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    CPMC Annual Report 2009
    Community Benefit and Financial Statements

    Data from the 2009 CPMC Annual Report (PDF)

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    Community Benefit

    [Printed Report Page 28-29] [PDF Page 16]

    Services For The Poor And Underserved

    For The Year Ended December 3120092008
    ServicesAmountPercent Of Net Patient RevenueAmountPercent Of Net Patient Revenue (As Restated)
    Traditional Charity Care10,215,000 0.89%7,584,000 0.69%
    Unpaid Costs of Public Programs: Medi-Cal59,208,000 5.13%57,941,000 5.30%
    Unpaid Costs of Public Programs: Medically Indigent Adult (MIA) program0 0.00%0 0.00%
    Other Benefits for the Poor and Underserved10,871,0000.94%11,403,0001.04%
    Total Quantifiable Services for the Poor and Underserved 80,294,0006.96%76,928,0007.04%

    Benefits For The Broader Community

    For The Year Ended December 3120092008
    ServicesAmountPercent Of Net Patient RevenueAmountPercent Of Net Patient Revenue
    Nonbilled Services1,036,0000.09%819,0000.07%
    Education and Research59,492,0005.16%51,795,0004.74%
    Cash and In-kind Donations502,0000.04%529,0000.05%
    Other Community Benefits39,0000.00%64,0000.01%
    Total Quantifiable Benefits for the Broader Community61,069,0005.29%53,207,0004.87%

    For The Year Ended December 3120092008
    ServicesAmountPercent Of Net Patient RevenueAmountPercent Of Net Patient Revenue
    Total Quantifiable Community Benefits141,363,00012.26%130,135,00011.91%
    Net Patient Revenue [Includes capitation revenue]1,153,464,000 1,092,537,000 

    California Pacific Medical Center Financial Statements

    [Printed Report Pages 32-33] [PDF Page 18]

    Combined Balance Sheets (In Thousands)

    Assets20092008
    Current assets: Cash and equivalents62,10038,518
    Current assets: Short-term investments123,01796,801
    Current assets: Patient accounts receivable (less allowance for doubtful accounts of $58,584)174,284173,002
    Current assets: Other receivables30,91432,411
    Current assets: Inventories9,4237,967
    Current assets: Other current assets2,9624,696
    Total current assets402,700353,395
    Noncurrent investments240,938234,793
    Property, plant, and equipment (net)787,173721,604
    Other assets: Unamortized financing costs1,0241,374
    Other Assets: Investments in health care–related businesses532532
    Other Assets: Other28,50839,756
    Other Assets: Total30,06441,662
    Total assets1,460,8751,351,454

    Liabilities and Net Assets20092008
    Liabilities and net assets: Current liabilities: Current maturities of long-term obligations3,4023,449
    Liabilities and net assets: Current liabilities: Accounts payable and accrued expenses159,171152,259
    Total current liabilities162,573155,708
    Noncurrent liabilities: Long-term obligations, less current maturities280,658284,571
    Noncurrent liabilities: Other44,06539,726
    Net assets: Unrestricted865,601756,072
    Net assets: Temporarily restricted74,27473,890
    Net assets: Permanently restricted42,70441,487
    Net Assets: Total973,579871,449
    Total liabilities and net assets1,460,8751,351,454

    California Pacific Medical Center Financial Statements

    [Printed Report Pages 34-35] [PDF Page 19]

    Combined Statement Of Operations And Changes In Net Assets (In Thousands)

    Unrestricted net assets20092008
    Unrestricted revenues, gains and other support: Patient service revenues1,194,9021,129,975
    Unrestricted revenues, gains and other support: Investment income-11,293-2,302
    Other revenues95,08994,322
    Total revenues1,278,6981,221,995
    Operating expenses:Salaries and employee benefits624,166591,546
    Operating expenses: Purchased services190,806198,868
    Operating expenses: Supplies135,108137,386
    Operating expenses: Depreciation and amortization66,60363,707
    Operating expenses: Provision for bad debts38,14636,373
    Operating expenses: Interest23,13319,332
    Operating expenses: Rentals and leases18,67917,932
    Operating expenses: Insurance7,7327,624
    Operating expenses: Other42,23845,555
    Total operating expenses1,145,6111,118,323
    Income133,087103,672
    Change in net unrealized (losses) on investments61,542-78,036
    Equity transfers between related entities-96,014-54,790
    Net assets released from restrictions for equipment acquisition1,9155,016
    Other--584
    Increase in unrestricted net assets100,530-24,722

    Temporarily restricted net assets20092008
    Contributions7,11217,470
    Investment income-116-2
    Change in net unrealized gains and losses on investments7,112-9,088
    Net assets released from restricted net assets-13,724-13,877
    Increase in temporarily restricted net assets348-5,497

     
    Permanently restricted net assets20092008
    Contributions1,216647
    Increase in permanently restricted net assets1,216647

    Net Assets20092008
    Increase in net assets102,130-29,572
    Net assets, beginning of year871,449901,021
    Net assets, end of year973,579871,449

    California Pacific Medical Center Foundation Financial Statements

    [Printed Report Pages 76-77] [PDF Page 29]

    Combined Statement Of Activities And Changes In Net Assets For The Year Ended December 31

    Unrestricted net assets20092008
    Unrestricted contributions and other support: Contributions2,230,0692,182,708
    Investment loss-6,948,781-3,234,509
    Net assets released from restrictions13,401,94412,899,867
    Other revenue (expenses)1,832,8502,885,806
    Service contract with California Pacific Medical Center6,728,9166,998,637
    Total unrestricted revenues and other support17,244,99821,732,509

    Unrestricted expenditures and other operating expenses20092008
    Program expenditures: California Pacific Medical Center27,223,04921,785,054
    Program expenditures: Other566,312888,948
    Total program expenditures27,789,36122,674,002
    Operating expenses: Management and general1,893,6431,673,254
    Operating expenses: Fund raising3,061,2683,501,219
    Total unrestricted expenditures and operating expenses32,744,27227,848,475
    Change in net unrealized gains and losses on investments38,604,373-45,870,318
    Change in unrestricted net assets23,105,099-51,986,284

    Temporarily restricted net assets20092008
    Contributions7,111,15817,469,813
    Investment (loss) income-56,25211,778
    Change in net unrealized gains and losses on investments808,031-704,757
    Net assets released from restrictions-13,401,944-12,899,867
    Change in temporarily restricted net assets-5,538,6473,876,967
    Permanently restricted assets: Other contributions1,216,416646,812
    Change in permanently restricted net assets1,216,416646,812
    Change in net assets18,782,868-47,462,505
    Net assets, beginning of year164,069,627211,532,132
    Net assets, end of year182,852,495164,069,627

    California Pacific Medical Center Foundation Financial Statements

    [Printed Report Pages 78-79] [PDF Page 30]

    Combined Statements Of Financial Position For The Year Ended December 31

    Assets20092008
    Current assets: Cash and cash equivalents3,464,2139,606,649
    Current assets: Short Term investments122,998,71397,088,503
    Current assets: Pledges and split interest agreements receivable, net3,000,1096,278,603
    Current assets: Other current assets900,0693,042,453
    Total current assets130,363,104116,016,208
    Investments, non-current51,578,25642,509,799
    Investments in rent property3,685,0003,685,000
    Pledges and split interest agreements receivable, net, less current portion11,907,75013,299,294
    Other assets192,056334,057
    Total assets197,726,166175,844,358

    Liabilities and net assets20092008
    Current liabilities: Accounts payable and accrued liabilities649,786704,228
    Current liabilities: Obligations under annuity agreements595,971595,971
    Current liabilities: Due to Due to affiliates7,706,8374,130,246
    Obligations under annuity agreements610,824595,971
    Total current liabilities8,967,4475,430,445
    Obligations under annuity agreements, less current portion3,229,1893,511,214
    Revocable gifts2,000,0002,165,000
    Other noncurrent liabilities677,035668,072
    Net assets: Unrestricted85,127,45562,022,357
    Net assets: Temporarily restricted55,021,55560,560,201
    Net assets: Permanently restricted42,703,48541,487,069
    Net assets: Total182,852,495164,069,627
    Total liabilities and net assets197,726,166175,844,358

    Operating activities20092008
    Changes in net assets18,782,868-47,462,505
    Adjustments to reconcile change in net assets to net cash (used in) provided by operating activities: Change in net unrealized gains, losses on investments-39,412,40446,575,075
    Adjustments to reconcile change in net assets to net cash (used in) provided by operating activities: Net pledges and split interest agreements receivable4,670,0386,198,557
    Adjustments to reconcile change in net assets to net cash provided by operating activities: Other assets2,284,385-94,852
    Changes in operating assets and liabilities: Accounts payable and accrued liabilities, other liabilities and revocable gifts-210,479766,118
    Changes in operating assets and liabilities: Due to California Pacific Medical Center and affiliates3,576,591-165,857
    Changes in operating assets and liabilities: Obligations under annuity agreements-267,172-39,048
    Net cash (used in) provided by operating activities-10,576,1735,777,428

    Investing activities20092008
    Purchases and sales of maturities of investments, net4,433,7371,740,155

    Financing activities20092008
    Net increase (decrease) in cash and cash equivalents-6,142,4367,517,643
    Cash and cash equivalents, beginning of year9,606,6492,089,006
    Cash and cash equivalents, end of year3,464,2139,606,649