SAMPLE PSAB HOSPITAL ILLUSTRATIVE FINANCIAL STATEMENTS For the year ended March 31, 2014 SAMPLE PSAB HOSPITAL Illustrative PSAB Financial Statements For the year ended March 31, 2014 The purpose of this publication is to assist Hospitals in preparing their Public Sector Accounting Standards (PSAB) financial statements for the year ended March 31, 2014. These financial statements are based on the following assumptions about the example Hospital: - The Hospital follows PSAB plus the 4200 series of standards applicable to government not-forprofit organizations. The Hospital has employment contracts with staff offering both vesting and non-vesting sick leave benefits available to certain employee groups. The Hospital’s Foundation has an independently elected board and is not controlled by the Hospital in any other manner. The Hospital’s capital assets do not include any assets under capital lease. The Hospital has selected its internal rate of borrowing to be its discount rate for retirement benefit calculations (PSAB for government NPOs allows the rate of return on plan assets to be used alternatively). There is not a material difference between the interest income and expense and cash flows requiring separate disclosure in the statement of cash flows. The Hospital has included a statement of management responsibility with their financial statements. PS 1201 requires an explicit statement either within the financial statements or accompanying them that the Hospital is responsible for the preparation of the financial statements. Some Hospitals and NPOs currently present this in the form of a narrative that accompanies the financial statements indicating the roles and responsibilities of the Hospital in preparing the financial statements. This could also be included in the notes to the financial statements. Note that assumptions concerning discount rates and other inputs into the determination of liabilities for post-employment benefits and compensated absences are not based on actual figures and should not be relied upon. This publication has been carefully prepared, but it has been written in general terms and should be seen as broad guidance only. The publication cannot be relied upon to cover specific situations and you should not act, or refrain from acting, upon the information contained therein without obtaining specific professional advice. Please contact BDO Canada LLP to discuss these matters in the context of your particular circumstances. BDO Canada LLP, its partners, employees and agents do not accept or assume any liability or duty of care for any loss arising from any action taken or not taken by anyone in reliance on the information in this publication or for any decision based on it. BDO Canada LLP, a Canadian limited liability partnership, is a member of BDO International Limited, a UK company limited by guarantee, and forms part of the international BDO network of independent member firms. BDO is the brand name for the BDO network and for each of the BDO Member Firms. BDO Canada LLP SAMPLE PSAB HOSPITAL Statement of Financial Position As at March 31, ASSETS CURRENT ASSETS Cash and cash equivalents Accounts receivable (Note 4) Inventory Prepaid expenses March 31, 2014 $ DUE FROM SAMPLE HOSPITAL FOUNDATION (Note 3) LONG-TERM RESTRICTED INVESTMENTS (Note 2) CAPITAL ASSETS (Note 6) $ March 31, 2013 $ 12,500,000 3,250,000 3,750,000 19,500,000 5,750 16,537,500 3,000,000 3,638,250 23,181,500 2,750,000 6,467,500 160,798,500 189,516,000 $ 2,500,000 6,092,500 157,298,500 189,072,500 4,091,000 $ 32,500,000 350,000 200,000 37,141,000 36,222,500 350,000 200,000 36,772,500 LIABILITIES CURRENT LIABILITIES Bank indebtedness (Note 7) Accounts payable and accrued liabilities (Note 5) Deferred contributions (Note 9) Current portion of long-term debt (Note 7) $ LONG-TERM DEBT (Note 7) POST-EMPLOYMENT BENEFITS AND COMPENSATED ABSENCES (Note 8) DEFERRED CONTRIBUTIONS (Note 9) DEFERRED CAPITAL CONTRIBUTIONS (Note 10) INTEREST RATE SWAP (Note 7) 2,200,000 4,700,000 7,250,000 87,900,000 425,000 139,616,000 2,400,000 4,600,000 7,100,000 82,900,000 350,000 134,122,500 (19,966,000) (15,591,000) 69,098,500 49,132,500 70,398,500 54,807,500 NET ASSETS (DEFICIT) OPERATING INVESTED IN CAPITAL ASSETS (Note 11) ACCUMULATED REMEASUREMENT GAINS $ The accompanying notes are an integral part of these financial statements 767,500 49,900,000 189,516,000 $ - 142,500 54,950,000 189,072,500 - BDO Canada LLP Page 1 of 23 SAMPLE PSAB HOSPITAL Statement of Operations 2014 For the year ended March 31, 2013 REVENUE Ontario Ministry of Health and Long-term Care Patient services Realized gains on sale of temporary investments Interest income Ancillary and other income $ 101,000,000 $ 102,500,000 50,000 1,650,000 17,750,000 222,950,000 100,200,000 101,300,000 42,500 1,500,000 18,150,000 221,192,500 140,050,000 48,175,000 11,200,000 14,000,000 1,125,000 200,000 6,500,000 221,250,000 139,185,000 48,100,000 11,100,000 13,200,000 1,200,000 215,000 6,400,000 219,400,000 1,700,000 1,792,500 6,000,000 (13,375,000) 5,600,000 (12,000,000) EXPENSES Salaries and benefits General supplies and other Medical and surgical supplies Drugs Amortization of operating equipment Interest and bank charges Ancillary operations EXCESS OF REVENUE OVER EXPENSES BEFORE BUILDING AMORTIZATION Amortization of deferred contributions for buildings (Note 10) Amortization of buildings DEFICIENCY OF REVENUE OVER EXPENSES FOR THE YEAR The accompanying notes are an integral part of these financial statements $ (5,675,000) $ BDO Canada LLP (4,607,500) Page 2 of 23 SAMPLE PSAB HOSPITAL Statement of Changes in Net Assets March 31, 2014 Invested in Capital Assets (Note 11) Unrestricted BALANCE, BEGINNING OF YEAR $ (15,591,000) $ 70,398,500 2,825,000 (8,500,000) (7,200,000) 7,200,000 $ (19,966,000) $ 69,098,500 EXCESS (DEFICIENCY) OF REVENUES OVER EXPENSES INVESTMENT IN CAPITAL ASSETS BALANCE, END OF YEAR Total $ 54,807,500 (5,675,000) $ 49,132,500 March 31, 2013 Invested in Capital Assets Unrestricted Interest Rate Swap Operating BALANCE, BEGINNING OF YEAR $ RECLASSIFICATION OF UNREALIZED LOSSES ON DERIVATIVE DUE TO ADOPTION OF PS 3450 $ (375,000) 2,992,500 INVESTMENT IN CAPITAL ASSETS $ 375,000 - EXCESS (DEFICIENCY) OF REVENUES OVER EXPENSES BALANCE, END OF YEAR (8,130,000) (Note 11) (15,591,000) $ (7,600,000) - 59,040,000 375,000 - (10,453,500) $ 67,545,000 Total (4,607,500) 10,453,500 $ - The accompanying notes are an integral part of these financial statements $ - 70,398,500 $ 54,807,500 BDO Canada LLP Page 3 of 23 SAMPLE PSAB HOSPITAL Statement of Cash Flows March 31, 2014 2013 NET INFLOW (OUTFLOW) OF CASH RELATED TO THE FOLLOWING ACTIVITIES OPERATING Deficiency of revenue over expenses Items not involving cash: Realized gains on sale of temporary investments Amortization of capital assets Amortization of deferred capital contributions Deferred contributions recognized as revenue in the year $ Accrual for post-employment benefits and compensated absences Deferred contributions Changes in non-cash working capital items: Accounts receivable Inventory Prepaid expenses Accounts payable and accrued liabilities FINANCING Increase in bank indebtedness Repayment of long-term debt CAPITAL Contributions received for capital purposes Purchase of capital assets INVESTING Due from Sample Hospital Foundation Proceeds on sale of temporary investments NET CASH OUTFLOW CASH AND CASH EQUIVALENTS, BEGINNING OF YEAR CASH AND CASH EQUIVALENTS, END OF YEAR Cash and cash equivalents consist of: Cash Term deposits $ $ $ The accompanying notes are an integral part of these financial statements (5,675,000) $ (4,607,500) (50,000) 14,500,000 (6,000,000) (1,750,000) (42,500) 13,200,000 (5,600,000) (1,650,000) 100,000 1,900,000 85,000 1,850,000 4,037,500 (250,000) (111,750) (3,722,500) 2,978,250 (787,500) (100,000) (173,250) 8,722,500 10,896,750 4,091,000 (200,000) 3,891,000 (200,000) (200,000) 11,000,000 (18,000,000) (7,000,000) 8,275,000 (19,628,500) (11,353,500) (250,000) 375,000 125,000 (5,750) (150,000) 192,500 42,500 (614,250) 5,750 - - $ $ $ BDO Canada LLP 620,000 5,750 3,000 2,750 5,750 Page 4 of 23 SAMPLE PSAB HOSPITAL Statement of Remeasurement Gains and Losses 2014 March 31, Accumulated remeasurement losses at beginning of year $ Adjustment upon adoption of PS 3450 - Financial Instruments Unrealized gains attributable to: Long-term restricted investments Derivative - interest rate swap Amounts reclassified to the statement of operations: The accompanying notes are an integral part of these financial statements 142,500 $ - Disposition of long-term investments Net remeasurement gains for the year Accumulated remeasurement gains at end of year 2013 $ (90,000) 750,000 (75,000) 250,000 25,000 (50,000) 625,000 (42,500) 142,500 767,500 $ BDO Canada LLP 142,500 Page 5 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 1. SIGNIFICANT ACCOUNTING POLICIES Description of Organization Sample PSAB Hospital (“the Hospital”), established in 1967, provides health care services to the residents of City and surrounding areas. The Hospital, incorporated without share capital under the Corporations Act of Ontario, is a charitable organization within the meaning of the Income Tax Act (Canada). The Hospital is a not-for-profit organization and, as such, is exempt from income taxes under the Income Tax Act (Canada). Basis of presentation The financial statements of the Hospital have been prepared in accordance with Canadian public sector accounting standards for government not-for-profit organizations, including the 4200 series of standards, as issued by the Public Sector Accounting Board (“PSAB for Government NPOs”). The Sample Foundation is a separate entity whose financial information is reported separately from the Hospital. Contributed services Volunteers contribute numerous hours to assist the Hospital in carrying out certain charitable aspects of its service delivery activities. The fair value of these contributed services is not readily determinable and, as such, is not reflected in these financial statements. Cash and cash equivalents Revenue recognition Cash and cash equivalents includes cash on hand, deposits at call with banks, other short-terms highly liquid investments with original maturities of three months or less. The Hospital follows the deferral method of accounting for contributions, which include donations and government grants. Under the Health Insurance Act and Regulations thereto, the Hospital is funded primarily by the Province of Ontario in accordance with budget arrangements established by the Ministry of Health and Long-term Care (“MOHLTC”), and the Local Health Integration Network (“LHIN”). The Hospital has entered into a Hospital Service Accountability Agreement (the “H-SAA”) for fiscal 2014 with the Ministry and LHIN that sets out the rights and obligations of the parties to the H-SAA in respect of funding provided to the Hospital by the Ministry/LHIN. The H-SAA also sets out the performance standards and obligations of the Hospital that establish acceptable results for the Hospital’s performance in a number of areas. If the Hospital does not meet its performance standards or obligations, the Ministry/LHIN has the right to adjust funding received by the Hospital. The Ministry/LHIN is not required to communicate certain funding adjustments until after the submission of year-end data. Since this data is not submitted until after the completion of the financial statements, the amount of Ministry/LHIN funding received by the Hospital during the year may be increased or decreased subsequent to year end. BDO Canada LLP Page 6 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 1. SIGNIFICANT ACCOUNTING POLICIES (continued) Revenue recognition (continued) Grants approved but not received at the end of an accounting period are accrued. Where a portion of a grant relates to a future period, it is deferred and recognized in that subsequent period. Unrestricted contributions are recognized as revenue when received or receivable if the amount can be reasonably estimated and collection is reasonably assured. Restricted contributions for the purchase of capital assets are deferred and amortized into revenue at a rate corresponding with the amortization rate for the related capital assets. Amortization of buildings is not funded by the LHIN and accordingly the amortization of buildings has been reflected as an undernoted item in the statement of operations with the corresponding realization of revenue for deferred contributions. Externally restricted investment income is accounted for as a liability until the restrictions imposed on the income have been met by the Hospital. Revenue from patient services is recognized when the service is provided. Ancillary revenue consists of parking, food and gift shop sales and revenue is recognized when the goods are sold and services provided. Inventory Inventories are valued at the lower of cost and net realizable value. Cost is determined on the first-in first-out basis. Inventory consists of medical and general supplies that are used in the Hospital’s operations and not for resale purposes. Capital assets Purchased capital assets are recorded at cost less accumulated amortization. Contributed capital assets are recorded at fair value at the date of contribution. Repairs and maintenance costs are charged to expense. Betterments that extend the estimated life of an asset are capitalized. When a capital asset no longer contributes to the Hospital’s ability to provide services or the value of future economic benefits associated with the capital asset is less than its net book value, the carrying value of the capital asset is reduced to reflect the decline in the asset’s value. Construction in progress is not amortized until construction is substantially complete and the assets are ready for use. Capital assets are capitalized on acquisition and amortized on a straight-line basis over their useful lives, which has been estimated to be as follows: Buildings and building service equipment Operating equipment - 20 to 40 years 3 to 20 years BDO Canada LLP Page 7 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 1. SIGNIFICANT ACCOUNTING POLICIES (continued) Retirement and post-employment benefits and compensated absences The Hospital provides defined retirement and post-employment benefits and compensated absences to certain employee groups. These benefits include pension, health and dental, vesting sick leave and non-vesting sick leave. The Hospital has adopted the following policies with respect to accounting for these employee benefits: (i) The costs of post-employment future benefits are actuarially determined using management’s best estimate of health care costs, disability recovery rates and discount rates. Adjustments to these costs arising from changes in estimates and experience gains and losses are amortized to income over the estimated average remaining service life of the employee groups on a straight line basis. Plan amendments, including past service costs are recognized as an expense in the period of the plan amendment. (ii) The costs of the multi-employer defined benefit pension are the employer’s contributions due to the plan in the period. (iii) The cost of vesting and non-vesting sick leave benefits are actuarially determined using management’s best estimate of salary escalation, employees’ use of entitlement and discount rates. Adjustments to these costs arising from changes in actuarial assumption and/or experience are recognized over the estimated average remaining service life of the employees. (iv) The discount rate used in the determination of the abovementioned liabilities is equal to the Hospital’s internal rate of borrowing. Financial instruments The Hospital classifies its financial instruments as either fair value or amortized cost. The Hospital’s accounting policy for each category is as follows: Fair value This category includes cash and cash equivalents, bank indebtedness and derivatives. The Hospital has designated its bond portfolio (restricted investments) that would otherwise be classified into the amortized cost category at fair value as the Hospital manages and reports performance of it on a fair value basis. They are initially recognized at cost and subsequently carried at fair value. Changes in fair value are recognized in the statement of remeasurement gains and losses until they are realized, at which time they are transferred to the statement of operations. Changes in fair value on restricted assets are recognized as a liability until the criterion attached to the restrictions has been met. BDO Canada LLP Page 8 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 1. SIGNIFICANT ACCOUNTING POLICIES (continued) Financial instruments (continued) Fair value (continued) Transaction costs related to financial instruments in the fair value category are expensed as incurred. Where a decline in fair value is determined to be other than temporary, the amount of the loss is removed from accumulated remeasurement gains and losses and recognized in the statement of operations. On sale, the amount held in accumulated remeasurement gains and losses associated with that instrument is removed from net assets and recognized in the statement of operations. Amortized cost This category includes accounts receivable, due from Sample Hospital Foundation, accounts payable and accrued liabilities, and long term debt. They are initially recognized at cost and subsequently carried at amortized cost using the effective interest rate method, less any impairment losses on financial assets, except for contributions, which are initially recognized at fair value. Transaction costs related to financial instruments in the amortized cost category are added to the carrying value of the instrument. Write-downs on financial assets in the amortized cost category are recognized when the amount of a loss is known with sufficient precision, and there is no realistic prospect of recovery. Financial assets are then written down to net recoverable value with the write-down being recognized in the statement of operations. Management estimates The preparation of financial statements in conformity with PSAB for Government NPOs requires management to make estimates and assumptions that affect the reported amount of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the period. Actual results could differ from these estimates. Areas of key estimation include determination of allowance for doubtful accounts, amortization of capital assets and actuarial estimation of post-employment benefits and compensated absences liabilities. BDO Canada LLP Page 9 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 2. FINANCIAL INSTRUMENT CLASSIFICATION The following table provides cost and fair value information of financial instruments by category. The maximum exposure to credit risk would be the carrying value as shown below. Fair Value Accounts receivable Due from Sample Hospital Foundation Restricted investments Bank indebtedness Accounts payable and accrued liab. Long-term debt Interest rate swap $ $ 6,467,500 4,091,000 425,000 10,983,500 Fair Value Cash and cash equivalents Accounts receivable Due from Sample Hospital Foundation Restricted investments Accounts payable and accrued liab. Long-term debt Interest rate swap $ $ 5,750 6,092,500 350,000 6,448,250 2014 Amortized Cost $ $ 12,500,000 2,750,000 32,500,000 2,400,000 50,150,000 Total $ $ 2013 Amortized Cost $ $ 16,537,500 2,500,000 36,222,500 2,600,000 57,860,000 12,500,000 2,750,000 6,467,500 4,091,000 32,500,000 2,400,000 425,000 61,133,500 Total $ $ 5,750 16,537,500 2,500,000 6,092,500 36,222,500 2,600,000 350,000 64,308,250 In March 2011, the Hospital received from MOHLTC a Planning Grant of $49,000,000 to assist with developing the Hospital’s new restructuring project. The balance of the investments is held in bonds. These investments are restricted and expected to be used in the capital development of the new hospital and therefore have been shown as long term. The following table provides an analysis of financial instruments that are measured subsequent to initial recognition at fair value, grouped into Levels 1 to 3 based on the degree to which the fair value is observable: - Level 1 fair value measurements are those derived from quoted prices (unadjusted) in active markets for identical assets or liabilities using the last bid price; - Level 2 fair value measurements are those derived from inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly (i.e. as prices) or indirectly (i.e. derived from prices); and - Level 3 fair value measurements are those derived from valuation techniques that include inputs for the asset or liability that are not based on observable market data (unobservable inputs). BDO Canada LLP Page 10 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 2. FINANCIAL INSTRUMENT CLASSIFICATION (continued) 2014 Bank indebtedness Restricted investments Interest rate swap Total $ $ Level 1 4,091,000 4,091,000 Level 2 $ $ Level 3 6,467,500 6,467,500 $ $ 425,000 425,000 $ $ Total 4,091,000 6,467,500 425,000 10,983,500 2013 Level 1 Cash and cash equivalents Restricted investments Interest rate swap Total $ $ 5,750 5,750 Level 2 $ $ 6,092,500 6,092,500 Level 3 $ $ 350,000 350,000 Total $ $ 5,750 6,092,500 350,000 6,448,250 There were no transfers between Level 1 and Level 2 for the years ended March 31, 2014 and 2013. There were also no transfers in or out of Level 3. For a sensitivity analysis of financial instruments recognized in Level 3, see Note 13 – Interest rate risk, as the prevailing interest rate is the most significant input into the fair value of the instrument. 3. SAMPLE HOSPITAL FOUNDATION The Foundation is an independent corporation incorporated without share capital which has its own independent Board of Directors and is a registered charity under the Income Tax Act. The Foundation receives and maintains funds for charitable purposes, which it donates to the Hospital for the use of operations, renovations, maintenance and equipment of the Hospital. At March 31, 2014, the Hospital has a receivable from the Foundation of $2,750,000 (2013 $2,500,000). Total funds received from the Foundation for fiscal 2014 amounts to $2,250,000 (2013 – $2,150,000). BDO Canada LLP Page 11 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 4. ACCOUNTS RECEIVABLE 2014 2013 OHIP Ministry of Health and Long-term Care/LHIN $ 6,500,000 3,250,000 $ 10,000,000 3,500,000 Patient services Other 950,000 1,800,000 $ 12,500,000 1,000,000 2,037,500 $ 16,537,500 5. ACCOUNTS PAYABLE AND ACCRUED LIABILITIES 2014 Ministry of Health and Long-term Care/LHIN Trade Wages and other accruals $ $ 2,450,000 21,000,000 9,050,000 32,500,000 BDO Canada LLP 2013 $ 2,500,000 24,571,750 9,150,750 $ 36,222,500 Page 12 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 6. CAPITAL ASSETS 2014 Cost Land Buildings and building service equipment Operating equipment Construction in progress $ 5,000,000 Accumulated Amortization $ - Net Book Value $ 5,000,000 190,100,000 135,463,500 29,000,000 80,540,000 118,225,000 - 109,560,000 17,238,500 29,000,000 $ 359,563,500 $ 198,765,000 $ 160,798,500 2013 Accumulated Amortization Cost Land Buildings and building service equipment Operating equipment Construction in progress $ 5,000,000 $ 189,100,000 130,463,500 17,000,000 $ 341,563,500 - Net Book Value $ 67,165,000 117,100,000 $ 184,265,000 5,000,000 121,935,000 13,363,500 17,000,000 $ 157,298,500 BDO Canada LLP Page 13 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 7. LONG-TERM DEBT AND BANK INDEBTEDNESS The long-term debt outstanding at year-end is owed to a major financial institution and is party to an interest rate swap derivative, which swaps the variable rate inherent in the debt for a fixed rate of 5.85%. The derivative matures simultaneously with the long-term debt. 2014 Loan bearing interest at prime minus 25bps, repayable in monthly instalments of $16,667 excluding interest through 2027. This loan is secured by a general security agreement on specified assets related to the debt $ 2,400,000 Less: amounts scheduled for repayment within one year (200,000) $ 2,200,000 2015 $ 2016 2017 2018 2019 Thereafter Total $ 2013 $ 2,600,000 (200,000) $ 2,400,000 200,000 200,000 200,000 200,000 200,000 1,400,000 2,400,000 The Hospital has a line of credit to a maximum of $5,000,000. It bears interest at prime plus 1.00% and is unsecured. At year end the hospital has drawn $4,491,000 (2013 - NIL) on this line of credit. BDO Canada LLP Page 14 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 8. POST-EMPLOYMENT BENEFITS AND COMPENSATED ABSENCES LIABILITY The following tables outline the components of the Hospital’s post-employment benefits and compensated absences liabilities and the related expenses. 2014 Post-employment Non-vesting sick Benefits leave Accrued employee future benefits obligations $ Value of plan assets Unamortized actuarial losses Total liability 3,200,000 $ 1,300,000 (140,000) $ Vesting sick leave $ 775,000 $ - (225,000) 2,835,000 $ Total liability - (40,000) 1,260,000 $ (170,000) 605,000 $ 5,275,000 (140,000) (435,000) 4,700,000 2013 Post-employment Non-vesting sick Benefits leave Accrued employee future benefits obligations $ Value of plan assets Unamortized actuarial losses Total liability 3,225,000 $ (150,000) $ (245,000) 2,830,000 $ 1,200,000 Vesting sick leave $ - (45,000) 1,155,000 $ Total liability 780,000 $ - (165,000) 615,000 $ BDO Canada LLP 5,205,000 (150,000) (455,000) 4,600,000 Page 15 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 8. POST-EMPLOYMENT BENEFITS AND COMPENSATED ABSENCES LIABILITY (continued) 2014 Current year benefit cost Post-employment Benefits Non-vesting sick leave $ $ 255,000 825,000 Vesting sick leave $ Total expense 110,000 $ 1,190,000 Interest on accrued benefit obligation 325,000 57,500 55,000 437,500 Plan amendments 250,000 - - 250,000 Amortized actuarial losses Total expense 25,000 855,000 18,000 900,500 17,250 182,250 60,250 1,937,750 Current year benefit cost $ $ $ Post-employment Benefits 2013 Non-vesting sick leave Vesting sick leave $ $ 235,000 800,000 $ $ Total expense 100,000 $ 1,135,000 Interest on accrued benefit obligation 250,000 55,000 50,000 355,000 Plan amendments 200,000 - - 200,000 Amortized actuarial losses Total expense 21,400 706,400 17,300 872,300 16,800 166,800 55,500 1,745,500 $ $ $ $ Above amounts exclude pension contributions to the Hospitals of Ontario Pension Plan (“HOOP”), a multi-employer plan, described below. BDO Canada LLP Page 16 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 8. POST-EMPLOYMENT BENEFITS AND COMPENSATED ABSENCES LIABILITY (continued) Retirement Benefits HOOP Pension Plan Substantially all of the full-time employees and some of the part-time employees are members of HOOP. The plan is a multi-employer plan and therefore the Hospital’s contributions are accounted for as if the plan were a defined contribution plan with the Hospital’s contributions being expensed in the period they come due. Contributions made to the plan during the year by the Hospital and employees amounted to $4,600,000 (2013 - $4,500,000) and $4,200,000 (2013 - $4,100,000) respectively. Post-Employment Benefits The Hospital extends post employment life insurance, health and dental benefits to certain employee groups subsequent to their retirement. The Hospital recognizes these benefits as they are earned during the employees’ tenure of service. The related benefit liability was determined by an actuarial valuation study. The major actuarial assumptions employed for the valuations are as follows: a) Discount rate The present value as at March 31, 2014 of the future benefits was determined using a discount rate of 4.10% (2013 – 4%). b) Drug Costs Drug costs were assumed to increase at a 10.25% rate for 2014 (2013 – 10.5%) and decrease proportionately thereafter to an ultimate rate of 4.75% in 2026 for fiscal 2014 (2013 – 4.5%). c) Hospital and other medical Hospital and other medical costs were assumed to increase at 4.5% per annum in 2014 (2013 – 4.5%). Medical premium increases were assumed to increase at 8.15% per annum in 2014 (2013 – 8.0%) and decrease proportionately thereafter to an ultimate rate of 4.5% in 2026 for fiscal 2014 (2013 – 4.5%). d) Dental costs Dental costs were assumed to increase at 7.5% per annum in 2014 (2013 - 7.25%) and decrease proportionately thereafter to an ultimate rate of 4.5% in 2023 for fiscal 2014 benefits cost (2013 – 4.5%). BDO Canada LLP Page 17 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 8. POST-EMPLOYMENT BENEFITS AND COMPENSATED ABSENCES LIABILITY (continued) Compensated Absences Vesting and Non-Vesting Sick Leave The Hospital allocates to certain employee groups a specified number of days each year for use as compensated absences in the event of illness or injury. Employees are permitted to accumulate their unused allocation each year, up to the allowable maximum provided in their employment agreements. Accumulated days may be used in future years to the extent that the employees’ illness or injury exceeds the current year’s allocation of days. Sick days are paid out at the salary in effect at the time of usage. The related benefit liability was determined by an actuarial valuation study. For certain employee groups these sick days vest and are eligible for cash reimbursement upon retirement up to a prescribed maximum described in their employment agreements. The assumptions used in the valuation of vesting and non-vesting sick leave are the Hospital’s best estimates of expected rates of: 2014 Wage and salary escalation Discount rate 2013 1.85% 4.10% 1.75% 4.00% The probability that the employee will use more sick days than the annual accrual and the excess number of sick days used are within ranges of 0% to 39.2% and 0 to 19.3 days respectively for age groups ranging from 20 and under to 65 and over in bands of 5 years. 9. DEFERRED CONTRIBUTIONS Deferred contributions represent unspent externally restricted funding that has been received and relates to a subsequent year. Changes in the contributions deferred to future periods are as follows: 2014 2013 Balance, beginning of year Less amounts recognized as revenue in the year Add amounts received during the year $ 7,450,000 (1,750,000) 1,900,000 $ 7,250,000 (1,650,000) 1,850,000 Balance, end of year $ 7,600,000 $ 7,450,000 BDO Canada LLP Page 18 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 9. DEFERRED CONTRIBUTIONS (continued) Deferred contributions are comprised of: 2014 Local health initiatives Children's nutrition Other $ Less: current portion $ 7,065,000 425,000 110,000 7,600,000 350,000 7,250,000 2013 $ 6,950,000 400,000 100,000 7,450,000 350,000 7,100,000 $ 10. DEFERRED CAPITAL CONTRIBUTIONS Deferred capital contributions represent the unamortized amount and unspent amount of donations and grants received for the purchase of capital assets. The amortization of capital contributions is recorded as revenue in the statement of operations. 2014 2013 Balance, beginning of year Less: amortization of deferred capital contributions Add: contributions received for capital purposes $ 82,900,000 (6,000,000) 11,000,000 $ 80,225,000 (5,600,000) 8,275,000 Balance, end of year $ 87,900,000 $ 82,900,000 As at March 31, 2014 there was $2,000,000 (2013 - $1,000,000) of deferred capital contributions received which were not spent. 11. INVESTMENT IN CAPITAL ASSETS A. Investment in capital assets represents the following: 2014 Capital assets Less amounts financed by: Accounts payable and accrued liabilities (Note 5) Long-term debt (Note 7) Deferred capital contributions - spent (Note 10) Balance, end of year $ 160,798,500 $ 3,400,000 2,400,000 85,900,000 69,098,500 2013 $ 157,298,500 $ 2,400,000 2,600,000 81,900,000 70,398,500 BDO Canada LLP Page 19 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 11. B. INVESTED IN CAPITAL ASSETS (continued) Change in net assets invested in capital assets is calculated as follows: 2014 Deficiency of revenues over expenditures: Amortization of deferred capital contributions related to capital assets Amortization of capital assets $ Net change in investment in capital assets: Purchase of capital assets Amounts funded by deferred capital contributions Accounts payable and accrued liabilities Repayment of term debt $ 6,000,000 (14,500,000) 2013 $ 5,600,000 (13,200,000) (8,500,000) (7,600,000) 18,000,000 (10,000,000) (1,000,000) 200,000 19,628,500 (6,975,000) (2,400,000) 200,000 7,200,000 (1,300,000) 10,453,500 2,853,500 $ 12. CONTINGENCIES AND COMMITMENTS The Hospital has been named defendant in certain legal actions. The final liability, if any, of these claims is indeterminable as the Hospital has established defense actions and further, in the opinion of legal counsel and the Hospital's insurance adjustors, should any claim be successful, it would be subject to material coverage by the hospital's policies of insurance. The Hospital participates in the Healthcare Insurance Reciprocal of Canada, a pooling of the public liability insurance risks of its hospital members. Members of the pool pay annual premiums, which are actuarially determined. Members are subject to assessment for losses, if any, experienced by the pool for the year in which they were members. No assessments have been made to March 31, 2014, with respect to claims. The Hospital is committed to estimated minimum annual payments under operating lease agreements over the next two years as follows: Equipment and services 2015 2016 $ 1,200,000 1,300,000 BDO Canada LLP Page 20 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 13. FINANCIAL INSTRUMENT RISK MANAGEMENT Credit risk Credit risk is the risk of financial loss to the Hospital if a debtor fails to make payments of interest and principal when due. The Hospital is exposed to this risk relating to its cash and cash equivalents, debt holdings in its investment portfolio, due from Sample Hospital Foundation and accounts receivable. The Hospital holds its cash accounts with federally regulated chartered banks who are insured by the Canadian Deposit Insurance Corporation. In the event of default, the Hospital’s cash accounts are insured up to $300,000 (2013 - $300,000). The Hospital’s investment policy operates within the constraints of the investment guidelines issued by the MOHLTC in relation to the funding agreements described in Note 2 and puts limits on the investment portfolio including portfolio composition limits, issuer type limits, bond quality limits, aggregate issuer limits, corporate sector limits and general guidelines for geographic exposure. The maximum exposure to investment credit risk is outlined in Note 2. Accounts receivable are primarily due from OHIP, the Ministry of Health and Long-Term Care and patients. Credit risk is mitigated by the financial solvency of the provincial government and the highly diversified nature of the patient population. The Hospital measures its exposure to credit risk based on how long the amounts have been outstanding. An impairment allowance is set up based on the Hospital’s historical experience regarding collections. The amounts outstanding at year end were as follows: Past Due As at March 31, 2014 Total OHIP $ 6,500,000 Current $ 1 - 30 days 6,500,000 $ - 31 - 60 days $ 61 - 90 days - $ - 91 - 120 days $ - MOH/LHIN 3,250,000 3,250,000 - - - - Patient services 1,135,000 450,000 25,000 75,000 85,000 500,000 Other 1,800,000 1,800,000 - - - - 12,685,000 12,000,000 25,000 75,000 85,000 - - - - Gross receivables Less: impairment allowances Net receivables (185,000) $ 25,000 $ 75,000 $ 12,500,000 $ 12,000,000 Total Current $ 10,000,000 $ 10,000,000 MOH/LHIN 3,500,000 3,500,000 - - - - Patient services 1,175,000 600,000 25,000 100,000 100,000 350,000 Other Gross receivables Less: impairment allowances Net receivables 85,000 $ 315,000 Past Due As at March 31, 2013 OHIP $ 500,000 (185,000) 1 - 30 days $ - 31 - 60 days $ - 61 - 90 days $ - 91 - 120 days $ - 2,037,500 2,037,500 - - - - 16,712,500 16,137,500 25,000 100,000 100,000 350,000 (175,000) $ 16,537,500 $ 16,137,500 $ 25,000 $ 100,000 $ 100,000 (175,000) $ 175,000 The amounts aged greater than 90 days owing from patients that have not had a corresponding impairment allowance setup against them are collectible based on the Hospital’s past experience. Management has reviewed the individual balances and based on the credit quality of the debtors and their past history of payment. BDO Canada LLP Page 21 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 13. FINANCIAL INSTRUMENT RISK MANAGEMENT (continued) Credit risk (continued) There have been no significant changes from the previous year in the exposure to risk or policies, procedures and methods used to measure the risk. Market risk Market risk is the risk that the fair value or future cash flows of a financial instrument will fluctuate as a result of market factors. Market factors include three types of risk: interest rate risk, currency risk and equity risk. The Hospital is not exposed to significant currency or equity risk as it does not transact materially in foreign currency or hold equity financial instruments. There have been no significant changes from the previous year in the exposure to risk or policies, procedures and methods used to measure the risk. Interest rate risk Interest rate risk is the potential for financial loss caused by fluctuations in fair value or future cash flows of financial instruments because of changes in market interest rates. The Hospital is exposed to this risk through its interest bearing investments and term debt. The Hospital mitigates interest rate risk on its long-term debt through a derivative financial instrument that exchanges the variable rate inherent in the term debt for a fixed rate (see Note 7). Therefore, fluctuations in market interest rates would not impact future cash flows and operations relating to the term debt. At March 31, 2014, a 1% fluctuation in interest rates, with all other variables held constant, would have an estimated impact on the fair value of bonds and the interest rate swap of $875,000 and $200,000 respectively (2013 - $850,000 and $225,000). There have been no significant changes from the previous year in the exposure to risk or policies, procedures and methods used to measure the risk. Liquidity risk Liquidity risk is the risk that the Hospital will not be able to meet all cash outflow obligations as they come due. The Hospital mitigates this risk by monitoring cash activities and expected outflows through extensive budgeting and maintaining investments that may be converted to cash in the near-term if unexpected cash outflows arise. The follow table sets out the contractual maturities (representing undiscounted contractual cash-flows of financial liabilities): BDO Canada LLP Page 22 of 23 SAMPLE PSAB HOSPITAL Notes to Financial Statements For the year ended March 31, 2014 13. FINANCIAL INSTRUMENT RISK MANAGEMENT (continued) Liquidity risk (continued) Accounts payable Long-term debt Within 6 months $ 22,500,000 100,000 $ 22,600,000 2014 6 months to 1 year 1 - 5 years $ 10,000,000 $ 100,000 800,000 $ 10,100,000 $ 800,000 > 5 years $ 1,400,000 1,400,000 $ 2013 Accounts payable Long-term debt Within 6 months $ 25,222,500 100,000 $ 25,322,500 6 months to 1 year $ 11,000,000 100,000 $ 11,100,000 1 - 5 years 800,000 $ 800,000 $ > 5 years $ $ 1,600,000 1,600,000 Maturity profile of bonds held is as follows: Carrying value Percent of Total Carrying value Percent of Total $ $ Within 1 year 3,967,500 $ 61% 2 to 5 years 2,500,000 $ 39% Within 1 year 3,000,000 $ 49% 2 to 5 years 3,092,500 $ 51% 2014 6 to 10 years Over 10 years - $ Total $ 6,467,500 - 0% 0% 2013 6 to 10 years Over 10 years - $ Total $ 6,092,500 - 0% 0% Derivative financial liabilities mature as described in Note 7. There have been no significant changes from the previous year in the exposure to risk or policies, procedures and methods used to measure the risk. BDO Canada LLP Page 23 of 23 Mississauga National Erica Teklits Partner National Leader – Not-for-Profit Sector 905 272 7809 eteklits@bdo.ca Armand Capisciolto Partner National Accounting Standards 416 369 6937 acapisciolto@bdo.ca To locate a BDO representative in your area, please visit www.bdo.ca