TO:
Honorable Carlos A. Gimenez
Mayor
Honorable Rebeca Sosa, Chairwoman
and Members, Board of County Commissioners
Darryl K. Sharpton, Chairman
and Members, Public Health Trust Board of Trustees
FROM:
Carlos A. Migoya
President & Chief Executive Officer
DATE:
November 18, 2014
RE:
Fiscal Year 2014 Financial Report
The continued pursuit of excellence at Jackson Health System propelled us to a second
consecutive year with more than $50 million in surplus, even as we expanded programs,
invested in our facilities, and positioned ourselves to make long-deferred increases to our
employees’ compensation. Our caregivers, leaders, and other stakeholders are proving that
public mission, academic partnership, and world-class care can all be accomplished together.
Our community should be proud that Jackson’s treasured mission is more secure than ever.
The bottom line for the year ending September 30, 2014, showed $50.7 million of excess
revenues over expenses – more than four times the budget of $11.6 million. This nearly equaled
the system’s unprecedented surplus of $51.6 million last year, despite a more challenging
environment and more aggressive re-investment in personnel, technology, and infrastructure. It
was accomplished with a backdrop of more unfunded care, with self-pay representing 14.7
percent of total patient days – well ahead of the 13.6 percent in the budget. Jackson must always
provide its high standard of care to all Miami-Dade residents, regardless of their ability to pay,
which further illustrates the need for Jackson to remain financially strong.
Jackson ended 2014 with more than 41 days’ cash on hand, an improvement of nearly 14 days
from the prior year. Other key indicators of the system’s fiscal strength were equally positive –
accounts receivable are under 28 days, and our current ratio stands at 1.05.
More than $31.4 million of the 2014 surplus came directly from operations, rather than from
one-time revenues such as charitable donations or bond-funded reimbursements for capital
expenses. That figure includes a lift of nearly $15.2 million due to sales-tax revenues that
Fiscal Year 2014 Financial Report
Page 2 of 3
exceeded budgeted levels in Miami-Dade County. All three of our hospital divisions – Jackson
Memorial Hospital, Jackson North Medical Center, and Jackson South Community Hospital –
contributed to the operating surplus.
Effective expense management remained a central part of the success. Jackson continued to cut
spending on contracts and purchased services, beating budget by more than 6 percent and even
under-spending the prior year’s total by more than $4.1 million.
Jackson, of course, entirely reinvests its budget surpluses into our operations. When we exceed
our budgeted goals, we can expand and expedite our capital plans, grow our clinical programs,
and ensure that our salary and benefit packages are sufficient to attract and retain the best
employees. When Jackson earns money, our institution and our community benefit.
It would, however, be dangerous to conclude that Jackson’s transformation is complete. To the
contrary, the 2014 utilization data illustrates why we need to wisely but aggressively expand our
footprint. Bluntly put, Jackson served fewer patients in 2014 than 2013. Equivalent admissions
fell by more than 2,700 cases, and surgical volume fell 3.2 percent. Some of this change may be
attributable to the changing face of health care, with increasing focus on wellness and disease
prevention, but Jackson must compete more aggressively in the era of Medicaid managed care
and the increasing number of patients carrying insurance from the federal exchanges created by
the Affordable Care Act.
To that end, Jackson is already taking steps to become more accessible and attractive for a wide
range of patients. In 2015, we will begin work on our new rehabilitation hospital – expected to
become an international destination for care – as well as launching our urgent-care initiative.
We are nurturing further growth in defining programs such as the Miami Transplant Institute,
the Urology Center of Excellence at Jackson South, and our world-famous neurological surgery
service. Major renovations at The Women’s Hospital at Jackson Memorial and Holtz Children’s
Hospital are designed to boost volume in key maternity and pediatric services, as will capital
investments to bring more patients into Jackson North Medical Center. The Jackson MiracleBuilding Bond program will fully launch this month as the Citizens’ Advisory Committee is
empaneled, further empowering Jackson to invest in the programs and equipment that will
define our future.
The other key initiative for 2015 is a disciplined implementation of our new partnership with
employee labor unions. Our new agreements create platforms for cooperation on technology,
staffing levels, and efficiency programs that will increase employment, enhance patient care, and
reduce wasteful spending on overtime and other premium pay. We have a rare opportunity to be
a national role model of labor-management cooperation, and we are fortunate to have
employees who are eager to be a part of that work.
The challenges that face Jackson in 2015 are entirely different from those we faced when this
transformation began in 2011, but they are no less daunting. The post-crisis version of Jackson
must meet the needs of patients and communities in the next generation of health care. We
must be learning from best practices around the world without being afraid to blaze our own
trail of innovation.
We draw our confidence from our team. The world’s best collection of nurses, doctors,
therapists, and other caregivers is backed by an energized management team, a visionary Public
Health Trust Board of Trustees, a peerless academic partnership, an inspiring family of
community stakeholders, and an engaged family of elected officials in Miami, Tallahassee, and
Washington. Without any one of these ingredients, our progress would have been impossible.
Fiscal Year 2014 Financial Report
Page 3 of 3
Our executive team is privileged to work in this environment. We look forward to further
implementing the strategies created by Trust Board Chairman Darryl K. Sharpton and his
colleagues on behalf of Miami-Dade’s residents. Together we are building the future of
healthcare for the benefit of our entire community.
If you have any questions, please feel free to call me.
Attachment
c:
Honorable Bill Nelson, U.S. Senate
Honorable Marco Rubio, U.S. Senate
Honorable Frederica Wilson, U.S. House of Representatives
Honorable Ileana Ros-Lehtinen, U.S. House of Representatives
Honorable Debbie Wasserman Schultz, U.S. House of Representatives
Honorable Mario Diaz-Balart, U.S. House of Representatives
Honorable Joe Garcia, U.S. House of Representatives
Honorable Eduardo Gonzalez, Chairman
and Members, Miami-Dade Legislative Delegation
PUBLIC HEALTH TRUST
JACKSON HEALTH SYSTEM
COMBINED FINANCIAL STATEMENTS
September 30, 2014
PUBLIC HEALTH TRUST
JACKSON HEALTH SYSTEM
COMBINED FINANCIAL STATEMENTS
September 30, 2014
INDEX
1.
Key Performance Indicators 2.
Combined Balance Sheet 3.
Combined Statement of Revenues, Expenses & Changes in Fund Net Assets 3A. Combined Statement of Revenues, Expenses & Changes in Fund Net Assets
excluding Division of Managed Care
4. P &L 12 Month Trend Analysis 5.
Combining Statement of Revenue & Expense Reflecting Allocated Corporate
Overhead & Public Support Funding /Month
6.
Combining Statement of Revenue & Expenses Reflecting Allocated
Corporate Overhead & Public Support Funding /YTD
7.
Combining Statement of Revenue & Expenses by Company
8.
Combined Statement of Unrestricted/Restricted Cash Flow
9.
Consolidated Portfolio Inventory Summary by Security /Account Type
10.
Sales Tax Monthly Income Trend Analysis
11.
Payor Mix Patient Days as % of Total Fiscal Year 2013-2014
NEW KEY PERFORMANCE INDICATORS
Fiscal Year 2014
(Dollars in 000)
YTD
Benchmark
Status
JHS Financial
Net Patient Revenue
(2) Other Operating Revenue
(4) Total Operating Revenue
(6) Total Operating Expenses
(7) Gain and (Loss) from Operations
(8) Total Net Non-operating Items (before GOB & Special Contributions)
(9) Excess of Revs Over (Under) Expenses before GOB & Special Contrib.
(10) GOB & Special Contributions
(11) Excess of Revenues Over (Under) Expenses
(a)
(b)
(e)
Sep-14
Actual
Sep-14
Budget
Sep-13
Actual
(d)
100,529
19,488
120,017
138,951
(18,934)
30,464
11,530
1,378
12,908
83,530
10,085
93,615
121,591
(27,976)
29,540
1,564
1,564
95,290
18,433
113,723
132,265
(18,542)
30,971
12,429
1,381
13,810
17,792
11,420
28,909
16,567
11,492
21,000
17,669
11,094
4,636
1,225
(71)
7,909
(e)
$ Variance
Budget
Prior
% Variance
Budget
Prior
(f)
(g)
(h)
(i)
Aug-14
Actual
YTD
Actual
YTD
Budget
YTD
2013
A
(j)
(k)
(l)
$ YTD Variance
Budget
Prior
% YTD Variance
Budget
Prior
A
Unrestricted Health Care Surtax
Miami Dade County Unrestricted Funds
(14) Discharged Not Final Billed (DNFB) HIM












Financial Ratios
Net Patient Revenue per Adjusted Patient Day
(16) Total Cost per Adjusted Patient Day


2,255
3,117
1,805
2,628
2,096
2,909
449
(489)
159
(208)
24.9%
(18.6)%
7.6%
(7.1)%
2,084
2,765
1,890
2,793
1,804
2,688
1,801
2,701
86
(105)
384
(99)
4.8%
(3.9)%
25.5%
(3.7)%




27.83
41.38
1.05
0.48
45.00
27.10
0.99
0.31
46.79
27.59
0.99
0.30
(17.17)
14.28
0.06
0.17
(18.96)
13.79
0.06
0.18
(38.2)%
52.7%
6.5%
55.4%
(40.5)%
50.0%
6.5%
(40.5)%
38.30
26.52
1.04
0.30
27.83
41.38
1.05
0.48
45.00
27.10
0.99
0.31
46.79
27.59
0.99
0.30
(17.17)
14.28
0.06
0.17
(18.96)
13.79
0.06
0.18
(38.2)%
52.7%
6.5%
55.4%
(40.5)%
50.0%
6.5%
(40.5)%
(150)
(81)
(231)
69
(305)
(236)
(3.1)%
(6.8)%
(3.8)%
1.5%
(21.5)%
(3.9)%
4,685
1,121
5,806
56,432
14,159
70,591
58,106
14,069
72,175
57,877
15,435
73,312
(1,674)
91
(1,583)
(1,445)
(1,276)
(2,721)
(2.9)%
0.6%
(2.2)%
(2.5)%
(8.3)%
(3.7)%
(7.6)%
(782)
0.05
(1,391)
(22)
(1.79)%
0.6%
(232)
(0.15)
2,655
(9)
0.19%
(10.4)%
(2.4)%
0.7%
(4.8)%
(1.9)%
(77.3)%
0.9%
(0.7)%
(2.2)%
10.6%
(0.8)%
4.3%
62.77%
32,515
6.94
27,291
1,105
4.29%
66.05%
388,183
6.88
305,437
13,522
4.02%
73.48%
394,619
6.79
353,999
13,435
2.31%
64.29%
398,162
6.88
334,590
13,957
3.60%
(7.4)%
(6,436)
0.09
(48,562)
87
(1.71)%
1.8%
(9,979)
(0.00)
(29,153)
(435)
(0.42)%
(10.1)%
(1.6)%
1.3%
(13.7)%
0.6%
(74.3)%
2.7%
(2.5)%
(0.0)%
(8.7)%
(3.1)%
(11.6)%
(1)
(12)
(13)
(15)
Liquidity Indicators
Days Net in Receivable
(18) Days (Unrestricted) Cash on Hand
(19) Current Ratio
(20) Cash (Unrestricted) to Debt Ratio
(17)
45.9
174.8
2.4
1.29
Utilization
Admissions excl. Newborn
(22) Observation Equivalent Days
Total equivalent admissions
(21)
Admissions % through ED
Hospital Patient Census Days excl. Newborn
(24) Average Length of Stay
(25) Outpatient Visits
(26) JMH Number of O/R Cases
(27) Overtime % of Productive Hours
(22)
(23)
FTE's
JHS FTE per Adjusted Occupied Bed
(29) Jackson Health System FTE's
(28)
4.5
6.65
Payor Mix Self Pay Patient Days as % of Total
Jackson Memorial Hospital
(31) Jackson North
(32) Jackson South
(33) Inpatient Charges as Percent of Total
(34) Realization Rate
(30)
Key:
16,999
9,403
26,402
(17,359)
9,042
923
9,965
1,378
11,344
174,452
(159,505)
14,947
15,339
(392)
(508)
(900)
(3)
(902)
20.4%
93.2%
28.2%
(14.3)%
32.3%
3.1%
637.2%
0.0%
725.3%
236.0%
(89.1)%
14.2%
12.4%
(2.1)%
(1.6)%
(7.2)%
(0.2)%
(6.5)%
94,671
8,046
102,717
125,590
(22,873)
31,438
8,565
1,455
10,020
1,024,225
140,736
1,164,961
1,513,519
(348,558)
380,031
31,472
19,190
50,662
1,005,096
136,391
1,141,487
1,497,651
(356,165)
367,766
11,601
11,601
1,015,080
181,543
1,196,623
1,521,887
(325,264)
364,203
38,939
12,610
51,550
19,129
4,346
23,474
(15,868)
7,606
12,265
19,871
19,190
39,061
178,355
(201,365)
(23,010)
(284)
(23,294)
15,828
(7,467)
6,580
(887)
1.9%
3.2%
2.1%
(1.1)%
2.1%
3.3%
171.3%
0.0%
336.7%
21.1%
(58.9)%
(1.9)%
(0.0)%
(7.2)%
4.3%
(19.2)%
52.2%
(1.7)%
124
327
24,273
7.4%
(0.6)%
37.7%
0.7%
2.9%
523.5%
18,547
11,420
38,556
227,029
137,402
28,909
211,840
137,901
21,000
216,164
133,127
8,352
15,189
(499)
7,909
10,866
4,275
20,557
7.2%
(0.4)%
37.7%
5.0%
3.2%
246.2%









4,698
1,112
5,810
4,848
1,193
6,041
4,629
1,416
6,045
65.16%
32,132
6.84
27,679
1,097
4.11%
72.72%
32,914
6.79
29,070
1,119
2.32%
64.57%
32,364
6.99
25,024
1,106
4.30%


6.91
10,270
6.54
10,080
6.70
10,159
(0.38)
(190)
(0.21)
(111)
(5.7)%
(1.9)%
(3.1)%
(1.1)%
7.00
10,261
6.83
10,142
6.60
10,067
6.46
9,970
(0.24)
(75)
(0.37)
(172)
(3.6)%
(0.7)%
(5.8)%
(1.7)%





15.73%
9.34%
14.92%
72.07%
29.82%
13.76%
11.30%
15.45%
71.14%
25.04%
13.90%
14.10%
19.40%
71.19%
27.97%
-1.97%
1.96%
0.53%
-0.93%
-4.78%
-1.83%
4.76%
4.48%
-0.88%
-1.85%
(14.3)%
17.3%
3.4%
(1.3)%
(19.1)%
(13.2)%
33.7%
23.1%
(1.2)%
(6.6)%
14.80%
12.61%
16.70%
71.58%
27.03%
15.41%
10.02%
15.35%
71.64%
24.45%
13.76%
11.25%
15.50%
70.83%
25.06%
13.60%
10.90%
15.10%
70.66%
24.79%
-1.65%
1.23%
0.15%
-0.81%
0.61%
-1.81%
0.88%
-0.25%
-0.98%
0.34%
(12.0)%
10.9%
1.0%
(1.1)%
2.4%
(13.3)%
8.1%
(1.7)%
(1.4)%
1.4%



Positive variance or no major concerns
Year-to-date numbers are ok or explained, but concern for future trend
Negative variance or area of current concern
Variance are Favorable (positive number) and Unfavorable (negative number)
Note:
FY 13 - MTD & YTD Net patient revenue and Other operating revenue are adjusted for DSH reclass for consistency
A
FS‐1
Public Health Trust of Miami-Dade County (Consolidated)
Combined Balance Sheet
September 2014
(Amounts in thousands)
Sep 14
Aug 14
Dollar Change
Sep 13
Dollar Change
ASSETS:
Cash and Investments
Cash and Investments Restricted
Cash and Investments Limited as to Use
Gross Patient Accounts Receivable
Allowances for Contractuals and Bad Debt
Net Accounts Receivable
Third Party Receivable
Due From Miami-Dade County
Other Receivables - Restricted
Inventories
Prepaid Expenses and Other Current Assets
Total Current Assets
Due From Restricted Funds
Cash and Investments Limited as to Use - LT
Cash and Investments Restricted - LT
Capital Assets, Net
Other Assets
103,317
12,889
62,840
669,980
(563,058)
106,922
60,130
(1,365)
(61,092)
(33,950)
5,127
(28,824)
105,367
15,774
7,827
594,645
(464,531)
130,113
58,079
(4,250)
(6,079)
41,385
(93,400)
(52,015)
164,876
37,444
3,662
25,860
4,694
110,740
36,027
3,478
24,208
5,033
54,136
1,417
184
1,652
(339)
155,606
35,511
3,228
24,245
4,373
9,270
1,933
434
1,615
321
491,353
465,453
25,900
482,044
9,308
(0)
34,903
53,179
460,151
6,394
(0)
34,752
53,610
454,057
6,417
0
28,582
59,441
444,744
6,715
(0)
6,321
(6,262)
15,408
(321)
554,627
Total Non-Current Assets
Total Assets
163,446
11,524
1,747
636,030
(557,932)
78,098
$
1,045,980
Total Current Liabilities
Long Term Debts, Excluding Current Portion
Other Liabilities
Total Liabilities
5,791
548,835
$
8,005
120,033
137,603
145,005
20,762
1,758
32,670
Current Portion of Long Term Debt
Accounts Payable and Accrued Expenses
Accrued Salaries and Payroll Taxes Withheld
Due to Other Third Party
Due to Miami-Dade County
Other Restricted
Other Current Liabilities
0
150
(430)
6,094
(23)
1,014,288
$
31,691
8,005
110,526
132,658
138,971
15,000
1,450
40,652
0
9,507
4,945
6,034
5,762
308
(7,982)
465,836
447,262
335,466
54,406
335,437
54,226
855,708
539,481
$
1,021,526
15,146
$
24,454
7,645
129,944
141,813
139,036
15,207
6,051
48,046
360
(9,911)
(4,210)
5,968
5,555
(4,293)
(15,376)
18,574
487,741
(21,905)
29
180
343,126
51,049
(7,660)
3,357
836,925
18,783
881,917
(26,208)
9,408
167,366
13,498
3,895
161,707
11,762
5,513
5,659
1,736
(24,737)
150,504
13,842
34,144
16,862
(344)
190,271
177,363
12,908
139,609
50,662
NET ASSETS:
Unrestricted Net Assets
Invested in Capital Assets
Restricted Net Assets
Total Net Assets
Total Liabilities & Net Assets
$
1,045,980
$
1,014,288
$
Notes
*
Reserves for AR is comprised of $424 million in cont. adjustments, $34 million in charity care
and $100 million in prov. for doubtful accounts.
**
Amounts due to the University total $15.7 million reported in other current liab.
FS-2
31,691
$
1,021,526
$
24,454
Combined Statement of Revenue, Expenses & Change in Fund Net Assets
Public Health Trust of Miami-Dade County
September 2014
(Amounts in thousands)
12 Months Ended September 30, 2014
Month of September 2014
% Variance
Sep 14
Sep 14
Sep 13
$ Variance
Actual
Budget
Actual
98,202
81,255
(66,532)
16,947
164,734
90
261
(626)
(170)
716
(65)%
Budget
Prior
Budget
21 % (248)%
142
178
134
(36)
8
(20)%
2,094
1,837
1,753
258
341
14 %
100,529
83,530
(65,270)
16,999
165,799
(81)
3
4,260
(84)
(4,342)
Prior
20 %
Hospital and physician services
(114)% Community Medical Practices
6%
Primary Care Centers
19 % Continuing Care (SNF)
(254)%
Sep 14
Sep 14
Sep 13
Actual YTD
Budget YTD
Actual YTD
995,624
977,427
830,199
2,268
3,128
1,130
$ Variance
% Variance
Budget
Prior
18,198
165,425
2%
20 %
1,138
(27)%
101 %
(860)
Budget
Prior
1,857
2,164
1,824
(307)
33
(14)%
2%
24,475
22,377
21,371
2,099
3,105
9%
15 %
1,024,225
1,005,096
854,523
19,129
169,702
2%
20 %
(2631)% (102)%Division of Managed Care
25,095
28,026
77,244
(2,931)
(52,149)
(10)%
(68)%
Net Patient Service Revenue
3,939
1,763
4,372
2,175
(433)
123 %
(10)%
Grants Revenue
25,932
21,096
23,468
4,836
2,464
23 %
10 %
15,630
8,318
170,360
7,312
(154,730)
88 %
(91)%
Other Operating Revenue
89,709
87,269
241,389
2,440
(151,680)
3%
(63)%
120,017
93,615
113,723
26,402
6,294
28 %
6%
1,164,961
1,141,487
1,196,624
23,474
(31,663)
2%
(3)%
87,992
67,800
73,189
(20,191)
(14,802)
(30)%
(20)%
Salaries & Related Costs
869,254
820,720
819,246
(48,534)
(50,008)
(6)%
(6)%
27,383
30,273
31,328
2,891
3,945
10 %
13 %
Contractual and Purchased Serv.
340,459
361,926
344,565
21,467
4,105
6%
1%
(107)
9
5,725
116
5,833
23,012
27,319
79,035
4,306
56,023
16 %
71 %
15,964
16,224
19,884
261
3,920
1334 % 102 % Division of Managed Care - Paid Claims
2%
20 % Supplies
4,909
4,247
5,140
(662)
231
(16)%
1,344
1,428
1,458
84
114
1,467
1,609
(4,460)
142
(5,927)
138,951
121,591
132,265
(17,359)
(18,934)
(27,976)
(18,542)
9,042
Total Operating Revenue
196,677
195,689
196,092
(989)
(585)
(1)%
0%
4%
Depreciation
49,816
55,516
56,769
5,700
6,952
10 %
12 %
6%
8%
Interest
16,432
17,141
17,147
709
714
4%
4%
9%
133 %
Other Operating Expenses
17,868
19,340
9,034
1,472
(8,834)
8%
(98)%
(6,686)
(14)%
(5)%
Total Operating Expenses
1,513,519
1,497,651
1,521,888
(15,868)
8,369
(1)%
1%
(392)
32 %
(2)%
Gain (Loss) From Operations
(348,558)
(356,165)
(325,264)
7,606
(23,294)
2%
(7)%
39
49
(334)
(9)
373
(19)% (112)%
Investment Income
1,212
1,433
2,543
(221)
(1,331)
(15)%
(52)%
Other Income
471
592
291
(121)
180
(20)%
62 %
15,128
17,433
14,621
(2,304)
507
(13)%
11,420
11,492
11,094
(71)
327
(1)%
3%
3%
Dade County Unrestricted Funds
137,402
137,901
133,127
(499)
4,275
0%
17,792
16,567
17,669
1,225
124
7%
1%
3%
Unrestricted Health Care Surtax
227,029
211,840
216,164
15,189
10,866
7%
5%
30,464
29,540
30,971
923
(508)
3%
(2)%
380,031
367,766
364,203
12,265
15,828
3%
4%
11,530
1,564
12,429
9,965
(900)
637 %
0
0
(1,192)
0
1,192
31,472
11,601
38,939
19,871
(7,467)
171 %
19 %
0
0
0
0
0
0%
0
0
0
0
0
0%
0%
0%
3,877
0
2,267
3,877
1,610
0%
71 %
1,378
0
2,573
1,378
(1,195)
0%
(46)%
15,313
0
10,343
15,313
4,970
0%
48 %
12,908
1,564
13,810
11,344
(902)
725 %
50,662
11,601
51,550
39,061
337 %
2%
Total Non-Operating Gain Net
(7)% Revenue & Gain in Excess of Exp. & Loss
Capital Contributions – Grants and Other
0 % (100)%
JM Foundation
Miami Dade County GOB
(7)% Revenue & Gain after Extraordinary Loss
FS-3
(887)
Combined Statement of Revenue, Expenses & Change in Fund Net Assets
Public Health Trust of Miami-Dade County
excluding Division of Managed Care
September 2014
(Amounts in thousands)
12 Months Ended September 30, 2014
Month of September 2014
% Variance
Sep 14
Sep 14
Sep 13
$ Variance
Actual
Budget
Actual
98,202
81,255
(66,532)
16,947
164,734
90
261
(626)
(170)
716
(65)%
Budget
Prior
Budget
Prior
21 % (248)%
Hospital and physician services
(114)% Community Medical Practices
142
178
134
(36)
8
(20)%
2,094
1,837
1,753
258
341
14 %
6%
100,529
83,530
(65,270)
16,999
165,799
20 %
(254)%
Primary Care Centers
19 % Continuing Care (SNF)
Net Patient Service Revenue
Sep 14
Sep 14
Sep 13
Actual YTD
Budget YTD
Actual YTD
995,624
977,427
830,199
2,268
3,128
1,130
$ Variance
% Variance
Budget
Prior
18,198
165,425
2%
20 %
1,138
(27)%
101 %
(860)
Budget
Prior
1,857
2,164
1,824
(307)
33
(14)%
2%
24,475
22,377
21,371
2,099
3,105
9%
15 %
1,024,225
1,005,096
854,523
19,129
169,702
2%
20 %
3,939
1,763
4,372
2,175
(433)
123 %
(10)%
Grants Revenue
25,932
21,096
23,468
4,836
2,464
23 %
10 %
15,630
8,318
170,360
7,312
(154,730)
88 %
(91)%
Other Operating Revenue
89,709
87,269
241,389
2,440
(151,680)
3%
(63)%
120,098
93,612
109,462
26,486
10,636
28 %
10 %
1,139,866
1,113,460
1,119,380
26,406
20,486
2%
2%
87,992
67,800
73,189
(20,191)
(14,802)
(30)%
(20)%
Salaries & Related Costs
869,254
820,720
819,246
(48,534)
(50,008)
(6)%
(6)%
27,383
30,273
31,328
2,891
3,945
10 %
13 %
Contractual and Purchased Serv.
340,459
361,926
344,565
21,467
4,105
6%
1%
15,964
16,224
19,884
261
3,920
2%
20 %
Supplies
196,677
195,689
196,092
(989)
(585)
(1)%
0%
4,904
4,242
5,135
(662)
231
(16)%
5%
Depreciation
49,748
55,447
56,700
5,700
6,952
10 %
12 %
1,344
1,428
1,458
84
114
6%
8%
Interest
16,432
17,141
17,147
709
714
4%
4%
1,467
1,609
(4,460)
142
(5,927)
9%
133 %
Other Operating Expenses
17,868
19,340
9,034
1,472
(8,834)
8%
(98)%
139,053
121,577
126,534
(17,476)
(12,518)
(14)%
(10)%
Total Operating Expenses
1,490,438
1,470,264
1,442,784
(20,175)
(47,655)
(1)%
(3)%
(18,955)
(27,965)
(17,072)
9,010
(1,883)
32 %
(11)%
Gain (Loss) From Operations
(350,573)
(356,804)
(323,403)
6,231
(27,169)
2%
(8)%
Total Operating Revenue
39
47
(338)
(8)
377
(16)% (112)%
Investment Income
1,212
1,433
2,543
(221)
(1,331)
(15)%
(52)%
Other Income
469
571
272
(102)
196
(18)%
72 %
15,128
17,433
14,621
(2,304)
507
(13)%
11,420
11,492
11,094
(71)
327
(1)%
3%
3%
Dade County Unrestricted Funds
137,402
137,901
133,127
(499)
4,275
0%
17,792
16,567
17,669
1,225
124
7%
1%
3%
Unrestricted Health Care Surtax
227,029
211,840
216,164
15,189
10,866
7%
5%
30,464
29,539
30,968
925
(504)
3%
(2)%
380,028
367,745
364,184
12,284
15,844
3%
4%
11,509
1,574
13,896
9,935
(2,387)
631 %
0
0
(1,192)
0
1,192
29,456
10,941
40,781
18,515
(11,325)
169 %
28 %
0
0
0
0
0
0%
0
0
0
0
0
0%
0%
0%
3,877
0
2,267
3,877
1,610
0%
71 %
1,378
0
2,573
1,378
(1,195)
0%
(46)%
15,313
0
10,343
15,313
4,970
0%
48 %
12,887
1,574
15,277
11,314
(2,390)
719 %
48,646
10,941
53,391
37,705
(4,745)
345 %
9%
Total Non-Operating Gain Net
17 % Revenue & Gain in Excess of Exp. & Loss
Capital Contributions – Grants and Other
0 % (100)%
JM Foundation
Miami Dade County GOB
16 % Revenue & Gain after Extraordinary Loss
FS-3A
P & L 12 Month Trend Analysis
Public Health Trust of Miami-Dade County
September 2014
Inpatient Services
Ambulatory Services
Gross Patient Service Revenue
Contractual Adjustments
Sep 14
Aug 14
Jul 14
Jun 14
May 14
Apr 14
Mar 14
Feb 14
255,057
250,718
252,041
231,836
246,848
251,296
267,875
242,574
255,940
Jan 14
250,081
Dec 13
243,610
Nov 13
253,435
Oct 13
98,822
99,537
96,908
96,084
102,227
100,988
101,330
94,021
99,148
94,869
94,632
109,701
353,878
350,254
348,949
327,920
349,075
352,284
369,204
336,595
355,088
344,950
338,242
363,136
184,597
180,827
202,479
185,068
198,980
199,610
210,340
191,375
199,870
190,714
187,954
202,970
33,614
27,815
28,192
24,380
24,702
26,637
29,077
29,200
28,357
29,605
25,886
28,658
Net Patient Revenue Adjustment
0
0
0
0
0
0
0
0
0
0
0
0
Provision for Doubtful Accounts
40,937
46,564
39,152
35,916
36,132
37,540
42,107
38,151
44,812
47,147
42,363
43,622
253,349
255,583
266,011
245,687
261,749
266,228
281,647
257,883
274,287
263,746
258,975
280,206
100,529
94,671
82,939
82,234
87,326
86,056
87,558
78,712
80,801
81,204
79,267
82,929
Charity Care
Total Deductions From Revenue
Net Patient Service Revenue
Division of Managed Care
(81)
(76)
(43)
1,607
2,126
2,140
3,160
2,994
3,451
3,433
3,175
3,209
Other Operating Revenue
15,630
6,325
9,681
6,650
6,756
7,188
5,696
6,045
6,386
6,294
6,319
6,739
3,939
1,797
2,730
2,346
1,952
1,459
2,367
1,830
1,725
1,464
1,874
2,450
95,327
Grants Revenue
120,017
102,717
92,837
98,160
96,843
98,781
89,580
92,362
92,395
90,636
Salaries & Related Costs
87,992
73,610
72,397
73,310
75,194
71,932
73,976
67,632
67,734
68,239
67,563
69,676
Contractual and Purchased Services
27,383
28,267
26,116
26,167
28,931
28,676
28,314
29,453
29,136
29,214
28,744
30,059
Supplies
15,964
16,879
17,441
16,034
16,158
16,038
18,697
16,339
15,413
16,134
15,609
15,971
(107)
111
135
1,369
1,966
1,997
3,077
1,109
3,300
3,935
3,034
3,086
1,344
1,310
1,314
1,346
1,370
1,361
1,363
1,388
1,406
1,421
1,398
1,411
Provision for Self-Insured Claims
560
553
554
554
554
554
551
549
551
551
551
551
Public Med/Assist. Trust F. Assess
907
907
907
946
946
933
946
952
946
946
946
952
4,909
3,952
3,981
3,860
3,959
3,917
4,095
4,123
4,242
4,312
4,327
4,137
0
0
0
0
0
0
0
0
0
0
0
0
138,951
125,590
122,845
123,586
129,078
125,409
131,019
121,547
122,728
124,751
122,172
125,845
(18,934)
(22,873)
(27,539)
(30,749)
(30,918)
(28,566)
(32,237)
(31,967)
(30,366)
(32,355)
(31,536)
(30,518)
1,235
1,429
1,235
1,170
1,752
1,170
1,170
1,170
1,170
1,040
1,235
1,235
Interest Income - Non. Operating
40
36
23
47
61
69
35
39
43
22
26
43
Unrealized Gains and Losses
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(23)
7
(1,604)
290
161
241
282
159
172
109
170
156
Dade County Unrestricted Funds
11,420
11,420
11,420
11,420
11,420
11,420
11,420
11,492
11,492
11,492
11,492
11,492
Unrestricted Health Care Surtax
17,792
18,547
18,341
19,279
20,961
18,667
18,568
22,412
18,906
17,529
19,154
16,873
30,464
31,438
29,413
32,205
34,355
31,567
31,475
35,270
31,781
30,191
32,075
29,797
11,530
8,565
1,875
Total Operating Revenue
Division of Managed Care Paid Claims
Interest
Depreciation
Other Operating Expenses
Total Operating Expenses
Gain (Loss) From Operations
Med. Edu. and Tert. Care Fund
Other Non-Operating
TOTAL Non-Operating Gain Net
95,306
1,456
3,437
3,000
(762)
3,304
1,415
(2,165)
539
(721)
Capital Contributions – Grants and Other
0
0
0
0
0
0
0
0
0
0
0
0
JM Contributions
0
0
2,662
425
0
0
350
0
0
440
0
0
1,378
1,455
1,730
1,741
1,286
1,304
2,188
647
978
761
658
1,186
12,908
10,020
3,622
4,723
4,304
1,776
3,951
2,394
(963)
1,197
465
Revenue & Gain in Excess of Exp. & Loss
Miami Dade Cty. GOB
Revenue & Gain after Extraordinary Loss
6,266
FS-4
Jackson Health System
Sept 2014 Actual
Combining Statement of Revenue & Expense Reflecting Allocated Corporate Overhead & Public Support Funding
Jackson
Memorial
Hospital
Jackson
South
Jackson
North
Physician JHS Health
Services
Plan
Nursing
Homes
Corrections
Health
Services
Primary
Care
Jackson
Medical
Towers
Total
Total Gross Inpatient Revenue
Total Gross Outpatient Revenue
197,105
70,451
19,582
13,543
35,319
12,056
Total Gross Revenue
Total Deductions from Revenue
267,556
-188,881
33,125
-24,339
47,375
-36,634
Total Net Patient Revenue
78,675
8,786
Other Operating Revenue
Managed Care Revenue
Grant Revenue
12,459
870
Total Other Operating Revenue
16,283
870
979
875
-81
-90
172
480
19,488
Total Revenue
94,958
9,657
11,720
965
-81
2,005
314
480
120,017
Operating Expenses
Salaries & Wages
Benefits
55,756
16,186
3,753
765
4,298
852
1,225
168
1,535
407
622
173
1,854
316
60
20
69,104
18,888
Total Salaries & Benefits
71,942
4,518
5,151
1,394
1,941
795
2,170
80
87,992
Purchased Services
Managed Care Paid Claims
UM AOA Purchased Service
11,354
2
9,585
1,305
2,986
633
-108
349
593
119
108
146
121
-17
75
23
17,340
2
9,933
Total Purchased Service
20,940
1,451
3,108
633
-107
332
668
142
108
27,275
Supplies
12,109
1,684
1,462
44
358
70
226
10
15,964
104,991
7,653
9,720
2,071
-107
2,632
1,534
2,539
199
131,230
3,345
1,317
448
701
1,025
393
11
6
42
9
1
77
27
20
88
90
118
4,909
1,344
560
907
Total Direct Operating Cost
Depreciation
Interest
Self Insurance
HCCB Assessment
Other Operating Expense
871
3,051
356
1,545
255,057
98,822
871
-780
3,407
-1,313
1,545
-1,403
353,878
-253,349
10,741
90
2,094
142
979
875
-90
57
100,529
480
-81
3,824
115
2
15,630
-81
3,939
5,811
1,134
600
11
6
42
11
1
104
7,720
110,802
8,787
10,321
2,082
-102
2,674
1,545
2,539
303
138,951
5
238
39
107
16
377
61
444
114
1,402
6
281
48
122
19
539
80
634
170
1,899
1
57
9
17
4
7
2
74
12
70
5
7
27
8
1
3
1
6
26
122
-4
-2
27
223
1
40
7
21
3
18
42
21
25
179
2
69
11
46
5
7
Total Allocated Corporate Services
Total Expenses Subject to Allocation
52
2,334
381
1,374
154
3,049
550
3,582
898
12,374
-16,374
13
152
5
24
Total Operating Expenses Including
Allocations
106,802
10,189
12,220
2,204
-103
2,898
1,723
2,692
327
138,951
-11,844
-532
-500
-1,239
22
-893
-1,410
-2,692
153
-18,934
Total Other Operating Cost
Total Operating Expenses Before
Allocations
Allocated Corporate Services:
Clinical Trials Office
Corporate Administration
Financial Services
Human Resources
Integrity
Information Technology
Public Safety
Revenue Cycle Management
Strategic Sourcing
Excess of Operating Revenue over
(under) Operating Expenses
-3
-1
6
69
3,099
508
1,761
205
4,018
760
4,681
1,275
16,374
-16,374
Non Operating Revenue and Expenses
Investment Income
Unrestricted Health Care Surtax
Miami Dade County Unrestricted Funds
Other Income
JMH Foundation
40
17,792
11,420
1,214
Total Non Operating Revenue
-1
-3
40
17,792
11,420
1,211
-3
30,464
30,464
30,467
-1
Redistribution of Revenue
-5,419
2,425
2,398
252
344
Total Non Operating Revenue After
Redistribution
252
344
-3
-641
-1,065
-2,694
25,048
2,424
2,398
Excess of Revenue over (under)
Expenses before GOB and County
Special Contributions
13,204
1,892
1,898
Miami Dade County GOB Contributions
Miami Dade County Special Contributions
1,378
Total Miami Dade GOB and Special
Contributions
1,378
Excess of Revenue over (under)
Expenses
14,583
-1,239
22
153
11,530
1,378
1,378
1,892
1,898
-1,239
FS-5
22
-641
-1,065
-2,694
153
12,908
Jackson Health System
Sept 2014 YTD Actual
Combining Statement of Revenue & Expense Reflecting Allocated Corporate Overhead & Public Support Funding
Jackson
Memorial
Hospital
Jackson
South
Jackson
North
Total Gross Inpatient Revenue
Total Gross Outpatient Revenue
2,305,896
862,630
235,871
148,210
422,399
140,539
Total Gross Revenue
Total Deductions from Revenue
3,168,526
-2,409,577
384,081
-280,679
758,949
68,018
Total Net Patient Revenue
Other Operating Revenue
Managed Care Revenue
Grant Revenue
Physician JHS Health
Services
Plan
Nursing
Homes
Primary
Care
Corrections
Health
Services
13,125
37,144
4,513
19,249
562,938
-429,666
13,125
-10,857
41,657
-17,182
19,249
-17,392
1
103,402
133,272
2,268
24,475
1,857
1
3,465
2,556
9,594
-117
787
1
Jackson
Medical
Towers
3,001,310
1,188,266
4,189,576
-3,165,351
1,024,225
5,406
25,095
24,772
Total
1,160
89,709
25,095
25,932
92,790
3,465
2,556
9,594
25,095
-117
1,946
1
5,406
140,736
Total Revenue
851,740
106,867
135,828
11,862
25,095
24,358
3,804
2
5,406
1,164,961
Operating Expenses
Salaries & Wages
Benefits
551,476
127,615
45,115
9,001
50,875
9,732
14,384
2,247
18,825
4,965
7,866
1,822
20,755
3,764
636
175
709,932
159,322
Total Salaries & Benefits
679,091
54,116
60,607
16,631
23,790
9,688
24,519
811
869,254
Purchased Services
Managed Care Paid Claims
UM AOA Purchased Service
164,286
1
107,879
15,230
31,219
6,905
1,739
21,273
4,036
8,050
1,319
1,275
138
117
54
-73
23
234,059
21,274
108,138
Total Purchased Service
272,167
15,368
31,336
6,905
23,012
4,090
7,976
1,342
1,275
363,471
Supplies
156,542
16,136
17,850
383
2,817
650
1,894
406
196,677
1,107,800
85,620
109,793
23,919
23,012
30,697
18,315
27,755
2,492
1,429,403
34,999
16,102
5,287
8,773
10,180
3,590
-4
1,076
1,441
125
69
507
117
14
216
335
49,816
16,432
6,632
11,236
Total Other Operating Revenue
Total Direct Operating Cost
Depreciation
Interest
Self Insurance
HCCB Assessment
Other Operating Expense
245
1,021
24
65,161
11,446
6,103
125
69
507
141
14
551
84,117
1,172,961
97,066
115,896
24,044
23,081
31,204
18,455
27,769
3,043
1,513,519
64
2,712
534
1,131
171
4,843
671
4,717
1,118
15,960
76
3,240
649
1,287
204
7,091
875
6,913
1,750
22,085
16
673
132
173
42
81
1
51
11
20
872
168
738
55
83
292
2
85
17
31
5
76
260
1,377
62
204
244
2,473
12
518
105
195
33
246
467
236
310
2,123
18
776
147
464
49
82
Total Allocated Corporate Services
Total Expenses Subject to Allocation
573
24,439
4,847
14,424
1,537
40,731
4,961
38,912
11,440
141,865
-188,014
115
1,651
60
277
782
33,366
6,610
18,442
2,099
53,311
7,265
50,779
15,360
188,014
-188,014
Total Operating Expenses Including
Allocations
1,126,812
113,026
137,981
25,421
23,285
33,677
20,578
29,420
3,319
1,513,519
-275,072
-6,159
-2,153
-13,559
1,811
-9,318
-16,775
-29,419
2,086
-348,558
Total Other Operating Cost
Total Operating Expenses Before
Allocations
Allocated Corporate Services:
Clinical Trials Office
Corporate Administration
Financial Services
Human Resources
Integrity
Information Technology
Public Safety
Revenue Cycle Management
Strategic Sourcing
Excess of Operating Revenue over (under)
Operating Expenses
3
75
Non Operating Revenue and Expenses
Investment Income
Unrestricted Health Care Surtax
Miami Dade County Unrestricted Funds
Other Income
JMH Foundation
479
227,029
137,402
15,191
3,877
Total Non Operating Revenue
2
-10
-60
383,978
-10
-60
Redistribution of Revenue
-67,459
29,413
30,328
Total Non Operating Revenue After
Redistribution
316,519
29,403
30,268
41,447
23,244
28,115
Excess of Revenue over (under) Expenses
before GOB and County Special
Contributions
Miami Dade County GOB Contributions
Miami Dade County Special Contributions
481
227,029
137,402
15,118
3,877
-3
2
-13,559
-3
383,908
4,297
-3
383,908
-12,478
-29,421
3,421
4,297
2
3,421
1,813
-5,897
2,086
15,313
Total Miami Dade GOB and Special
Contributions
15,313
Excess of Revenue over (under) Expenses
56,760
35,349
15,313
15,313
23,244
28,115
-13,559
FS-6
1,813
-5,897
-12,478
-29,421
2,086
50,662
Public Health Trust of Miami-Dade County Consolidated
Combining Statement of Revenue & Expenses by Company
Month of September 2014
(Amounts in thousands)
Jackson
Memorial
Jackson
South
Jackson
North
Physician
Services
Primary
Care
Centers
JHS Health
Plan
Corrections
Health
Services
Skilled
Nursing
Facilities
Jackson
Property
Management
Total
Prior
Year
Actual
Revenue
Inpatient Revenue
Outpatient Revenue
197,105
70,451
19,582
13,543
35,319
12,056
0
871
0
0
0
1,545
0
0
3,051
356
0
0
255,057
98,822
242,485
98,154
Gross Patient Service Revenue
267,556
33,125
47,375
871
0
1,545
0
3,407
0
353,878
340,639
Provisions For Charity Care
Net Patient Revenue Adjustment
Provision for Doubtful Accounts
132,340
24,425
0
32,115
19,430
1,027
0
3,882
30,805
897
0
4,931
772
0
0
8
0
0
0
0
484
918
0
1
0
0
0
0
765
548
0
0
0
0
0
0
184,597
27,815
0
40,937
334,116
32,145
0
39,648
Total Deductions From Revenue
Deductions From Revenue:
Contractual Adjustments
188,881
24,339
36,634
780
0
1,403
0
1,313
0
253,349
405,909
Net Patient Service Revenue
78,675
8,786
10,741
90
0
142
0
2,094
0
100,529
(65,270)
Division of Managed Care
Other Operating Revenue
Grants Revenue
0
12,459
3,824
0
870
0
0
979
0
0
875
0
(81)
0
0
0
57
115
0
0
0
0
(90)
0
0
480
0
(81)
15,630
3,939
4,260
170,360
4,372
Total Operating Revenue
94,958
9,657
11,720
965
(81)
314
0
2,005
480
120,017
113,723
71,942
20,940
12,109
1,317
3,345
1,149
4,518
1,451
1,684
0
1,025
109
5,151
3,108
1,462
0
393
208
1,394
633
44
0
11
0
0
(107)
0
0
6
0
795
668
70
0
9
2
2,170
142
226
0
1
0
1,941
332
358
0
42
0
80
108
10
27
77
0
87,992
27,275
15,964
1,344
4,909
1,467
73,189
37,053
19,884
1,458
5,140
(4,460)
110,802
8,787
10,321
2,082
(102)
1,545
2,539
2,674
303
138,951
132,265
870
1,399
(1,117)
21
(1,231)
(2,539)
(670)
177
(18,934)
(18,542)
Operating Expenses
Salaries & Related Costs
Contractual and Purchased Services
Supplies
Interest
Depreciation
Other Operating Expenses
Total Operating Expenses
Excess of operating revenue over (under)
operating expenses
(15,844)
Other Revenues (Expenses)
Investment Income
Unrestricted Health Care Surtax
Miami Dade County Unrestricted Funds
Other Income
Miami Dade County Special Contributions
JM Foundation
Miami Dade County GOB Contributions
40
17,792
11,420
1,214
0
0
1,378
(1)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(3)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
39
17,792
11,420
1,212
0
0
1,378
(334)
17,669
11,094
2,543
(1,192)
0
2,573
Total Other Revenues (expenses)
31,845
(1)
0
0
0
0
(3)
0
0
31,842
32,353
Excess of revenues over (under) expenses
16,002
869
1,399
(1,117)
21
(1,231)
(2,542)
(670)
177
12,908
13,810
FS-7
Public Health Trust
Jackson Health System
Combined Statement of Unrestricted / Restricted Cash Flow
As of September 30, 2014
Current Month
September 30, 2014
Cash generated (used) by operations:
Funds available for working capital/facilities improvements
Non cash expenses:
Depreciation
Loss on disposal of capital assets
Total
Cash provided (used) for current assets:
Decreases (increases) in:
Patient Receivable and Other Third Party payor
Cash and Invst. Limited as to Use
Inventories, Prepaid Expenses and Other Receivables
Total
Cash provided (used) for current liabilities:
Increases (decreases) in:
Current Installment of Long Term Debt
Accounts Payable and Accrued Expenses
Due to other third party
Other Liabilities
Other- Restricted
Total
Decreases (increases) in:
Cash and Invst. Limited as to Use
Cash and Invst. Restricted
Long Term Investment
Cash provided (used) for Other Assets
Cash provided (used) for Long Term Liabilities:
Increases (decreases) in:
Long Term Debt
Other Liabilities
Total
Audited
Year to Date
September 30, 2013
Year to Date
September 30, 2014
$12,908
$50,662
$51,550
4,909
19
17,836
49,816
(234)
100,244
56,769
2,482
110,801
(26,729)
0
61,093
(1,497)
32,867
40,812
6,080
(2,370)
44,522
14,760
4,261
948
19,969
14,452
11,796
(7,982)
308
18,574
360
(14,121)
11,524
(15,375)
(4,293)
(21,905)
320
491
(26,369)
18,588
(645)
(7,615)
(151)
431
23
26
180
(6,321)
6,262
-
(4,497)
7,134
-
(7,662)
3,357
(7,299)
(25,155)
206
(4,305)
(32,454)
321
210
Cash provided (used) for Prop., Plant and Equipment:
Purchases of Prop. Plant and Equipment
(11,022)
(64,989)
(41,758)
Total
(11,022)
(64,989)
(41,758)
-
-
Net Increase in Cash and Cash Equivalents
53,829
51,790
Cash, beginning of period
58,764
116,206
121,141
69,352
Cash, end of period
174,970
174,970
121,141
-
FS-8
PUBLIC HEALTH TRUST
CONSOLIDATED PORTFOLIO INVENTORY SUMMARY BY SECURITY/ACCOUNT TYPE
September 30, 2014
# of Investments
Description
1
Money Markets
1
Total Investments Portfolio
Par Value
612,298
Avg. Interest Rate
Market Value
0.010%
612,298
612,298
Wells Fargo interest bearing accts
9,629,269
Wells Fargo Institutional Bank Deposit account
Bond Proceeds Invested at Miami-Dade County
Total Cash and Investments
0.250%
0.100%
0.452%
192,951,986
9,629,269
61,605,447
$
FS-9
264,799,000
PUBLIC HEALTH TRUST
SALES TAX
MONTHLY INCOME STATEMENT TREND ANALYSIS
FISCAL YEAR 2012
Oct-11
monthly est
mo portion of qtly est:
Nov-11
Dec-11
Jan-12
Feb-12
Mar-12
Apr-12
May-12
Jul-12
Aug-12
14,482,634
#
14,779,176
17,607,553
15,330,625
15,914,413
17,395,891
15,855,155
15,355,434
15,563,007
Jun-12
14,907,488
15,041,626
14,844,604
1,079,571
1,079,571
1,079,571
1,180,705
1,180,705
1,180,705
1,160,844
1,160,844
1,160,844
1,143,468
1,143,468
1,143,468
500,000
State revision to Sales Tax Projection
10,720
+/-est vs. actual rec'd; mo of
1,238,686
671,986
(106,944)
(724,478)
257,405
+/-est vs. actual rec'd; qt of
Monthly Revenue
Sep-12
15,562,205
15,858,747
18,697,844
17,750,016
18,024,509
335,025
(153,187)
(295,446)
400,370
18,469,652
16,291,521
17,251,673
(757,063)
16,220
466,672
16,570,664
16,255,510
15,894,703
16,004,292
FISCAL YEAR 2013
Oct-12
monthly est
mo portion of qtly est:
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jul-13
Aug-13
15,096,482
#
16,870,407
15,156,957
15,600,201
15,600,201
15,600,201
15,600,201
15,600,201
15,600,201
Jun-13
15,600,201
15,600,201
15,600,201
Sep-13
1,207,668
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
1,273,109
981,343
3,665,869
1,457,919
701,194
2,964,808
1,053,649
492,448
323,090
303,814
State revision to Sales Tax Projection
(257,802)
+/-est vs. actual rec'd; mo of
338,409
+/-est vs. actual rec'd; qt of
Monthly Revenue
16,304,150
18,143,516
16,172,264
17,854,653
20,877,588
531,129
18,331,229
17,574,504
20,369,247
378,666
17,926,959
17,365,758
17,575,066
17,177,124
FISCAL YEAR 2014
Oct-13
monthly est
mo portion of qtly est:
15,600,201
1,273,109
#
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jul-14
Aug-14
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
16,597,159
Sep-14
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
1,416,470
892,399
3,943,238
554,734
653,794
2,307,416
1,265,025
327,211
1,140,319
State revision to Sales Tax Projection
(485,039)
+/-est vs. actual rec'd; mo of
454,932
+/-est vs. actual rec'd; qt of
Monthly Revenue
Jun-14
16,873,310
19,153,948
17,528,590
18,906,028
22,411,799
Comments:
• Estimate was calculated based on same month prior year adjusted for percentage change of recent receipts vs.
recent estimates.
FS-10
18,568,363
18,667,423
639,889
20,960,934
19,278,655
(5,798)
(221,497)
539,276
18,340,840
18,547,107
17,792,132
Jackson Health System Hospitals
Payor Mix Patient Days as % of Total
Fiscal Year 2013 ‐ 2014
FC Group
Actual Budget % Variance
Sept-14 Sept-14
Budget
Actual
Aug-14
Actual
YTD
Budget
YTD
% Variance
Budget
Jackson Health System
Combined percentages:
Commercial
Medicaid
Medicare
Other
Managed Care
Self Pay
Potential Medicaid
Total
1.51%
9.46%
14.84%
4.76%
39.09%
14.84%
15.50%
100.00%
1.30%
17.35%
16.43%
2.96%
27.78%
13.59%
20.59%
100.00%
0.21%
‐7.89%
‐1.59%
1.80%
11.31%
1.25%
‐5.09%
0.00%
1.59%
9.59%
15.37%
4.63%
38.69%
14.69%
15.44%
100.00%
1.36%
17.01%
15.50%
5.08%
30.68%
14.70%
15.67%
100.00%
1.32%
17.41%
16.38%
2.99%
27.68%
13.57%
20.65%
100.00%
0.04%
‐0.40%
‐0.88%
2.09%
3.00%
1.13%
‐4.98%
0.00%
Jackson Memorial Hospital
Combined percentages:
Commercial
Medicaid
Medicare
Other
Managed Care
Self Pay
1.69%
10.81%
12.35%
5.51%
37.11%
15.73%
1.49%
19.01%
13.82%
3.37%
25.74%
13.76%
0.20%
‐8.20%
‐1.47%
2.14%
11.37%
1.97%
1.82%
11.18%
13.59%
5.43%
36.52%
14.80%
1.60%
18.65%
13.63%
5.90%
28.03%
15.41%
1.50%
19.00%
13.82%
3.40%
25.72%
13.76%
0.10%
‐0.35%
‐0.19%
2.50%
2.31%
1.65%
Potential Medicaid
Total
16.80%
100.00%
22.81%
100.00%
‐6.01%
0.00%
16.66%
100.00%
16.78%
100.00%
22.80%
100.00%
‐6.02%
0.00%
Jackson South
Combined percentages:
Commercial
Medicaid
Medicare
Other
Managed Care
Self Pay
Potential Medicaid
Total
0.18%
4.47%
23.02%
3.16%
45.97%
14.92%
8.28%
100.00%
1.05%
7.45%
24.49%
2.24%
37.84%
15.45%
11.48%
100.00%
‐0.87%
‐2.98%
‐1.47%
0.92%
8.13%
‐0.53%
‐3.20%
0.00%
1.23%
4.27%
17.52%
2.35%
50.29%
16.70%
7.64%
100.00%
0.77%
8.36%
22.66%
2.67%
41.85%
15.35%
8.34%
100.00%
1.09%
7.41%
24.54%
2.14%
37.83%
15.50%
11.49%
100.00%
‐0.32%
0.95%
‐1.88%
0.53%
4.02%
‐0.15%
‐3.15%
0.00%
Jackson North
Combined percentages:
Commercial
Medicaid
Medicare
Other
Managed Care
Self Pay
Potential Medicaid
Total
1.32%
4.59%
24.52%
1.22%
46.57%
9.34%
12.44%
100.00%
0.36%
14.44%
26.14%
1.09%
32.78%
11.30%
13.89%
100.00%
0.96%
‐9.85%
‐1.62%
0.13%
13.79%
‐1.96%
‐1.45%
0.00%
0.40%
3.10%
25.20%
1.07%
44.58%
12.61%
13.04%
100.00%
0.33%
12.80%
22.03%
1.73%
39.23%
10.02%
13.86%
100.00%
0.42%
14.49%
26.13%
1.14%
32.66%
11.25%
13.91%
100.00%
‐0.09%
‐1.69%
‐4.10%
0.59%
6.57%
‐1.23%
‐0.05%
0.00%
FS‐11