Johns Hopkins Medicine

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Johns Hopkins Medicine

• TEN-YEAR CAPITAL PLAN UPDATE
• Executive Summary
• April 7, 2005

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• 1 JHM Capital Plan Overview
• 2 JHHS Capital Plan Update
• 3 JHU School of Medicine Capital Plan Update
• 4 JHM Summary of Key Issues

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Timeline for JHH Ten-Year Capital
Projects(Calendar Year)
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
New Clinical Buildings 520.4M
Imaging 23.7M
New Loading Dock 19.6M
Building Envelope and Systems Renovations 34.2M
Building Interior Renovations 27.0M
Pediatric MOB 10.0M
Other Projects and Demolition 65.1M
Total Ten-Year Project Costs - 700.0M
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JHH Ten-Year Capital RequirementsFYs 2003
2012(in millions)

• Major Capital Projects Feb 04 Feb 05
• New Clinical Buildings 429 520
• Imaging 53 24
• New Loading Dock 25 20
• Bldg Envelope System Renovations 45 34
• Bldg Interior Renovations 11 27
• Pediatric MOB 0 10
• Other Projects Demolition 66 47
• Debt Service Reserve Fund 0 18
• Contingency 56 0
• Sub-Total 685 700
• Power Plant 44 41
• MHEEFA Sponsored Projects
• Garage and Information Systems 128 109
• TOTAL 857 850
• 1) Contingency is spread across capital projects
  in current update

(1)
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JHH Ten-Year Capital PlanFYs 2003 2012(in
millions)

• SOURCES OF FUNDS
• Major Capital Projects Feb 04 Feb 05
• State Grants 50 50
• Fundraising 130 81
• CAF Tax 69 64
• Maryland Historical Building Trust 2 2
• Sub-Total 251 197
• Debt 400 418
• JHH Operating Cash 34 85
• Sub-Total 685 700
• Power Plant - Operations 44 41
• MHHEFA Sponsored Projects 128 109
• TOTAL 857 850

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JHHS Capital Projects for Other AffiliatesFYs
2003 2012(in millions)

• Howard County General Hospital Feb 04 Feb 05
• New Construction Project
• Addition of 44 Med/Surg Beds 50 73
• Source of Funds
• MHHEFA Bond Issue 40 40
• Fundraising 5 10
• Howard County Government 0 5
• Operating Cash 5 18
• 50 73
• Timing Bond Issue in FY 2007
• Project Completion in FY 2008
• JHBMC
• New Construction and Renovation Project still
  under development Not included in Ten Year Plan

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Timeline for JHUSOM Ten-Year Capital
Projects(Calendar Year)
Pre-2003 2003 2004 2005 2006 2007 2008 2009 2010
2011 2012
Broadway Res. Bldg. 88.4M (total costs 130.3M)
Cancer Res. Bldg. II 85.8M
Information Technology 41.0M
New Hosp Bldgs 38.5M
Pediatric MOB 10.0M
Educational Bldg 30.0M
Other 37.8M
Total Ten-Year Project Costs - 331.5M
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JHUSOM Ten-Year Capital RequirementsFYs 2003
2012(in millions)

• Major Capital Projects Feb 04 Feb 05
• Broadway Research Building 95 88
• Cancer Research Building II 78 86
• Information Technology 40 41
• New Hospital Buildings 25 39
• Pediatric Medical Office Building 10 10
• Educational Building 0 30
• Contingency 9 10
• Other (MFL Renovation/Hackerman Patz
  Pavilion) 4 27
• Sub-Total 261 331
• Power Plant 30 30
• Basic Science Research Building 40 40
• MHHEFA Sponsored Projects - Garage 36 18
• TOTAL 367 419

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JHUSOM Ten-Year Capital PlanFYs 2003 2012(in
millions)

• SOURCES OF FUNDS
• Major Capital Projects Feb 04 Feb 05
• State Grant 33 24
• Fundraising 93 72
• CAF Tax 14 10
• Sub-Total 140 106
• Debt Financing 121 167
• Operating Cash and Other 0 58
• Sub-Total 261 331
• Power Plant - Operations 30 30
• Basic Science Research Building - EBDI 40
  40
• MHHEFA Sponsored Projects - Garage 36 18
• TOTAL 367 419

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Johns Hopkins MedicineProjected Excess of
Revenues Over Expenses
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• 1 JHM Capital Plan Overview
• 2 JHHS Capital Plan Update
• 3 JHU School of Medicine Capital Plan Update
• 4 JHM Summary of Key Issues

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Johns Hopkins Health SystemProjected Total Margin
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Johns Hopkins Health SystemProjected Days Cash
on Hand
10
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Johns Hopkins Health System - Financial
RatiosProfitability
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Johns Hopkins Health System - Financial
RatiosLiquidity
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Johns Hopkins Health System - Financial
RatiosCapital Structure
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Johns Hopkins Health SystemLong-Term Debt
14
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Johns Hopkins Health System - Financial Ratios
Long-Term Debt
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• 1 JHM Capital Plan Overview
• 2 JHHS Capital Plan Update
• 3 JHU School of Medicine Capital Plan Update
• 4 JHM Summary of Key Issues

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Johns Hopkins University School of Medicine
Projected Financial Performance
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Johns Hopkins University School of Medicine -
Financial RatiosProfitability
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Johns Hopkins University School of Medicine -
Financial Ratios Liquidity
18
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Johns Hopkins University School of Medicine -
Financial Ratios Capital Structure
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Johns Hopkins University School of MedicineLong
Term Debt
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Johns Hopkins University School of Medicine -
Financial Ratios Long Term Debt
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• 1 JHM Capital Plan Overview
• 2 JHHS Capital Plan Update
• 3 JHU School of Medicine Capital Plan Update
• 4 JHM Summary of Key Issues

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Summary of Key Issues

• Hospital Rate Setting
• Medicare and Medicaid Reimbursement at both the
  SOM, JHHC and JHHS
• Fundraising Operating and Non-Operating
• Malpractice and Compliance Costs / Risks
• Potential JHBMC Capital Project and Debt not
  included
• The SOM FA rate is uncertain after FY2007
• Volatility of Construction Costs
• Potential JHHS Downgrade

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