SPLOST Presentation

1. Dorminy Medical Center
Presentation to Ben Hill County Commission
November 3, 2015
“Hospital Progress Report and Funding Needs”

2. 2007 Hospital Renovations and Additions
• 23,455 sq ft expansion and a 745 sq ft renovation of first floor
• Additions & renovations to surgical facilities, including a new operating room,
relocation of and upgrades to the outpatient surgery prep and recovery area,
new outpatient entrance and registration areas, new outpatient lab collection
area, improved patient access to imaging services, enhanced waiting area,
and upgrades to mechanical systems in surgery area.
• Relocation of obstetrics unit from second to new first floor space, including
new labor and delivery, post partum, and nursery areas.
• Improvements to existing parking areas and front entrance of hospital
• Acquisition and installation of new electronic medical records system

3. Project Funding
• $9.9 million project
• Issued revenue bonds with county backing – 10/31/07
• Interest only payments year 1-2
• Principal and interest began 10/1/10
• Final payment data 7/1/32
• Bond yield 4.119%
• Average Monthly Debt Service $53,800
• Current average monthly SPLOST funding $12,023
• Principal portion of bonds outstanding $8,155,000

6. Financial Performance
• Finished FYE 15 with $300k better than budget
• Five consecutive months of positive cash flow
SEPT, 111,232
OCT, (376,349)
NOV, (410,434)
DEC, (277,863)
JAN, 158,761
FEB, (44,826)
MAR, (119,267)
APRIL, 107,175
MAY, 27,931
JUNE, 18,722
JULY, 190,217
AUG, 90,869
(500,000)
(400,000)
(300,000)
(200,000)
(100,000)
-
100,000
200,000
300,000
EBITDA

7. Economic Impact of Hospital
• Economic impact on Local and State Economy
• Total Income Generated - $51,624,537
• Total Household Earnings Generated - $25,032,812
• Georgia Full Time Jobs Created – 438
• Provided greater than $3,000,000 uncompensated care (cost)
• Added 23 jobs to the community in 2015
• Provide a total of 245 jobs to the community

8. FY 15 Accomplishments
• Stabilized access to primary care physicians
• Added a total of 11 providers in the community both mid-level and physician
• Total of 18 Full time Primary Care Providers in the Community

9. FY 15 Accomplishments
• Increased/Recaptured market share
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
2013 2014
Outpatient / Observation Market Share
Dorminy Other Linear (Dorminy)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
2013 2014
ER Market Share
Dorminy Other Linear (Dorminy)

10. FY 15 Accomplishments
• Reduced Operating Expense - $1,881,000
• Productivity Management
• Restructured Benefits
• Shared Services
• Leadership, business office, scheduling, physician practice management
• Consolidated Services
• Combined 2nd and 3rd floor services, Swing Bed services

11. FY 15 Accomplishments
• Public Relations Campaign
• Public Relations Committee
• Radio / Newspaper Ad Campaign
• Community Events
• Civic Organization Involvement
• Physician Speaking Engagements
• Community Appreciation
• Politician Luncheon
• Special Event Fundraising

12. Strategic Action Plan
• Recruit select Specialty Services
• Current Specialists:
• OB/Gyn – 1 new recruit
• Orthopedics – 1 re-entered the market
• Pediatrics
• Cardiology
• Podiatry
• Oncology
• Specialists Identified by Medical Staff
• Urology
• GI
• Neuro

13. Strategic Action Plan
• Expansion of Services
• Growth focus with Swing Bed
• Medical Withdrawal – Expected ROI - $90,000
• Implemented end of September
• Geriatric Psych – Expected ROI - $620,000
• Preparing for CON application
• Refurbish High Volume Patient Care Areas
• ER, Patient Rooms, Specialty Clinic
• Employee Satisfaction
• Cost of living / modest raise (first one in three years)

14. Funding Needs
• Continued Debt Service Funding
• Recruitment of identified specialties
• Refurbish high volume areas
• Space renovations for Geri Psych Services
• Repairs and Renovation of Massee Clinic Building