Cleveland Clinic Health System Obligated Group - FMSbonds.com
Cleveland Clinic Health System Obligated Group - FMSbonds.com Cleveland Clinic Health System Obligated Group - FMSbonds.com
Cleveland Clinic Health SystemConsolidating Statements of Cash FlowsYear Ended December 31, 2006(In Thousands)ConsolidatingObligated Non-Obligated Adjustments &Group Group Eliminations ConsolidatedOperating activities and net nonoperating gains and lossesIncrease in net assets $ 555,412 $ 98,261 $ – $ 653,673Increase in net assets from discontinued operations (28,479) – – (28,479)Increase in net assets from continuing operations 526,933 98,261 – 625,194Adjustments to reconcile increase in net assets tonet cash provided by operating activities and netnonoperating gains and losses:Minimum pension liability adjustment (37,628) – – (37,628)Net increase in investments classified as trading (63,891) (6,878) – (70,769)Impairment of investments carried at cost 257 – – 257Depreciation and amortization 176,426 18,493 – 194,919Provision for uncollectible accounts 88,172 11,136 – 99,308Restricted gifts, bequests, investment income, and other (106,269) (3,906) – (110,175)Donated capital (477) – – (477)Contribution (from) to affiliates (35,210) 35,210 – –Accreted interest and amortization of bond premiums (483) (168) – (651)Change in value of derivatives (7,515) – – (7,515)Changes in operating assets and liabilities:Patient receivables (110,011) (33,566) – (143,577)Other current assets (131,950) (8,176) 64,591 (75,535)Other noncurrent assets 4,303 36,014 5,000 45,317Accounts payable and other current liabilities (82,376) 79,172 (63,513) (66,717)Other liabilities 164,516 (8,370) (1,078) 155,068Net cash provided by operating activities and netnonoperating gains and losses from continuing operations 384,797 217,222 5,000 607,019Financing activitiesPayments on short-term borrowings – (38,413) – (38,413)Proceeds from long-term borrowings 114,800 – (5,000) 109,800Payments to redeem long-term debt (9,252) – – (9,252)Principal payments on long-term debt (8,700) (2,440) – (11,140)Debt issuance costs (3,004) – – (3,004)Change in pledge receivables, trusts and interests in foundations 3,574 (265) – 3,309Restricted gifts, bequests, investment income, and other 106,269 3,906 – 110,175Net cash provided by (used in) financing activitiesfrom continuing operations 203,687 (37,212) (5,000) 161,475Investing activitiesExpenditures for property and equipment, net (357,820) (101,004) – (458,824)Contribution from (to) affiliates 35,210 (35,210) – –(Increase) decrease in nontrading investments, net (346,636) (506) – (347,142)Net cash used in investing activities from continuing operations (669,246) (136,720) – (805,966)Net cash provided by discontinued operations 67,145 – – 67,145(Decrease) increase in cash and cash equivalents (13,617) 43,290 – 29,673Cash and cash equivalents at beginning of year 355,227 75,732 – 430,959Cash and cash equivalents at end of year $ 341,610 $ 119,022 $ – $ 460,632See notes to consolidating financial statements.46 .
Cleveland Clinic Health SystemNotes to Consolidating Financial StatementsYears Ended December 31, 2007 and 20061. PresentationThe accompanying financial statement information presents certain data for the Obligated Group(as defined herein) and certain controlled affiliates of The Cleveland Clinic Foundation(collectively referred to as the Non-Obligated Group), which have no liability under the MasterTrust Indenture (Indenture), dated June 1, 1987 and amended and restated April 1, 2003, assupplemented, between the Foundation and The Huntington National Bank, as successor MasterTrustee. The Foundation, Meridia Health System, Fairview Hospital, Lutheran Hospital,Marymount Hospital, Inc., Cleveland Clinic Florida and Cleveland Clinic Florida Health System(formerly known as Cleveland Clinic Florida Hospital Naples), which withdrew from theObligated Group effective May 1, 2006, excluding certain organizations with which they areaffiliated, either by membership, equity interest or contract were the sole members of theObligated Group under that Indenture.The following real property (Excluded Property) is not integral to the Obligated Group’soperational activities and is not subject to the Master Trust Indenture and, therefore, is exceptedfrom covenants otherwise applicable to property of the Obligated Group: the former TRW worldheadquarters building and the former Parker Hannifin world headquarters building, theFoundation House, and various other properties located in the Cleveland area outside theFoundation’s main campus that are either undeveloped or have structures on them that theFoundation expects to raze or that otherwise meet the Master Trust Indenture requirements forexclusion. The accompanying financial statement information is presented by legal entity and noadjustment has been made for these Excluded Properties.Certain 2006 amounts have been reclassified to conform with the current year presentation.47
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- Page 173 and 174: APPENDIX CSUMMARY OF BASIC DOCUMENT
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- Page 177 and 178: “Bond Indenture” means the Bond
- Page 179 and 180: period of three months from the com
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- Page 183 and 184: direct, express or charitable trust
- Page 185 and 186: Rate Hedge” for purposes of this
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- Page 189 and 190: “Officer’s Certificate” means
- Page 191 and 192: provided, however, that Series 2008
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- Page 199 and 200: (b) the Cleveland Clinic, or if the
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<strong>Cleveland</strong> <strong>Clinic</strong> <strong>Health</strong> <strong>System</strong>Notes to Consolidating Financial StatementsYears Ended December 31, 2007 and 20061. PresentationThe ac<strong>com</strong>panying financial statement information presents certain data for the <strong>Obligated</strong> <strong>Group</strong>(as defined herein) and certain controlled affiliates of The <strong>Cleveland</strong> <strong>Clinic</strong> Foundation(collectively referred to as the Non-<strong>Obligated</strong> <strong>Group</strong>), which have no liability under the MasterTrust Indenture (Indenture), dated June 1, 1987 and amended and restated April 1, 2003, assupplemented, between the Foundation and The Huntington National Bank, as successor MasterTrustee. The Foundation, Meridia <strong>Health</strong> <strong>System</strong>, Fairview Hospital, Lutheran Hospital,Marymount Hospital, Inc., <strong>Cleveland</strong> <strong>Clinic</strong> Florida and <strong>Cleveland</strong> <strong>Clinic</strong> Florida <strong>Health</strong> <strong>System</strong>(formerly known as <strong>Cleveland</strong> <strong>Clinic</strong> Florida Hospital Naples), which withdrew from the<strong>Obligated</strong> <strong>Group</strong> effective May 1, 2006, excluding certain organizations with which they areaffiliated, either by membership, equity interest or contract were the sole members of the<strong>Obligated</strong> <strong>Group</strong> under that Indenture.The following real property (Excluded Property) is not integral to the <strong>Obligated</strong> <strong>Group</strong>’soperational activities and is not subject to the Master Trust Indenture and, therefore, is exceptedfrom covenants otherwise applicable to property of the <strong>Obligated</strong> <strong>Group</strong>: the former TRW worldheadquarters building and the former Parker Hannifin world headquarters building, theFoundation House, and various other properties located in the <strong>Cleveland</strong> area outside theFoundation’s main campus that are either undeveloped or have structures on them that theFoundation expects to raze or that otherwise meet the Master Trust Indenture requirements forexclusion. The ac<strong>com</strong>panying financial statement information is presented by legal entity and noadjustment has been made for these Excluded Properties.Certain 2006 amounts have been reclassified to conform with the current year presentation.47