Tarrant County Hospital District (d.b.a. JPS Health Network)

Meeting Community Needs 1913 1939 1951 1971 1985 2008

9 Overarching Destination Metrics Safe environment of care Improve HCAHPS scores Leading workplace culture Quality GME programs Geriatrics named “designated program” Reduce infant mortality rate Clinics NCQA level 3 PCMH Strategic accreditations & designations Maintain a positive operating margin

Revenue Sources Total operating revenue is comprised of: 39% Collections from Medicare & Medicaid, commercial insurance plans & patients 39% Ad Valorem (Property) Tax revenue 17% Supplemental state and federal payments including DSH, DSRIP and UC 5% from Grants, Tobacco Revenue, MHMR contracts and other non-patient sources

Payor Mix

Ad Valorem Tax Revenue (In thousands) UPDATED 7.13.15

Historic Tax Rates by County Year Bexar Dallas El Paso Harris Tarrant 2013 0.276235 0.271000 0.192363 0.182160 0.227897 2014 0.276000 0.214393 0.170000 2015 0.286000 0.220682 2016

Expense Categories – FY 2017 budget

Service Line Net Revenue 9

JPS Hospital Income Statement Trend (amounts in 000’s)

JPS Health Network Balance Sheet (amounts in 000’s)

JPS Hospital Liquidity A large part of FY16 cash flow can be attributed to the States settlements of DY4 and DY5 supplemental funding Capital expenditures were financed with cash flow JPS continues to have a strong revenue cycle and a short collection cycle as shown in Net Accounts Receivable Balance sheet indicators represent a significant opportunity to support investment in IT, technology, facilities and expansion Current Bond Ratings: S&P: AA-, Stable Outlook Moody’s: Aa3, Stable Outlook

JPS Future Fund 13

JPS Hospital Cash Increase FY16 (amounts in 000’s)