

GE

S B

Y P

AY

ER

Paye

r

NO

N

GO

VT

.M

ED

ICA

RE

ME

DIC

AL

AS

SIS

T.

ME

DIC

AID

OT

HE

R

ME

DIC

AL

AS

SIS

T.

CH

AM

PU

S/

TR

ICA

RE

UN

INS

UR

ED

TO

TA

L

Sourc

e:

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

BA

CK

US

3,8

36

5,5

08

2,3

47

2,2

86

61

220

124

11,9

11

BR

IDG

EP

OR

T5,6

72

7,2

60

5,9

84

5,9

84

020

296

18,9

36

BR

IST

OL

2,3

50

3,5

65

1,6

25

1,6

25

025

119

7,5

65

CT

CH

ILD

RE

N'S

3,1

94

33,3

92

3,3

92

053

72

6,6

42

DA

NB

UR

Y7,5

21

8,7

36

3,3

77

3,3

26

51

34

197

19,6

68

DA

Y K

IMB

ALL

1,4

25

2,2

08

1,4

27

1,4

27

037

71

5,0

97

DE

MP

SE

Y2,5

80

3,7

00

2,0

53

2,0

50

341

39

8,3

74

GR

EE

NW

ICH

7,3

17

4,9

84

722

425

297

4370

13,0

27

GR

IFF

IN2,4

62

3,3

01

1,2

83

1,2

83

017

74

7,0

63

HA

RT

FO

RD

15,1

51

16,5

56

9,3

11

9,3

11

0233

453

41,2

51

HO

SP

OF

CE

NT

RA

L C

T5,3

45

8,5

24

4,3

52

4,3

52

031

200

18,2

52

HU

NG

ER

FO

RD

1,7

20

3,4

82

1,1

05

1,1

03

231

114

6,3

38

JO

HN

SO

N985

1,6

01

646

646

019

76

3,2

51

LA

WR

EN

CE

4,0

75

6,8

29

3,0

59

3,0

28

31

969

69

14,9

32

MA

NC

HE

ST

ER

3,2

96

3,5

37

1,9

57

1,9

57

041

182

8,8

31

MID

DLE

SE

X4,4

21

7,5

37

2,1

38

2,1

38

062

182

14,1

58

MID

ST

AT

E3,0

98

5,0

54

2,1

51

2,1

51

027

254

10,3

30

MIL

FO

RD

1,2

40

1,9

86

351

349

23

63

3,5

80

NE

W M

ILF

OR

D888

1,1

18

273

265

89

54

2,2

88

NO

RW

ALK

5,7

99

6,1

47

3,0

42

3,0

02

40

15

267

15,0

03

RO

CK

VIL

LE

594

1,6

55

266

266

04

58

2,5

19

SA

INT

FR

AN

CIS

10,2

89

13,8

61

7,8

72

7,8

72

089

253

32,1

11

SA

INT

MA

RY

'S3,6

27

5,1

98

3,2

31

3,2

31

022

170

12,0

78

SA

INT

RA

PH

AE

L5,3

31

10,7

50

3,5

54

3,5

54

041

109

19,6

76

SA

INT

VIN

CE

NT

'S6,9

19

10,1

53

4,8

11

4,7

73

38

29

950

21,9

12

SH

AR

ON

743

1,5

54

377

194

183

11

73

2,6

85

ST

AM

FO

RD

5,9

63

5,1

44

3,1

73

3,0

89

84

14

399

14,2

94

WA

TE

RB

UR

Y3,4

07

5,7

34

3,2

10

3,2

10

013

116

12,3

64

WIN

DH

AM

1,1

78

2,3

26

985

970

15

17

56

4,5

06

YA

LE

-NE

W H

AV

EN

23,6

50

18,1

00

17,2

94

17,2

94

0382

977

59,4

26

ST

AT

EW

IDE

TO

TA

L144,0

76

176,1

11

95,3

68

94,5

53

815

2,5

13

6,4

37

418,0

68

Sourc

e: H

ospital R

eport

ing S

yste

m R

eport

185

136

APPENDIX W: HOSPITAL CASE MIX INDEXES BY PAYER

FY

2012 H

OS

PIT

AL

CA

SE

MIX

IN

DE

XE

S B

Y P

AY

ER

Pa

yer

NO

N

GO

VT

.M

ED

ICA

RE

ME

DIC

AL

AS

SIS

T.

ME

DIC

AID

OT

HE

R

ME

DIC

AL

AS

SIS

T.

TR

ICA

RE

UN

INS

UR

ED

TO

TA

L

So

urc

e:

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

HR

S

Report

185

BA

CK

US

1.2

530

1.3

654

1.0

056

1.0

051

1.0

233

0.9

412

1.1

507

1.2

505

BR

IDG

EP

OR

T1.2

175

1.5

810

0.9

743

0.9

743

0.0

000

1.0

575

1.0

762

1.2

798

BR

IST

OL

0.9

652

1.2

996

0.9

425

0.9

425

0.0

000

0.7

357

0.9

400

1.1

172

CT

CH

ILD

RE

N'S

1.5

525

2.5

541

1.5

658

1.5

658

0.0

000

1.8

080

0.9

481

1.5

618

DA

NB

UR

Y1.2

112

1.3

211

0.9

892

0.9

913

0.8

492

0.9

624

1.2

902

1.2

215

DA

Y K

IMB

ALL

1.0

543

1.1

484

0.8

300

0.8

300

0.0

000

0.5

418

0.9

521

1.0

285

DE

MP

SE

Y1.3

021

1.5

753

1.2

923

1.2

915

1.8

149

1.2

260

0.9

903

1.4

200

GR

EE

NW

ICH

0.8

478

1.3

470

1.0

041

0.9

286

1.1

122

1.1

954

0.9

023

1.0

476

GR

IFF

IN1.0

200

1.3

610

0.7

740

0.7

740

0.0

000

1.1

030

1.0

310

1.1

349

HA

RT

FO

RD

1.4

435

1.8

946

1.2

188

1.2

188

0.0

000

1.0

606

1.3

722

1.5

717

HO

SP

OF

CE

NT

RA

L C

T1.0

782

1.3

798

0.9

986

0.9

986

0.0

000

1.1

359

0.9

986

1.2

002

HU

NG

ER

FO

RD

1.1

603

1.3

565

1.0

083

1.0

074

1.5

120

1.0

644

1.0

903

1.2

411

JO

HN

SO

N1.0

394

1.3

225

0.9

749

0.9

749

0.0

000

1.1

223

0.9

761

1.1

665

LA

WR

EN

CE

1.1

490

1.4

082

0.9

961

0.9

966

0.9

495

0.8

959

1.1

487

1.2

198

MA

NC

HE

ST

ER

0.9

894

1.4

356

0.9

226

0.9

226

0.0

000

0.9

025

1.0

105

1.1

529

MID

DLE

SE

X1.1

101

1.3

866

0.9

559

0.9

559

0.0

000

0.7

968

1.0

332

1.2

326

MID

ST

AT

E1.0

921

1.3

860

0.9

307

0.9

307

0.0

000

0.7

004

0.9

783

1.2

013

MIL

FO

RD

1.3

326

1.4

882

0.9

674

0.9

641

1.5

387

0.5

798

1.3

215

1.3

825

NE

W M

ILF

OR

D1.0

384

1.3

390

0.7

765

0.7

772

0.7

520

0.7

789

0.8

746

1.1

530

NO

RW

ALK

1.0

031

1.3

456

0.9

392

0.9

380

1.0

292

0.8

459

0.9

643

1.1

303

RO

CK

VIL

LE

1.6

539

1.4

923

1.1

833

1.1

833

0.0

000

1.2

948

1.1

286

1.4

975

SA

INT

FR

AN

CIS

1.4

084

1.7

150

1.1

131

1.1

131

0.0

000

1.1

056

1.2

407

1.4

675

SA

INT

MA

RY

'S1.2

172

1.5

008

1.0

064

1.0

064

0.0

000

0.6

380

1.0

139

1.2

818

SA

INT

RA

PH

AE

L1.4

424

1.6

339

1.0

275

1.0

275

0.0

000

0.9

714

1.1

902

1.4

711

SA

INT

VIN

CE

NT

'S1.2

403

1.4

585

1.0

507

1.0

510

1.0

158

0.7

476

1.0

567

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137

APPENDIX X: HOSPITAL EMERGENCY DEPARTMENT VISITS

FY

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Sourc

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ospital R

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yste

m R

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185

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138

ciesones

Typewritten Text

139

APPENDIX Z: GLOSSARY OF TERMS

Average Payment Period: the average number of

days that are required to meet current liabilities. A

lower number of days is favorable, since it

indicates a more favorable liquidity position.

Bad Debts: the income lost to the hospital

because patients who were billed and from whom

payment was expected did not pay amounts owed

to the hospital for services provided. Bad debts net

of recoveries will result in bad debt expense, if

after reasonable collection efforts are made, the

hospital determines that the accounts are

uncollectible.

Case Mix Index: the arithmetic mean of the

Medicare diagnosis related group case weights

assigned to each inpatient discharge for a hospital

during the fiscal year. The case mix index is

calculated by dividing the hospital’s total case mix

adjusted discharges by the hospital’s actual

number of discharges for the fiscal year.

Cash Flow to Total Debt Ratio: an indicator of

potential future debt repayment difficulty or

insolvency. It is calculated by dividing excess of

revenues over expenses plus depreciation by

current liabilities plus long term debt. A decrease

in the value of the ratio may indicate a future debt

repayment problem.

Charity Care: the difference between the

hospital’s published charges and the amount of

reimbursement received for services provided to

patients from whom reimbursement was not

expected. Charity care does not include bad debts,

courtesy discounts, contractual allowances, self

pay discounts, and charges for health care services

provided to employees.

Current Ratio: the measure of the number of

dollars held in current assets per dollar of current

liabilities. High values imply a good ability to pay

short term obligations and low values imply a

lesser ability.

Days Cash on Hand: the average number of days

of cash available to pay for expenses that is

maintained in cash accounts. A higher number is

favorable, since it indicates a greater ability to

meet outstanding obligations.

Days in Patients Accounts Receivable: the

average number of days in collection that patient

accounts receivables remain outstanding. A lower

number is favorable, since it indicates good

collection practices that result in sufficient cash

flow and infrequent short-term financing.

Disproportionate Share Hospital (DSH)

Program Payments: payments that provide

financial assistance to hospitals that serve a large

number of low-income patients, such as the

uninsured or people on Medicaid.

Equity Financing Ratio: the ratio related to

capital structure that indicates the percentage of

net assets to total assets. A higher ratio is more

favorable, since it indicates utilization of a higher

level of equity and a lower level of debt financing

in acquiring plant and equipment assets.

Excess / (Deficiency) of Revenue over Expenses:

the difference between the sum of total operating

revenue and non-operating revenue less total

operating expenses that results in an excess or

deficiency of total revenue.

Gross Patient Revenue – total gross patient

charges for all patient services before deductions

for allowances, charity care and other deductions.

Hospital Parent Corporation: the hospital’s

corporate holding company that controls through

its governing body a hospital and the hospital’s

affiliates, as presented on the legal chart of

corporate structure.

Income / (Loss) from Operations: the difference

between total operating revenue and total operating

expenses that results in a financial gain or loss

from operating activities.

Long-Term Debt to Capitalization Ratio: the

measure of the proportion of Long-Term Debt in a

capital structure. A lower proportion or percentage

is desirable because it allows for obtaining of more

favorable terms (i.e., lower interest rates) when

borrowing.

Medicaid: the federal and state health insurance

program established under Title 19 of the Social

Security Act to provide medical assistance on

behalf of families with dependent children and for

aged, blind or disabled whose income and

resources are insufficient to meet the costs of

necessary medical services and which is

administered by the Department of Social Services.

Medical Assistance: the programs for medical

assistance provided under the Medicaid program,

including the HUSKY Plan, Part A, or (B) any

140

APPENDIX Z: GLOSSARY OF TERMS

other state-funded medical assistance program,

including the HUSKY Plan, Part B.

Medicare: the federal health insurance program

for the aged and disabled.

Net Assets: the residual amount of total assets

after all current and long-term liabilities (including

long-term debt) are deducted. Also referred to as

ownership equity.

Net Patient Revenue: the total gross revenue

from patient charges less contractual allowances,

less the difference between government charges

and government payments, less charity care and

less any other allowances.

Non Governmental: any commercial or private

payer and includes but isn’t limited to managed

care organizations, health maintenance

organizations, and preferred provider

organizations.

Non-Operating Margin: the ratio related to

profitability indicating the percentage of non-

operating revenue to total revenue. A higher

positive ratio indicates more favorable results.

Non-Operating Revenue: the unrestricted

revenue not directly derived from providing patient

services but obtained from either investment

income or philanthropic and non-philanthropic

sources.

Operating Expenses: the expenses necessary to

maintain regular operating functions and to carry

out ongoing activities.

Operating Margin: the ratio related to

profitability indicating the percentage of income or

loss from operations to total revenue. A higher

positive ratio indicates more favorable operating

results.

Operating Revenue: the total of net patient

revenue from reimbursement of patient services by

government and non-government payers plus other

operating revenue.

Other Medical Assistance: the difference

between Medical Assistance and Medicaid.

Other Operating Revenue: the non-patient

service operating revenue that is obtained from

operating activities but is accounted for separately

from patient service revenues. Other operating

revenue includes revenues restricted by a donor or

grantor for operating purposes, and also net assets

released from restrictions.

Payer Mix: the proportion of each government or

non-government payer’s reimbursement to the

hospital’s total reimbursement for patient services.

Payer mix is derived by determining the amount

of total gross patient revenue or total net patient

revenue that the hospital receives from each

government and non-government payer.

Payment to Cost Ratio: the ratio that indicates

the percentage above or below cost that a hospital

is reimbursed by a government or non-government

payer. A ratio that is higher than 1.00 is favorable,

since it indicates reimbursement by a payer that is

greater than the cost of providing patient services.

A ratio that is less than 1.00 is unfavorable, since it

indicates reimbursement by a payer that is less than

the cost of providing patient services.

Ratio of Cost to Charges: the ratio that indicates

the percentage of total operating expense to the

total of gross patient charges plus other operating

revenue. A lower ratio is more favorable, since it

indicates a greater difference between the cost and

charges billed for providing patient services.

Total Margin: the ratio related to profitability

indicating the percentage of income or loss from

operations and non-operating revenue to total

revenue. A higher positive ratio indicates more

favorable results.

Uncompensated Care: the total amount of the

hospital’s charity care and bad debts resulting from

unreimbursed patient services that are determined

by using the hospital’s published charges and

consistent with the hospital’s policies regarding

charity care and bad debts.

Uncompensated Care Cost: the total amount of

the hospital’s charity care and bad debts at charges

multiplied by the hospital’s ratio of cost to charges.

Uninsured: individuals with no health insurance

for the hospital services provided.

Unrestricted Net Assets: the amount of net assets

that is not restricted by donors or by a board of

directors as to their use.

410 Capitol Avenue MS#13HCA

PO Box 340308 Hartford, CT 06134

Phone: 860-418-7001 800-797-9688

Fax: 860-418-7053

www.ct.gov/dph

Commissioner Jewel Mullen, MD, MPH, MPA

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