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Robert Packer Hospital
 Detailed Operating Statement
 For the Period Ending December 31, 2018


 Month to Date                              Year to Date
 Actual  Budget  $ Variance      Actual       Budget      $ Variance


 95,952,666  91,925,962  4,026,704  Patient Service Revenue  604,352,620  597,798,886  6,553,733
 65,791,797  62,180,150  (3,611,647)  Allowances and Uncollectible Accounts  412,500,419  405,179,316  (7,321,103)
 404,631  695,590  290,959  Denials  2,887,778  4,508,428    1,620,651
 173,254  186,628  13,373  Charity Care  1,366,928  1,210,783  (156,145)
 0  0  0  Insurance Incentives          0            0             0


 29,582,984  28,863,594  719,389  Patient Service Revenue Net of Contractual and Other Allowances  187,597,495  186,900,360  697,136

 2,132,407  1,935,544  (196,863)  Provision for Bad Debt  12,363,287  12,598,217  234,930

 27,450,576  26,928,050  522,527  Net Patient Service Revenue  175,234,208  174,302,143  932,066
 1,346,508  937,875  408,633  Operating Revenues and Support  6,580,298  5,830,057  750,240
 0  0  0  Gain on Retirement of Debt    0            0             0
 28,797,084  27,865,925  931,159  Total Operating Revenues  181,814,506  180,132,200  1,682,306

 6,863,427  7,114,898  251,471  Salaries - Non-Provider  41,606,330  44,749,006  3,142,676
 0  0  0  Salaries - Provider           0            0             0
 1,642,482  1,668,400  25,918  Employee Benefits  11,333,155  10,632,970  (700,185)
 6,691,981  5,685,453  (1,006,529)  Purchased Services  41,338,495  34,605,455  (6,733,040)
 1,673,752  1,668,552  (5,200)  Physician Fees  10,770,436  10,174,557  (595,879)
 4,050,229  3,762,835  (287,394)  Supplies  25,081,554  24,104,910  (976,643)
 3,155,686  2,500,856  (654,831)  Pharmaceuticals  18,830,259  15,711,843  (3,118,417)
 220,513  220,513  0  Insurance  1,323,077     1,323,077           0
 1,839,637  1,645,366  (194,272)  Other Expenses  12,007,578  10,195,376  (1,812,202)
 1,235,355  1,294,095  58,740  Depreciation and Amortization  7,279,183  8,125,092  845,908
 324,544  313,591  (10,953)  Interest Expense  1,952,923  1,941,646  (11,277)
 0  0  0  Loss on Early Extinguishment of Debt  0    0             0
 0  0  0  Subsidy                       0            0             0

 27,697,608  25,874,558  (1,823,050)  Operating Expenses  171,522,990  161,563,932  (9,959,058)

 1,099,476  1,991,367  (891,890)  Income From Operations before ARO  10,291,516  18,568,268  (8,276,752)
 0  0  0  Adjustment of Asset Retirement Obligation (ARO)  0  0    0

 1,099,476  1,991,367  (891,890)  Income (Loss) From Operations After ARO  10,291,516  18,568,268  (8,276,752)

 2,339,996  811,613  1,528,383  Investment Interest & Dividend Income  5,521,866  4,966,684  555,181
 1,869,270  0  1,869,270  Gain (Loss) From Sale of Investments  17,654,183  0  17,654,183
 (17,567,737)  0  (17,567,737)  Unrealized Gain (Loss) on Investments  (40,126,745)  0  (40,126,745)
 (90,338)  (93,902)  3,564  Investment Expense  (565,314)  (572,234)  6,920
 (1,683,549)  0  (1,683,549)  Change in Fair Value of Derivative Instrument  (440,673)  0  (440,673)
 (75,873)  (77,017)  1,144  Gain (Loss) on Derivative Instrument  (559,956)  (535,718)  (24,238)
 0  0  0  Restructuring Expense         0            0             0
 0  0  0  Merger Acquistion Cost        0            0             0
 (6,409)  0  (6,409)  Other Gains     (41)           0            (41)

 (15,214,640)  640,694  (15,855,334)  Non Operating Gains  (18,516,680)  3,858,732  (22,375,413)
 (14,115,164)  2,632,060  (16,747,224)  Excess Margin Before Extraordinary Items  (8,225,164)  22,427,001  (30,652,165)

 0  Extraordinary Items                                            0
 (14,115,164)  2,632,060  (16,747,224)  Excess Margin   (8,225,164)  22,427,001  (30,652,165)
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