EX-99.3 4 d772889dex993.htm EX-99.3 EX-99.3

Exhibit 99.3

 

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C O N D E N S E D   C O N S O L I D A T E D   F I N A N C I A L   S T A T E M E N T S   ( U N A U D I T E D )

Steward Health Care System LLC

Years Ended December 31, 2018 and 2017


Steward Health Care System LLC

Consolidated Balance Sheets

 

     December 31  
             2018                      2017          
  

 

 

 
     (Amounts in Thousands)  

Assets

     

Cash and cash equivalents

   $ 74,258      $ 69,088  

Patient accounts receivable, less allowance for doubtful accounts of $424,396 and $135,535 in 2018 and 2017, respectively

     669,094        686,748  

Other accounts receivable

     266,811        203,132  

Income tax receivable

            63,230  

Estimated settlements with third-party payors

     10,853        8,865  

Inventories

     119,407        126,027  

Prepaid expenses

     48,735        61,204  

Other current assets

     19,294        18,922  
  

 

 

 

Total current assets

     1,208,452        1,237,216  

Property and equipment – net

     1,339,786        2,655,647  

Other assets

     119,289        198,060  

Goodwill and other intangible assets

     548,044        567,253  
  

 

 

 

Total assets

   $ 3,215,571      $ 4,658,176  
  

 

 

 

Liabilities and members’ deficit

     

Current liabilities:

     

Current portion of long-term debt

   $ 17,875      $ 79,853  

Accounts payable and accrued expenses

     805,544        690,196  

Accrued compensation and benefits

     239,900        222,635  

Medical claims

     155,476        163,458  

Estimated settlements with third-party payors

     20,221        16,620  

Current portion of deferred gain

     57,639        6,536  

Current portion of sale-leaseback financing obligation

     10,891        67,579  

Other current liabilities

     135,016        105,298  
  

 

 

 

Total current liabilities

     1,442,562        1,352,175  

Long-term debt – net of current portion and debt issuance costs

     1,335,434        1,907,157  

Professional liability costs

     163,923        138,253  

Deferred tax liabilities

     479        13,204  

Deferred gain – net of current portion

     645,665        39,769  

Sale-leaseback financing obligation - net of current portion

     182,622        1,552,311  

Other liabilities

     654,444        560,088  
  

 

 

 

Total liabilities

     4,425,129        5,562,957  

Non-controlling interests with redemption rights

     87,835        85,125  

Members’ deficit

     (1,324,117      (1,017,634

Non-controlling interests - non-redeemable

     26,724        27,728  
  

 

 

 

Total deficit

     (1,297,393      (989,906
  

 

 

 

Total liabilities and members’ deficit

   $         3,215,571      $         4,658,176  
  

 

 

 


Steward Health Care System LLC

Consolidated Statements of Operations

 

     Year Ended December 31  
             2018                      2017          
  

 

 

 
     (Amounts in Thousands)  

Net patient service revenue

   $ 5,434,043      $ 3,327,312  

Less provision for bad debts

     (580,378      (284,765
  

 

 

 

Net patient service revenue, less provision for bad debts

     4,853,665        3,042,547  

Premium revenue

     1,449,638        465,651  

Other revenue

     322,886        197,443  
  

 

 

 

Total revenues

     6,626,189        3,705,641  

Expenses:

     

Salaries, wages, and fringe benefits

     2,744,635        1,780,182  

Supplies and other expenses

     2,628,183        1,561,051  

Medical claims expense

     1,151,875        363,978  

Depreciation and amortization

     230,802        154,772  

Interest

     169,777        108,604  

Transaction expenses

            49,792  

Gain on sale-leaseback transaction, net

     (3,931       

Gain on sale of assets and business

     (31,274       

Reorganization expenses

     5,308        8,859  
  

 

 

 

Total expenses

     6,895,375                4,027,238  
  

 

 

 

Loss from operations

     (269,186      (321,597

Other non-operating income, net

     (403      (2,223
  

 

 

 

Loss before income taxes

     (268,783      (319,374

Income tax expense (benefit)

     10,764        (112,193
  

 

 

 

Net loss

     (279,547      (207,181

Net loss (earnings) attributable to non-controlling interests

     8,443        (248
  

 

 

 

Net loss attributable to Steward Health Care System LLC

   $         (271,104    $ (207,429
  

 

 

 


Steward Health Care System LLC

Consolidated Statements of Comprehensive Loss

 

    Year Ended December 31  
    2018          2017      
 

 

 

 
    (Amounts in Thousands)  

Net loss

   $ (279,547)      $ (207,181)   

Other comprehensive loss:

    

Unrealized loss on available-for-sale securities

    (5,950)        –       

Pension liability adjustment

    (1,392)        (2,065)   
 

 

 

 

Other comprehensive loss before income taxes

    (7,342)        (2,065)   

Income tax expense

    –             –       
 

 

 

 

Total other comprehensive loss, net of tax

    (7,342)        (2,065)   

Net loss (earnings) attributable to non-controlling interests

    8,443         (248)   
 

 

 

 

Comprehensive loss attributable to Steward Health Care System LLC

   $     (278,446)      $     (209,494)   
 

 

 

 


Steward Health Care System LLC

Consolidated Statements of Changes in Members’ Deficit

 

     Members’ Deficit                
     Accumulated
Deficit
     Accumulated
Other
Comprehensive
Loss
    

Non-

controlling
interests
Non-redeemable

    

Total

Deficit

 
  

 

 

 
     (Amounts in Thousands)  

BALANCE, JANUARY 1, 2017

   $ (908,524    $ (1,707    $ -          $ (910,231

Net (loss) income

     (207,429      -            1,189        (206,240

Pension liability adjustment

     -            (2,065      -            (2,065

Non-controlling interests acquired

     -            -            26,539        26,539  

Issuance of convertible preferred interests

     100,000        -            -                    100,000  

Distributions

     (89      -            -            (89

Equity-based compensation expense

     2,180        -            -            2,180  
  

 

 

 

BALANCE, DECEMBER 31, 2017

   $ (1,013,862    $ (3,772    $ 27,728      $ (989,906

Net (loss) income

     (271,104      -            3,196        (267,908

Pension liability adjustment

     -            (1,392      -            (1,392

Unrealized loss on available-for-sale securities

     -            (5,950      -            (5,950

Repurchase of equity

     (5,275      -            -            (5,275

Distributions

     -            -            (4,200      (4,200

Adjustment to redemption value of non-controlling interests with redemption rights

     (24,942      -            -            (24,942

Equity-based compensation expense

     2,180        -            -            2,180  
  

 

 

 

BALANCE, DECEMBER 31, 2018

   $ (1,313,003    $ (11,114    $ 26,724      $ (1,297,393
  

 

 

 


Steward Health Care System LLC

Consolidated Statements of Cash Flows

 

     Year Ended December 31  
     2018      2017  
  

 

 

 
Operating Activities    (Amounts in Thousands)  

Net loss

   $ (279,547    $ (207,181

Adjustments to reconcile net loss to net cash (used in) provided by operating activities:

     

Depreciation and amortization

     230,802        154,772  

Provision for bad debts

     580,378        284,765  

Equity-based compensation expense

     2,180        2,180  

Deferred tax, net

     (29,589      (244,051

Non-cash interest expense

     7,963        2,342  

Amortization of deferred gains

     (15,093      (6,214

Gain on sale-leaseback transaction, net

     (3,931       

Gain on sale of assets and business

     (31,274      (1,953

Other

            (6,682

Increase (decrease) in cash resulting from a change in:

     

Patient accounts receivable

     (563,349      (315,064

Establishment of accounts receivable of recent acquisitions

            (128,634

Other assets

     73,516        (50,816

Accounts payable, accrued expenses, and other liabilities

     267,598        494,372  
  

 

 

 

Net cash provided by (used in) operating activities

     239,654        (22,164

Investing Activities

     

Purchase of property and equipment

     (200,895      (83,403

Proceeds from sale of assets and business

     57,851         

Purchase of available-for-sale securities

     (7,500       

Cost of acquisitions, net of cash acquired

     (1,082      (440,623

Increase in noncurrent other assets

     (4,413      (51,209
  

 

 

 

Net cash used in investing activities

     (156,039      (575,235

Financing Activities

     

Payment of debt issuance costs

            (16,598

Proceeds from issuance of debt

     38,648        15,000  

Proceeds under revolving credit facility

     30,000        650,000  

Payments under revolving credit facility

     (80,000      (35,000

Repayments of debt and capital lease obligations

     (87,448      (65,994

Distributions

     (12,320      (89

Proceeds from preferred equity issuance

                    100,000  

Net proceeds from sale-leaseback transaction

     42,823         

Repurchases of equity interests

     (5,275       

Cash paid for the repurchase of non-controlling interests

     (2,348       

Other

     (2,525      (745
  

 

 

 

Net cash (used in) provided by financing activities

     (78,445      646,574  
  

 

 

 

Net increase in cash and cash equivalents

     5,170        49,175  

Cash and cash equivalents at beginning of year

     69,088        19,913  
  

 

 

 

Cash and cash equivalents at end of year

   $             74,258      $ 69,088  
  

 

 

 


Steward Health Care System LLC

Consolidated Statements of Cash Flows (continued)

 

     2018      2017  
  

 

 

 

Supplemental disclosure of cash flow information

     (Amounts in Thousands)  

Cash paid for interest

   $ 168,025      $ 95,640  
  

 

 

 

Net cash paid for income taxes

   $      $ 58,561  
  

 

 

 

Supplemental schedule of non-cash investing and financing activity

     

Purchase of property and equipment financed by capital leases

   $ 11,399      $ 37,735  
  

 

 

 

Reduction of financing obligations resulting from qualifying for sale-leaseback accounting

   $             2,016,881      $  
  

 

 

 

Non-cash financing to fund acquisitions

   $      $             1,711,300