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Cleveland Clinic Health System Obligated Group - FMSbonds.com

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portfolio. Offsetting the decrease in collateralized receivables were increases in prepaid expenses of $12.2 millionprimarily due to the timing of annual maintenance contracts and insurance payments, increases in Hospital CareAssurance Program receivables of $8.3 million and increases in inventories of $4.7 million.Investments. Total investments decreased $242.0 million (9.5%) from December 31, 2007 to June 30,2008. Unrestricted investments decreased $193.1 million (9.8%) primarily from negative market returns on the<strong>System</strong>’s long-term investment pool and reclassifications to short-term cash to fund, in particular, the purchase ofbonds in lieu of redemption (See the discussion under “Cash and Investments” above). Donor restricted assetsdecreased $42.8 million (12.7%) primarily from the release of restrictions for capital purchases of the Miller FamilyPavilion and Glickman Tower construction projects. Assets held by captive insurance <strong>com</strong>panies decreased $6.1million (3.5%). The decrease in assets held by captive insurance <strong>com</strong>panies is primarily related to the timing ofreimbursement for claims previously settled and paid by other <strong>System</strong> entities in excess of insurance premiumsreceived.Property, Plant and Equipment, Net. Net property, plant and equipment increased $109.2 million (4.4%)from December 31, 2007 to June 30, 2008. In 2008, the <strong>System</strong> acquired $228.2 million in new assets. Theseadditions were offset by a $119.0 million increase in accumulated depreciation for the same period. Included incapital acquisitions were $95.2 million for the Miller Family Pavilion project, $24.6 million for the Glickman Towerproject, $14.3 million for the <strong>System</strong>’s portion of the Carnegie and 89th Street Garage and Service Center project,$12.0 million for the 93rd Street parking garage expansion at the main campus, $5.2 million for the <strong>System</strong>’sinvestment in electronic medical records systems, and $3.8 million for the leasehold improvements of office spacein Beachwood that the <strong>System</strong> began leasing in 2007.Current Liabilities. Accounts payable decreased $19.5 million (6.8%) since December 31, 2007. Thisdecrease is principally attributable to a higher than normal level of large invoices at year-end associated with the<strong>System</strong>’s current construction projects. Compensation and amounts withheld from payroll increased $16.5 million(16.2%) since December 31, 2007 which is primarily the result of the timing of payroll and growth in salaries andFTEs. Other current liabilities decreased $336.2 million (50.4%) since December 31, 2007. Included in othercurrent liabilities is a payable of $14.0 million associated with securities lending activity, which decreased $345.7million from December 31, 2007. (See the discussion under “Other Current Assets” above.) Offsetting this decreaseis a $6.1 million increase in third party payor deposits that are expected to be refunded in 2008 and a $5.5 millionincrease in research deferred revenue related to research activities.Long-Term Debt. Hospital revenue bonds payable decreased $332.9 million (22.7%) since December 31,2007. The decrease was primarily the result of the <strong>System</strong>’s payment of $329.4 million to purchase bonds in lieu ofredemption. Notes payable and capital leases decreased $6.2 million (11.9%) since December 31, 2007. Thedecrease was the result of regularly scheduled debt payments and the reclassification of payments from noncurrentto current.Non-Current Liabilities. Other liabilities increased $26.5 million (3.2%) since December 31, 2007. Theincrease is the result of a $9.5 million increase in accrued malpractice liabilities, a $4.7 million increase in accruedretirement benefits, and a $12.3 million increase in other noncurrent liabilities. The increase in other noncurrentliabilities was primarily due to a $9.7 million increase in noncurrent paid time off and a $2.8 million increase inderivative liabilities.Net Assets. Total net assets increased $19.5 million (0.6%) from December 31, 2007 to June 30, 2008.Unrestricted net assets increased $68.1 million (2.5%) <strong>com</strong>prised primarily of $41.5 million of excess of revenuesover expenses, and $50.0 million of donated capital and assets released from restrictions offset by a $21.1 millionreduction related to the adoption of FASB Statement No. 158 and a $2.2 million change in unrealized investment netlosses on nontrading investments. Restricted net assets decreased $48.6 million (7.3%) <strong>com</strong>prised of $25.3 millionof restricted gifts and $0.5 million increase in beneficial interest in foundations, less $65.0 million of assets releasedfrom restrictions and $9.4 million net investment loss.G. PENSION PLANThe <strong>Health</strong> <strong>System</strong>, including both the <strong>Obligated</strong> <strong>Group</strong> and other affiliated entities, has non-contributorydefined benefit pension plans covering most employees. As of December 31, 2007, the projected benefit obligationexceeded the fair value of the pension assets by approximately $306.9 million. The <strong>Cleveland</strong> <strong>Clinic</strong>’s funding forits pension plans were $3.0 million in 2007, $92.0 million in 2006, and $113.0 million in 2005. In 2008, theA-43

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