Cape Cod Healthcare

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Cape Cod Healthcare By the Numbers

Core Operating Indicators
  2010 2011 2012
Net Operating Margin 4.0% 5.6% 6.6%
Total Margin 3.3% 6.4% 7.8%
Revenue Growth Rate 5.4% 6.6% 7.4%
Expense Growth Rate 3.5% 4.8% 6.2%
Debt Service Coverage 3.2 3.8 4.6
Debt to Capital 39.2% 35.1% 28.5%

 

Utilization Trends
  2008 2009 2010 2011 2012
Staffed Beds 338 354 354 354 354
Discharges 22,281 22,528 22,185 22,256 21,342
Length of Stay (days) 4.11 4.08 4.00 4.08 4.16
Surgical Cases 14,268 14,252 14,192 14,179 14,631
Births 1,570 1,433 1,427 1,305 1,320
Emergency Visits 123,801 125,684 125,964 127,477 130,285
Ambulatory Visits 109,279 99,227 98,339 99,514 106,510

 

  2008 2009 2010 2011 2012
Unrestricted Cash to Long Term Debt 71% 91% 117% 140% 182%
Days Cash on Hand 82 99 124 138 161
Unrestricted Cash & Investments $131M $155M $197M $228M $278M
Days Accounts Receivable 54 44 33 37 39


 

  2008 2009 2010 2011 2012
Net Patient Revenues $522M $550M $602M $615M $663M
Operating Margins -4.7% 2.3% 4.0% 5.6% 6.6%
Excess Margins -2.8% 3.3% 3.3% 6.4% 7.8%


 

  Cape Cod Healthcare Standard & Poor's FitchRatings
  2008 2009 2010 2011 2012 A- BBB+ BBB A- BBB+ BBB
Operating Margin (4.7) 2.3 4.0 5.6 6.4% 1.9% 2.5% 2.2% 2.1% 2.0% 1.7%
EBIDA Margin 3.4 9.3 9.2 11.6 12.4% 10.2% 10.6% 10.8% 10.1% 10.0% 9.2%
Excess Margin (2.4) 3.5 3.5 6.4 7.5% 3.4% 3.8% 2.8% 3.3% 3.4% 2.0%
Debt to Capitalization 47.2 43.1 40.5 35.8 29.7% 39.0% 38.7% 38.7% 47.5% 48.8% 49.9%
Days Cash on Hand 81.8 99.2 124.3 138.3 161.2 182.6 148.2 131.3 157.5 152.1 110.7
MADS Coverage 0.4 2.7 3.3 4.0 4.9 3.6 3.2 2.9 3.5 3.2 2.7
Cash to Debt 71.4 91.4 110.5 133.1 172.3% 124.1% 113.4% 87.1% 96.1% 87.4% 75.4%

Restated due to FY12 chg in bad debt reporting and S&P and Fitch updated for FY12