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Homelessness: A Healthcare Imperative to Address the Housing Crisis

Golden Health System Financial Addendum

Golden Health

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Average Membership 547,918 123,559

Member Months 6,575,013 1,482,702

Net patient services revenue $ 449,531,089 $ 117,573,155

Nonpatient revenues $ 9,129,700 $ 675,191

Total operating revenue $ 458,660,789 $ 118,248,346

FY19 Statements of Revenues over Expenses

Mission Hospital Golden Hospital St. Francis Hospital St. Mary's Hospital

Excess of revenues over expenses $ 85,368,547 $ 3,946,090

Operating EBIDA $ 168,455,614 $ 12,944,410

EBIDA margin (%) 5.57% 2.02%

Total Member Dues $ 2,833,930,326 $ 592,324,719

Other Revenue $ 187,953,141 $ 48,311,801

Total Operating Revenues $ 3,021,883,467 $ 640,636,520

Salaries and wages $ 134,160,210 $ 61,794,422

Employee benefits $ 49,639,278 $ 22,863,936

Medical professional fees $ 60,104,062 $ 2,036,388

Purchased services $ 46,854,074 $ 15,422,381

Supplies expense $ 120,697,444 $ 2,445,877

Utilities expense $ 5,501,536 $ 1,313,406

Insurance expense $ 3,660,118 $ 1,117,921

Rentals, leases and maintenance $ 8,301,352 $ 1,284,155

Depreciation and amortization $ 23,780,875 $ 3,402,780

Interest expense $ 9,336,964 $ 265,631

Other expenses $ 27,946,583 $ 8,128,757

Corporate Allocations $ 4,596,519 $ 1,325,499

Total operating expenses $ 494,579,015 $ 121,401,153

Salaries & Wages $ 327,415,529 $ 14,871,467

Employee Benefits $ 151,852,528 $ 6,970,838

Worker`s Compensation Expense $ 9,626,820 $ 72,320

Medical Service Costs $ 317,081,853 $ 175,912,064

IBNR Accrual $ 4,834,918 $ 1,624,925

Pharmacy Rx Costs $ 250,892,664 $ 51,466,592

Inventory Adjustment/Obsolescence $ 1,234,116 $ 211,209

Prof Fees & Outside Services $ 52,021,910 $ 6,930,499

Medical Supplies $ 77,469,111 $ 4,368,822

Supplies $ 16,567,451 $ 1,029,074

General and Administration Costs $ 26,212,638 $ 2,933,177

Insurance $ 790,005 $ 139,163

Depreciation and Amortization $ 83,087,067 $ 8,998,320

Medical Group Costs $ 1,617,428,310 $ 361,161,961

Total operating expenses $ 2,936,514,921 $ 636,690,430

Excess of revenues over expenses $ (35,918,226) $ (3,152,807)

Operating EBIDA $ (2,800,387) $ 515,605

EBIDA margin (%) -0.61% 0.44%

Homelessness: A Healthcare Imperative to Address the Housing Crisis

Golden Health System Financial Addendum

Golden Health

2 of 2

FY19 Operating Statistics

Mission Hospital Golden Hospital St. Francis Hospital St. Mary's Hospital

Total Discharges 28,323 10,934 Acute Admissions 20,780 7,490

Total Patient Days 109,037 44,784 Acute Inpatient Days 128,460 44,348

Average Length of Stay 3.8 4.1 Acute Average Length of Stay 6.2 5.9

Average Daily Census 339 65 Adjusted Admissions 31,642 16,346

Adjusted Discharges 43,128 23,862 Adjusted Patient Days 175,808 70,598

Adjusted Patient Days 239,625 103,062 Inpatient Surgeries 7,549 2,113

Overall Case Mix Index 2.1 1.5 OP Surgeries 8,593 4,958

OP Surgery Cases 11,712 7,238 IP ER Visits 12,641 5,845

Emergency Department Visits 59,624 29,865 OP ER Visits 31,104 14,613

Observation Visits 15,978 7,214 Outpatient non-emergency visits 93,438 45,747

Other OP Volumes 127,355 66,784 Total hospital case-mix index 2.6 2.1

Inpatient Emergency Visits 17,230 8,533 Total Medicare case-mix index 2.4 2.1

Outpatient Emergency Visits 42,395 21,332 Average Daily Census 249 44