Finance committee report CONFIDENTIAL Finance committee report May 24, 2016 Tulare Regional Medical Center

*April 2016 Obstetrics volume only 63% of prior year level CONFIDENTIAL *April 2016 Obstetrics volume only 63% of prior year level *Admits through the Emergency Department down 31 from prior year

*April 2016 Obstetrics volume only 63% of prior year level CONFIDENTIAL *April 2016 Obstetrics volume only 63% of prior year level *Admits through the Emergency Department down 31 from prior year

*Highest volume since December *17% increase over prior month CONFIDENTIAL *Highest volume since December *17% increase over prior month

*Represents delivery volume for Dr. Truong, Dr. Gupta, and Dr. Pang CONFIDENTIAL *Represents delivery volume for Dr. Truong, Dr. Gupta, and Dr. Pang

CONFIDENTIAL

------- Primary ------- Specialty 657 CONFIDENTIAL 657 *10.4% increase in Primary care visits ------- Primary ------- Specialty

CONFIDENTIAL ------- Revenue ------- Expenses

Operating Margin (in $1,000’s) CONFIDENTIAL Operating Margin (in $1,000’s) 7.1% Operating Margin

District paid tower costs, less the Foundation contribution Cash Balances (in $1,000’s) CONFIDENTIAL District paid tower costs, less the Foundation contribution *TRMC/HCCA has contributed $5.6MM (29.3 days) to new tower construction to date after original bond proceeds were exhausted in 2014

CONFIDENTIAL 11 21 76* *TRMC/HCCA has contributed $5.6 (29.3 days) to new tower construction to date after original bond proceeds were exhausted in 2014

April 2016 Summary Average Daily Census: 41.6 ↓ 3.1 CONFIDENTIAL April 2016 Summary Average Daily Census: 41.6 ↓ 3.1 Total Discharges: 7.6/day ↓ 21% Deliveries: 37↓ 33% Total Surgeries: 196 ↑ 3% ER Visits: 91/day ↓ 13% Clinic Visits: 1,741 ↓ 7% Cash: $11.7 MM, ↓ $1K Accounts Payable: $12.4MM, ↑ $17K 7.1% Operating Margin 25 months of consecutive profitability

CONFIDENTIAL HCCA & TRMC Working together to improve the healthcare of the communities we serve