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FORM OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. (the “institution”), the Obligated Group Representative under and as defined in the Master Loan Agreement dated as of January 1 2008 ( the “Loan Agreement”) among Maryland Health and Higher Educational Facilities Authority (the “Authority”), the Institution, Sinai Hospital of Baltimore, Inc., Northwest Hospital Center, Inc., Levindale Hebrew Geriatric Center and Hospital at Sinai Foundation, Inc. (collectively, the “Obligated Group”), hereby certifies as follows to demonstrate compliance with the Loan Agreement: Fiscal Year ended June 30, 2010 (the “Fiscal Year”) (Unless otherwise indicated, all calculations (1) relate to the Obligated Group as a whole and (2) shall be determined in accordance with accounting principals generally accepted in the United States of America.) (a) Coverage Ratio Coverage Ratio as of the last day of Fiscal Year: Excess of revenues over expenses……………. 36,566,000 Add: Depreciation and amortization……... 50,672,000 Interest expense 14,727,000 Add(Deduct): Unrealized (gains) and losses on investments… (9,074,000) Unrealized (gains) and losses on Hedging Transactions -0- (Gains) and losses on sale or disposition of assets (other than investments) or extinguishment Of debt _ -0-__ Net Income Available for Debt Service (A)…… 92,891,000 Maximum Annual Debt Service on Outstanding Long-Term Indebtedness (B) _ 20,041,000_ Cover Ratio (A/B) ___ 4.64
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FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Apr 15, 2018

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Page 1: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

FORM OF COMPLIANCE CERTIFICATE

The undersigned duly authorized officer of LifeBridge Health, Inc. (the “institution”), the Obligated Group Representative under and as defined in the Master Loan Agreement dated as of January 1 2008 ( the “Loan Agreement”) among Maryland Health and Higher Educational Facilities Authority (the “Authority”), the Institution, Sinai Hospital of Baltimore, Inc., Northwest Hospital Center, Inc., Levindale Hebrew Geriatric Center and Hospital at Sinai Foundation, Inc. (collectively, the “Obligated Group”), hereby certifies as follows to demonstrate compliance with the Loan Agreement: Fiscal Year ended June 30, 2010 (the “Fiscal Year”) (Unless otherwise indicated, all calculations (1) relate to the Obligated Group as a whole and (2) shall

be determined in accordance with accounting principals generally accepted in the United States of

America.)

(a) Coverage Ratio Coverage Ratio as of the last day of Fiscal Year: Excess of revenues over expenses……………. 36,566,000 Add: Depreciation and amortization……... 50,672,000 Interest expense 14,727,000 Add(Deduct): Unrealized (gains) and losses on investments… (9,074,000) Unrealized (gains) and losses on Hedging Transactions -0- (Gains) and losses on sale or disposition of assets (other than investments) or extinguishment Of debt _ -0-__ Net Income Available for Debt Service (A)…… 92,891,000 Maximum Annual Debt Service on Outstanding Long-Term Indebtedness (B) _ 20,041,000_ Cover Ratio (A/B) ___ 4.64

Page 2: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

(b) Dispositions of Assets Total Book Value of property disposed of during the Fiscal Year, other than property disposed of at fair market value or in the ordinary course of business (subject to limitations in Section 8.15) $__- 0-___ (c) Indebtedness

Outstanding principal amount of: Short- Term Indebtedness (may not exceed 15% of Total Operating Revenues

Or unrestricted cash and investments, whichever is less) $_ - 0 -___

Non-Recourse Indebtedness __- 0 -___ Other non-Bond debt (limited under Section 8.12) __- 0 -___ Guaranteed debt (limited under Section 8.12) __- 0 -____

(d) Liens and Encumbrances Have the Obligated Group Members granted liens: On accounts receivable (limited to 25% of net A/R) ____(Y) _X_ (N) Value of A/R subject to liens: Securing Hedging Transaction ____(Y) _X (N) Secure non-Bond debt ____(Y) _X__(N) Describe: Total Book Value of property subject to liens, other than liens securing Parity Debt (may not exceed 15% of the unrestricted net assets): $____- 0 -_____

(e) Days of Cash on Hand Days of Cash on Hand as of last day of Fiscal Year (must be at least 65):

Unrestricted cash and marketable securities……………… 334,976,000 Deduct: Short-term debt………………………………... Cash collateral securing hedges…………………. Termination payment becoming due under Hedging transactions within one year………. (subject to further limitations if ratings fall below BBB/Baa) ___________

Unrestricted Liquid Funds (A)…………………………… 334,976,000

Page 3: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Total expenses for Fiscal Year…………………………… 902,632,000 Less: Depreciation and amortization…………… (50,672,000) Total Operating Expenses (B)…………………………… __ 851,960,000__ Days Cash on Hand (A/B/365)…………………... _ 144____ (f) Debt to Capitalization Ratio Debt to Capitalization Ratio as of last day of Fiscal Year (may not exceed 65% as of

each June 30):

Total principal amount of outstanding Indebtedness (A).. 330,763,000 Add: Total unrestricted net assets and equity accounts 361,274,000 Total capitalization (B) 692,037,000 Debt to Capitalization (A/B)……………………………… 0.48 (g) Hedge Agreements Has the Obligated Group entered into any Hedge Agreements During the Fiscal Year ___(Y) __X__(N) Notional amount of outstanding Hedge Agreements: $__- 0 -____ Market value of outstanding Hedge Agreements: $__- 0 -_____ (h) Gifts, Grants and Fundraising The Obligated Group currently has on hand funds restricted to the payment of the Project or to the payment of debt service on any Bonds in the amount of: $_9,394,000___ (i) Notices and Reports The Obligated Group has provided to the Authority: Notice of all Indebtedness incurred during the Fiscal Year _X__(Y) _____(N) Report of the Insurance Consultant/self-insurance plan _X___(Y) _____(N)

Page 4: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Notice of major repairs and dispositions (repairs and Dispositions costing more than 2 % of Total Operating Revenues) __X__(Y) _____(N) All notices and other items provided to the Bond Insurer or other credit facility providers __X__(Y) _____(N) (j) Continuing Disclosure The Obligated Group has filed the Continuing Disclosure with the NRMSIRs, the Authority and the Trustee __X _(Y) _____(N) (k) Financing Statements The Obligated Group has filed or caused to be filed all financing statements and renewals thereof in the places required to perfect the security interests granted by the Obligated Group in the Loan Agreement __X___(Y) _____(N) Terms used herein and not otherwise defied shall have the meanings assigned to them in the Loan Agreement. IN WITNESS WHEREOF, I have hereunto set my and, this 11th day of November, 2010.

Page 5: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...
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Page 41: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

For the Twelve Months Ended June 30, 2010

LifeBridge Health Inc.

Obligated Group

Consolidating Financial Statements

Page 42: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

MHHEFA Revenue Bonds

LifeBridge Health Issue - Series 2008

Obligated Group

Balance Sheet

June 30, 2010

Audited

LifeBridge Health Northwest

Sinai Hospital

& Foundations * Levindale Elims Combined

Assets

Current Assets

Cash and Cash Equivalents 6,171,000$ 36,045,000 52,899,000 10,786,000 105,901,000$

Restricted Investments 429,000 15,104,000 1,055,000 16,588,000

Construction fund 353,000 2,557,000 - 2,910,000

Assets whose use is limited 2,387,000 6,928,000 79,000 9,394,000

Patient service receivables, net of allowance 20,566,000 73,087,000 9,828,000 103,481,000

Other Receivables 3,515,000 800,000 12,248,000 306,000 (9,537,000) 7,332,000

Inventory 2,241,000 17,551,000 73,000 19,865,000

Prepaid expenses 7,200,000 425,000 2,837,000 110,000 10,572,000

Pledges receivable, current 604,000 2,204,000 222,000 3,030,000

Total current assets 16,886,000 63,850,000 185,415,000 22,459,000 (9,537,000) 279,073,000

Long-term investments 44,702,000 61,759,000 92,686,000 23,037,000 222,184,000

Pledges receivable, net of current portion 946,000 6,735,000 167,000 7,848,000

Operating property, net 25,154,000 96,293,000 240,879,000 21,353,000 383,679,000

Other assets

Deferred financing costs and other assets 2,191,000 462,000 1,337,000 265,000 2,064,000

Pension Asset -

Beneficial Interest 3,379,000

Other Assets 49,006,000 532,000 4,224,000 (45,020,000) 8,742,000

51,197,000 994,000 8,940,000 265,000 (45,020,000) 16,376,000

Total assets 137,939,000$ 223,842,000 534,655,000 67,281,000 (54,557,000) 909,160,000$

909,160,000

* Excludes Sinai Clinical Professionals, LLC

Page 43: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

MHHEFA Revenue Bonds

LifeBridge Health Issue - Series 2008

Obligated Group

Balance Sheet

June 30, 2010

Audited

LifeBridge Health Northwest

Sinai Hospital

& Foundations * Levindale Elims Combined

Liabilities and Net Assets

Current Liabilities

Accounts payable and accrued liabilities 10,700,000$ 21,086,000 79,675,000 8,083,000 (9,537,000) 110,007,000$

Advances from third party payors 4,732,000 21,835,000 3,194,000 29,761,000

Current portion of long-term debt and

capital lease obligations 1,451,000 652,000 2,578,000 22,000 4,703,000

Other current liabilities 222,000 226,000 650,000 13,000 1,111,000

Total current libilities 12,373,000 26,696,000 104,738,000 11,312,000 (9,537,000) 145,582,000

Other Long-term liabilities 2,323,000 1,186,000 42,341,000 11,203,000 57,053,000

Long-term debt and capital lease obligations, 6,638,000 71,456,000 209,021,000 2,375,000 289,490,000

net of current portion

Net assets

Unrestricted 116,486,000 120,894,000 127,966,000 40,948,000 (45,020,000) 361,274,000

Temporarily restricted 119,000 3,610,000 40,892,000 1,443,000 46,064,000

Permanently restricted 9,697,000 - 9,697,000

-

116,605,000 124,504,000 178,555,000 42,391,000 (45,020,000) 417,035,000

Total liabilities and net assets 137,939,000$ 223,842,000 534,655,000 67,281,000 (54,557,000) 909,160,000$

909,160,000

-

* Excludes Sinai Clinical Professionals, LLC

Page 44: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

MHHEFA Revenue Bonds

LifeBridge Health Issue - Series 2008

Obligated Group

Operations

June 30, 2010

Audited

LifeBridge Health Northwest

Sinai Hospital

& Foundations * Sinai Hospital & FoundationsLevindale Elims Combined

Unrestricted revenues, gains and other support

Net patient service revenue -$ 203,817,000 604,713,000 76,291,000 884,821,000$

Net assets released from restrictions used for operations 227,000 2,815,000 19,000 3,061,000

Other operating revenue 4,806,000 2,314,000 23,491,000 1,467,000 (496,000) 31,582,000

-

Total operating revenues 5,033,000 206,131,000 631,019,000 77,777,000 (496,000) 914,431,000

Expenses

Salaries and employee benefits 140,000 103,251,000 320,709,000 46,236,000 3,000 470,339,000

Supplies 2,000 29,438,000 122,120,000 14,401,000 165,961,000

Purchased Services (6,428,000) 31,965,000 102,914,000 14,086,000 (499,000) 142,038,000

Depreciation and amortization 10,474,000 9,307,000 28,670,000 2,221,000 50,672,000

Repairs and maintenance - 3,350,000 10,860,000 994,000 15,204,000

Provision for bad debts 23,000 15,712,000 26,160,000 1,796,000 43,691,000

Interest 1,001,000 3,464,000 10,147,000 115,000 14,727,000

Total expenses 5,212,000 196,487,000 621,580,000 79,849,000 (496,000) 902,632,000

Operating income (loss) (179,000) 9,644,000 9,439,000 (2,072,000) 16,832,000

Other income

Investment income and other 202,000 7,258,000 9,624,000 2,650,000 19,734,000

Revenues over expenses 23,000$ 16,902,000 19,063,000 578,000 - 36,566,000$

* Excludes Sinai Clinical Professionals, LLC

Page 45: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

MHHEFA Revenue Bonds

LifeBridge Health Issue - Series 2008

Obligated Group

Covenants

June 30, 2010

YTD

6/30/10 Covenant

Long-term Indebtedness to Capitalization Ratio

Long-term indebtedness 330,763,000

LT Indebtedness + unrestr fb + capital 692,037,000

Long-term Indebtedness to Capitalization Ratio 0.48 <0.65

Rate Covenant (Coverage Ratio)

Net Income Available for Debt Service (annualized) 92,891,000

Maximum Annual Debt Service 20,041,000

Coverage Ratio 4.64 >1.10

Liquidity Ratio (Days Cash on Hand)

Cash 334,976,000

Operating Expenses - Net of Depr & Amort 851,960,000

Days in Fiscal year 365

Days Cash on Hand Ratio 144 > 65

11/11/2010 LifeBridgeHealth 06_30_10 Financial data.xls Covenants

Page 46: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Investment Allocation

Payor Mix

For the Twelve Months Ended June 30, 2010

LifeBridge Health, Inc.

Operating Data

Statistics

Licensed Beds

Page 47: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Month-to-Date Year-to-Date

Actual Budget Variance % Variance Actual Budget Variance % Variance

SINAI HOSPITAL

Admissions

Adult 2,174 2,209 (35) -1.6% 25,845 26,342 (497) -1.9%

Newborn 183 196 (13) -6.7% 2,183 2,500 (317) -12.7%

Total 2,357 2,405 (48) -2.0% 28,028 28,842 (814) -2.8%

ER Visits 6,781 6,520 261 4.0% 74,541 74,850 (309) -0.4%

ER Admissions 1,308 1,145 163 14.2% 15,008 13,730 1,278 9.3%

Observation Cases(via ER)

Inpatient 1 0 1 100.0% 20 0 20 100.0%

Outpatient 33 0 33 100.0% 163 0 163 100.0%

Surgical Cases

Inpatient 704 738 (34) -4.6% 8,821 8,850 (29) -0.3%

Outpatient 1,017 925 92 10.0% 10,665 10,670 (5) 0.0%

OR Minutes - Inpatient 110,270 109,259 1,011 0.9% 1,281,146 1,310,182 (29,036) -2.2%

OR Minutes - Outpatient 58,831 57,757 1,074 1.9% 652,715 666,417 (13,702) -2.1%

Length of Stay - Adult 4.3 4.6 0.2 5.2% 4.7 4.7 (0.1) -1.2%

APR Case Mix Index vs. Budget- 1.206 1.246 (0.040) -3.2% 1.223 1.224 (0.001) -0.1%

APR Case Mix Index vs. Prior Year Actual - 1.206 1.229 (0.023) -1.8% 1.223 1.229 (0.006) -0.5%

Note - CMI includes Hosp & Oncology, excludes Ilizarov.

NORTHWEST HOSPITAL

Admissions - Acute, excl. Psych 1,037 1,000 37 3.7% 12,498 11,913 585 4.9%

Admissions - Psych 65 67 (2) -3.0% 792 775 17 2.2%

Admissions - Subacute 85 82 3 3.7% 952 1,015 (63) -6.2%

ER Visits 5,163 4,766 397 8.3% 61,456 57,683 3,773 6.5%

ER Admissions 961 974 (13) -1.3% 12,000 11,585 415 3.6%

Observation Cases(via ER)

Inpatient 0 0 0 100.0% 0 0 0 100.0%

Outpatient 16 0 16 100.0% 107 0 107 100.0%

Surgical Cases

Inpatient 205 201 4 2.0% 2,477 2,407 70 2.9%

Outpatient 626 618 8 1.3% 6,456 6,982 (526) -7.5%

OR Minutes - Inpatient 21,120 19,593 1,527 7.8% 233,507 232,993 514 0.2%

OR Minutes - Outpatient 58,684 51,262 7,422 14.5% 597,835 580,259 17,576 3.0%

Length of Stay, incl. Psych 4.2 4.0 (0.3) -6.6% 4.2 4.2 0.02 0.5%

APR Case Mix Index vs. Budget- 0.911 0.940 (0.029) -3.1% 0.944 0.983 (0.040) -4.1%

APR Case Mix Index vs. Prior Year Actual - 0.911 0.980 (0.069) -7.1% 0.944 0.980 (0.037) -3.7%

LEVINDALE HOSPITAL

Speciality Hospital

Admissions 87 46 41 88.4% 950 562 388 69.2%

Patient days 2,624 3,301 (677) -20.5% 34,471 40,151 (5,680) -14.1%

ADC 87 110 (23) -20.5% 94 110 (16) -14.1%

Sub-Acute

Admissions 24 18 6 32.5% 279 220 59 26.5%

Patient days 1,025 720 305 42.4% 11,145 8,760 2,385 27.2%

ADC 34 24 10 42.4% 31 24 7 27.2%

Nursing Home

Admissions 0 5 (5) -100.0% 46 57 (11) -20.0%

Patient days 4,019 4,290 (271) -6.3% 49,229 52,195 (2,966) -5.7%

ADC 134 143 (9) -6.3% 135 143 (8) -5.7%

CGNRC

Patient days 4,252 4,200 52 1.2% 51,124 51,100 24 0.0%

ADC 142 140 2 1.4% 140 140 0 0.0%

Actual vs. Budget as of June 30, 2010

LifeBridge Health, Inc.

Statistical Summary

Page 48: FORM OF COMPLIANCE CERTIFICATE OF COMPLIANCE CERTIFICATE The undersigned duly authorized officer of LifeBridge Health, Inc. ... or extinguishment Of debt _ -0-__ Net Income ...

Month-to-Date Year-to-Date

Curr Yr Act Pr Yr Act Variance % Variance Curr Yr Act Pr Yr Act Variance % Variance

SINAI HOSPITAL

Admissions

Adult 2,174 2,222 (48) -2.2% 25,845 25,952 (107) -0.4%

Newborn 183 184 (1) -0.5% 2,183 2,458 (275) -11.2%

Total 2,357 2,406 (49) -2.0% 28,028 28,410 (382) -1.3%

ER Visits 6,781 6,344 437 6.9% 74,541 73,847 694 0.9%

ER Admissions 1,308 1,277 31 2.4% 15,008 14,182 826 5.8%

Observation Cases(via ER)

Inpatient 1 0 1 100% 20 0 20 100%

Outpatient 33 0 33 100% 163 0 163 100%

Surgical Cases

Inpatient 704 771 (67) -8.7% 8,821 8,683 138 1.6%

Outpatient 1,017 966 51 5.3% 10,665 10,552 113 1.1%

OR Minutes - Inpatient 110,270 120,525 (10,255) -8.5% 1,281,146 1,296,322 (15,176) -1.2%

OR Minutes - Outpatient 58,831 58,098 733 1.3% 652,715 653,433 (718) -0.1%

Length of Stay - Adult 4.3 4.5 0.1 3.2% 4.7 4.6 (0.1) -1.7%

APR Case Mix Index - 1.206 1.229 (0.023) -1.8% 1.223 1.229 (0.006) -0.5%

Note - CMI includes Hosp & Oncology, excludes Ilizarov.

NORTHWEST HOSPITAL

Admissions - Acute, excl. Psych 1,037 1,027 10 1.0% 12,498 12,038 460 3.8%

Admissions - Psych 65 60 5 8.3% 792 755 37 4.9%

Admissions - Subacute 85 76 9 11.8% 952 992 (40) -4.0%

ER Visits 5,163 5,178 (15) -0.3% 61,456 58,495 2,961 5.1%

ER Admissions 961 1,000 (39) -3.9% 12,000 11,926 74 0.6%

Observation Cases(via ER)

Inpatient 0 0 0 100.0% 0 0 0 100.0%

Outpatient 16 0 16 100.0% 107 0 107 100.0%

Surgical Cases

Inpatient 205 200 5 2.5% 2,477 2,489 (12) -0.5%

Outpatient 626 560 66 11.8% 6,456 6,570 (114) -1.7%

OR Minutes - Inpatient 21,120 18,459 2,661 14.4% 233,507 234,719 (1,212) -0.5%

OR Minutes - Outpatient 58,684 53,140 5,544 10.4% 597,835 554,240 43,595 7.9%

Length of Stay, incl. Psych 4.2 4.1 (0.1) -2.2% 4.2 4.5 0.3 6.3%

APR Case Mix Index - 0.911 0.980 (0.069) -7.1% 0.944 0.980 (0.037) -3.7%

LEVINDALE HOSPITAL

Speciality Hospital

Admissions 87 76 11 14.5% 950 749 201 26.8%

Patient days 2,624 3,202 (578) -18.1% 34,471 40,510 (6,039) -14.9%

ADC 87 107 (19) -18.1% 94 111 (17) -14.9%

Sub-Acute

Admissions 24 24 0 0.0% 279 270 9 3.3%

Patient days 1,025 681 344 50.5% 11,145 8,790 2,355 26.8%

ADC 34 23 11 50.5% 31 24 6 26.8%

Nursing Home

Admissions 0 0 0 0.0% 46 32 14 43.8%

Patient days 4,019 4,324 (305) -7.1% 49,229 51,756 (2,527) -4.9%

ADC 134 144 (10) -7.1% 135 142 (7) -4.9%

CGNRC

Patient days 4,252 4,270 (18) -0.4% 51,124 50,307 817 1.6%

ADC 142 142 (0) -0.2% 140 138 2 1.6%

LifeBridge Health, Inc.

Statistical Summary

Current Year vs Prior Year Actual as of June 30, 2010

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Category Service Sinai Northwest Levindale

Total Obligated

Group

Courtland

Gardens

Total

LifeBridge

Hospital*

Med/Surg 335 207 542 542

OB 23 23 23

Peds 31 31 31

Psych 24 14 38 38

Acute Rehab 57 57 57

Chronic Medicine 100 100 100

Chronic Rehab 20 20 20

Total Hospital 470 221 120 811 - 811

Nursing Home**

Subacute 29 26 55 55

General Nursing Home 146 146 151 297

Total Nursing Home 29 172 201 151 352

Total Beds 470 250 292 1,012 151 1,163

* Sinai also operates a 21-bed neonatal intensive care unit and a 35-bassinet normal newborn nursery

** Maryland's licensure law does not distinguish between subacute and general nursing home beds. All nursing home beds throughout the

LifeBridge system are certified to serve as subacute beds.

LifeBridge Health, Inc.

Licensed Beds

June 30, 2010

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Payor Amount % Payor Amount % Payor Amount % Payor Amount % Payor Amount %

(1) Blue Cross 115,272,152 14.93% Blue Cross 123,687,744 14.64% Blue Cross 133,373,337 14.93% Blue Cross 138,047,085 14.77% Blue Cross 138,551,777 14.95%

(2) Commercial 79,784,101 10.33% Commercial 92,386,629 10.94% Commercial 103,364,831 11.57% Commercial 108,303,067 11.59% Commercial 100,642,330 10.86%

(3) HMO 82,082,427 10.63% HMO 89,406,918 10.58% HMO 91,388,630 10.23% HMO 93,689,188 10.03% HMO 90,672,914 9.79%

(4) Medicare 314,603,405 40.74% Medicare 342,848,045 40.58% Medicare 355,930,819 39.85% Medicare 374,057,694 40.03% Medicare 374,259,229 40.39%

(5) Medicaid 54,615,257 7.07% Medicaid 55,682,202 6.59% Medicaid 59,288,444 6.64% Medicaid 57,833,662 6.19% Medicaid 48,676,463 5.25%

(6) Selfpay 55,301,032 7.16% Selfpay 64,660,653 7.65% Selfpay 65,606,165 7.35% Selfpay 66,114,077 7.08% Selfpay 62,955,155 6.79%

(7) Other 70,558,427 9.14% Other 76,136,422 9.01% Other 84,209,606 9.43% Other 96,410,328 10.32% Other 110,829,108 11.96%

772,216,801 100.00% 844,808,613 100.00% 893,161,831 100.00% 934,455,100 100.00% 926,586,976 100.00%

FY 2010

July 1, 2005 - June 30, 2006

FY 2006

Consolidated LifeBridge Health, Inc. - Obligated Group

Revenue by Financial Class-Payor Mix

FY 2006, FY 2007, FY 2008, FY 2009 and the Twelve Months Ended June 30, 2010

July 1, 2009 - June 30, 2010

FY 2009

July 1, 2008 - June 30, 2009

FY 2007

July 1, 2006 - June 30, 2007 July 1, 2007 - June 30, 2008

FY 2008

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LifeBridge Health, Inc. and Subsidiaries

Investments

June 30, 2010

Long-term

Investments

Equities 28.8%

Mutual funds 46.9%

Alternative Investments 14.2%

Bonds 7.7%

Money market 1.2%

Cash and Cash equiv 0.6%

Real Estate 0.9%

100.0%

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