Financials

Assets

Year ended 9.30.2018

Current Assets	2018	2017
Cash and cash equivalents	43,909,783	26,226,254
Interest in investments held by Endowment, LLC	18,589,558	14,169,122
Accounts receivable, less allowances	149,935,863	145,819,996
Other receivables	17,666,896	19,537,712
Due to – from affiliates	9,976,692	(11,084,558)
Inventories of supplies	23,443,880	25,615,327
Prepaid expenses and other assets	10,607,915	9,223,323
Current portion of assets whose use is limited	–	–
Total Current Assets	274,130,588	28,277,527

Assets whose use is limited	2018	2017
Interest in investments held by Endowment, LLC	275,689,954	215,857,884
Donor-restricted interest in investments held by Endowment, LLC	270,769,411	221,285,449
Investments and other assets	290,689	372,769
Investments for restricted purposes	4,418,665	6,981,615
Escrow funds for long term debt	–	8,399,222
Funds designated for debt service	7,640,501	8,737,880
Investments held by HHCISL	–	–
	558,809,221	461,634,819
Funds held in trust by others	129,076,606	122,724,486
Interest in investments held by Endowment, LLC	–	–
Investment in subsidiaries	–	–
Other assets	107,300,623	76,610,215
Property, plant, and equipment, net	498,521,174	494,384,861
Total Assets	1,567,838,211	1,384,861,557

Liabilities and Net Assets

Year ended 9.30.2018

Current Liabilities	2018	2017
Accounts payable	33,220,771	39,556,713
Salaries, wages, payroll taxes, and amounts withheld from employees	39,180,576	36,485,807
Accrued expenses	12,673,739	10,526,469
Estimated third-party settlements	26,361,571	7,244,427
Current portion of long-term debt and capital leases	3,067,997	45,686,065
Current portion of accrued pension liabilities	1,334,689	1,587,647
Current portion of other liabilities	14,440,059	15,629,160
Total current liabilities	130,279,403	461,634,819
Long-term debt and capital leases	413,217,490	417,734,070
Accrued pension liabilities	153,853,389	228,580,220
Other liabilities	66,636,305	68,456,800
Self insurance liabilities	–	–
Total liabilities	763,986,586	871,487,379

Net Assets	2018	2017
Net assets without donor restrictions	386,800,531	154,104,313
Net assets with donor restrictions	417,051,093	359,269,866
Total liabilities and net assets	1,567,838,211	1,384,861,557
Total net assets	803,851,625	513,374,179

Revenue

Year ended 9.30.2018

Gross Patient Service Revenue	2018	2017
Inpatient revenue	1,970,560,519	1,811,052,882
Outpatient revenue	1,164,351,455	1,053,247,841
Professional service revenue	149,320,486	130,967,234
	3,284,232,460	2,995,267,958
Contractual allowances	2,004,649,099	1,844,151,203
Bad Debts	13,112,56	12,182,681
Charity care	32,201,630	32,401,849
	2,049,963,295	1,888,735,734
Net patient service revenue	1,234,269,165	1,106,532,224

	2018	2017
Other operating revenue	136,698,991	112,943,507
Net assets released from restriction	7,319,582	8,355,083
Total revenues	1,378,287,738	1,227,830,814

Expenses & Operating Income

Year ended 9.30.2018

Operating Expenses	2018	2017
Salaries and Fringe	581,060,963	546,418,454
Supplies and other	288,668,517	244,540,865
Purchased services	401,537,590	334,994,101
Depreciation and amortization	52,443,010	47,166,919
Provision for non-patient bad debts	37,488	8,178
Interest Expense	16,116,314	11,394,617
Operating income (loss)	38,423,854	43,307,681
Total expenses	1,339,863,883	1,184,523,133

Nonoperating income (loss)	2018	2017
Income from investments	22,552,321	32,450,567
Other	(1,042,949)	(2,230,584)
	21,509,373	30,219,983
Operating margin (%)	2.79%	3.53%
Excess (deficiency) of revenues over expense	59,933,227	73,527,664