Page 366 - CEO Orientation

The table below shows clinical and financial activity results as at the end of November 30, 2017 for
the network. The Network has met or exceeded YTD HSAA, MSAA and LSAA clinical and weighted
activity with the exception of St. Joseph’s Emergency (ED) and Day Surgery Weighted Cases.

The Network is forecasting to meet all annual activity targets with the exception of Day Surgery
(SJHC). It should be noted that forecasted activity does not represent a decline is weighted cases
but rather a historical target that is above recent performance. For instance, based on a five year
review, SJHC has not met the unadjusted target. Management attempted to negotiate a revised
target as part of the 2017/18 HSAA meetings, however, the LHIN was not receptive.

Providence St. Joseph's St. Michael's
Indicator
Annual Q1 Q2 YTD Nov Annual Q1 Q2 YTD Nov Annual Q1 Q2 YTD Nov
Target Target Target
Current Ratio 2.00 2.64 2.10 2.08 0.80 0.70 0.60 0.59 1.36 1.08 1.07 1.33
Total Margin
ADP 0.00 6.80 11.26 9.64 n/a n/a n/a n/a n/a n/a n/a n/a
Houses 0.00 (1.10) (0.03) 0.05 n/a n/a n/a n/a n/a n/a n/a n/a
Hospital 0.00 3.60 3.96 4.47 0 1.80 -6.50 -1.60 0.00 -0.26 7.72 1.70
Weighted Cases/Days
Inpatient Days (Rehab - Providence; Acute 45,611 11,362 11,222 30,184 n/a 31,390 31,427 62,817 38,749 38,509 77,258
(exclude Mental Health) at SJHC & SMH)
Rehabilitation - Weighted Cases 2,311 690 687 1,860 n/a n/a n/a n/a n/a n/a n/a n/a
CCC - Weighted Days 39,704 9,523 10,045 26,069 n/a n/a n/a n/a n/a n/a n/a n/a
ED - Weighted Cases n/a n/a n/a n/a 5,186 1,183 1,174 3,135 3,700 967 1,003 2,624
Acute Inpatient Weighted Cases n/a n/a n/a n/a 25,000 6,774 6,689 17,850 43,273 11,116 11,341 30,220
Day Surgery Weighted Cases/Visits n/a n/a n/a n/a 3,360 754 626 1,873 5,449 1,558 1,305 3,889

Inpatient Mental Health Weighted Cases/Days n/a n/a n/a n/a 17,663 4,508 4,626 12,217 14,500 3,806 3,573 9,564
The declining current ratio at SJHC shows reduced ability of the hospital site to pay back its current
liabilities, this has resulted from ongoing expenditures outstripping revenues generated, which is
mainly a result of expenses incurred on unfunded activity e.g. opening unplanned beds and
unaddressed run rate issues with no offsetting in-year revenues.

Planned capital expenditures are funded through operational surplus and with planned capital
expenditure occurring with negative/deficit contributions from operations, the cash will continue
to drop to a point where hospital may not be able to meet its current liabilities/bills.

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