Internal Audit Department Financial Condition Report Fiscal Year 2004 July 2005 County Auditor Ross L. Tate, CMA, CIA, CGFM Project Team Members Eve Murillo CPA, MBA, Audit Manager Richard Chard CPA, Senior Auditor Maricopa County Internal Audit “Do the Right Things Right!” Maricopa County Internal Audit Department 301 West Jefferson St Suite 1090 Phx, AZ 85003-2143 Phone: 602-506-1585 Fax: 602-506-8957 www.maricopa.gov July 6, 2005 Max W. Wilson, Chairman, Board of Supervisors Fulton Brock, Supervisor, District I Don Stapley, Supervisor, District II Andrew Kunasek, Supervisor, District III Mary Rose Wilcox, Supervisor, District V We have completed the FY 2004 edition of the Maricopa County Financial Condition Report. This year we highlight the financial strength of the County’s General Fund, Transportation Fund, and Flood Control District within the context of exceptional population growth. Maricopa County has accommodated this growth while maintaining very low levels of debt. As noted in previous Financial Condition Report issues, the health delivery system and AHCCCS health plans pose significant offsets to otherwise positive trends in the County. Evaluating a jurisdiction’s financial condition is a complex process, especially in a dynamic economy. Many variables are difficult to isolate and quantify. We believe, however, that a routine assessment of the past provides insight for the future, allowing us to make informed decisions in critical times. Additionally, a comparison to benchmarks broadens our perspective. This type of financial analysis alerts County officials to potential concerns and facilitates the Board’s governance of Maricopa County. Sincerely, Ross L. Tate County Auditor Maricopa County Basics • Population: 3.5 Million — 4th largest in nation July 2004 • One-Year Population Increase : 112 Thousand — Fastest numerical growth in nation July 2003—July 2004 • Population Increase Since 2000 Census— 429 Thousand April 2000—July 2004 • Area: 9,222 Square Miles— 20th largest in nation • Cash and Investments Managed by County Treasurer: $2.5 Billion April 2005 • General Fund Unreserved Balance: $318 Million June 2004 • Healthy Key Financial Indicators—General Fund, Transportation Fund, Flood Control Fund Multi-Year Trend • Unhealthy Key Financial Indicators — Maricopa Integrated Health Care System Multi-Year Trend • Medical Center Transition — Medical Center Transferred to Special Health Care District January 2005 • Health Plans Transition— Transfer to Special Health Care District or Closure Planned FY 2006 “Maricopa County is balancing the challenges of rapid population growth and new mandates for service with careful allocation of revenues to meet public service needs. The County does so on the basis of a Five-Year Plan.” David Smith, County Manager Maricopa County Internal Audit FY04 Financial Condition Report — July 2005 Contents General Fund Key Financial Indicators 1 Maricopa Integrated Health System 6 $2.5 Billion Managed by County Treasurer 9 Transportation Department Financial Indicators 10 Flood Control District Financial Indicators 11 Population & Growth 12 Report Methodology 13 Maricopa County Internal Audit FY04 Financial Condition Report — July 2005 General Fund Key Financial Indicators The General Fund is the County’s primary operating fund. Conservative fiscal policies led to strong financial positions in equity, liquidity (ability to pay current obligations), and general long term debt. The following pages demonstrate strong General Fund positions. However, health system financial problems pose a potential drain on General Fund resources. Several years ago, symptoms of health system financial problems began to surface. The first symptom noted was a steep decline in health system cash balances. Until a complete analysis of health system finances and operations could be achieved, County administrators scaled back on large capital projects, including a new administration building, in order to reserve General Fund resources for potential health system shortfalls. Conservative budget strategies have resulted in healthy General Fund balance increases. The fund balance did not grow in FY 2001 because the County set money aside to fully fund several construction projects. General Fund Balance (Millions) Not Adjusted for Inflation $350 $318 $300 The fund balance rose sharply in FY 2002 because additional money budgeted to fund construction projects was kept in the General Fund. County management determined that such funds may be needed for worsening economic conditions, potential cost shifting by the state, and deteriorating financial trends in the County’s healthcare system. $250 $200 $150 $100 $50 $16 FY 95 FY 96 FY 97 FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 $- Maricopa County Internal Audit 1 FY04 Financial Condition Report — July 2005 Comparisons with Other Counties Since FY 1996, Maricopa’s General Fund has achieved a healthy fund balance in relation to its revenues. Benchmark Counties: General Fund Balance as a Percent of Revenues 40% 35% Since FY 1997, Maricopa has significantly surpassed the average of ten benchmark counties for this financial measure. 30% 25% 20% 15% Strong General Fund equity will serve the County’s citizens during current and future financial challenges. 10% 5% FY 95 FY 96 FY 97 FY 98 FY 99 FY 00 FY 01 FY 02 FY 03 FY 04 0% Maricopa Avg of 10 Other Counties Although the General Fund shows a strong liquidity ratio (ability to pay current obligations, measured by fund assets divided by fund liabilities), the General Fund may face fiscal challenges from troubled heath system financial conditions. General Fund Liquidity Ratio (Excluding Due From/To Other Funds) 10 9 8 7 6 Maricopa County’s conservative fiscal policy places it in a better position to meet these challenges. These policies contributed to a significant turnaround from troubled financial conditions in FY01 to the current position of strength. Maricopa County’s strong liquidity far exceeds the benchmark counties. 5 4 3 2 1 0 FY00 FY01 FY02 Maricopa Maricopa County Internal Audit 2 FY03 FY04 Benchmarks FY04 Financial Condition Report — July 2005 General Obligation Bond Ratings are Strong Highest AAA Aaa Aa1 Aa2 FITCH A3 Baa MOODY’S Investment Aa3 A1 A2 AA+ AA AAA+ A ABBB Financial Strength is Reflected in the County’s General Obligation Bond Ratings: The County has fully rebounded from a financial decline in the early 1990’s by restructuring its finances. Recent ratings by Moody’s and Fitch are considered investment grade. Moody’s — Aa3 The chart at the top of the page shows that Maricopa County’s long-term bonds, rated Aa3 by Moody’s, are considered high-grade bonds. The graph below shows that Maricopa County’s trend since June 1994 has been one of improving ratings. In announcing its rating upgrade, Moody’s referred to improvement in the County’s financial condition, conservative fiscal strategies, and the County’s low debt position. Moody's Bond Ratings Aa3 Aa3 F Y0 3 F Y0 1 F Y9 9 F Y9 7 F Y9 5 Fitch — AA+ F Y9 3 A3 A1 A2 In November 2003, Fitch upgraded the County’s general obligation bond rating from AA to AA+. The upgrade was based in part on the planned transfer of the healthcare delivery system to a separate voter-approved health district with its own property tax levy. Fitch also viewed favorably the County’s successful fiscal reforms, modest debt profile, and continued economic diversification. Maricopa County Internal Audit 3 FY04 Financial Condition Report — July 2005 Low Long Term Debt Long Term Debt Per Person Maricopa County vs. Benchmarks Adjusted for Inflation Maricopa County has very low debt levels compared with the average of benchmark counties. $700 $596 Maricopa’s low debt level has resulted from a conservative, “pay as you go” approach to financing new capital assets/projects. $630 $598 $581 $600 $593 $500 $400 $300 $200 FY 2004 is the last year of the County’s 1986 voter-approved general obligation debt financing for capital projects. As of July 2005, Maricopa County will be considered free of general obligation $150 $147 $109 $92 $100 $74 $0 FY00 FY01 FY02 Maricopa FY03 FY04 Avg. 10 Benchmarks Tax Revenues Governmental Funds FY 2004 Tax Revenue by Source Millions $358 $500 $412 $400 $300 $200 $124 $107 $87 $100 $6 $3 As se ss m en ts ig ht in g C ar Su rc ha rg e St re et L ay ig hw H 4 R en ta l U se rF ue l Ta x Ja il Ta x Li ce ns e Ta x Ta x Maricopa County Internal Audit Ve hi cl e al es S Sh ar ed St at e G en er al P ro pe rty Ta x $- FY04 Financial Condition Report — July 2005 General Fund Tax Revenues Property vs. Sales Tax Revenues Adjusted for Inflation (Millions) Property Tax Revenue $390 $370 $358 Although sales tax revenues have become relatively more important in recent years, the upward trend of inflation-adjusted sales tax reversed in FY 2002. $350 $330 Sales Tax Revenue As Maricopa County has increased its reliance on sales taxes to support services, it has been more directly affected by economic trends. $310 $290 $270 $250 $230 $210 FY04 FY03 FY02 FY01 FY00 FY99 FY98 FY97 FY96 FY95 $190 Governmental Funds Tax Revenues Per Person Adjusted for Inflation Governmental Funds Tax Revenues Per Person Not Adjusted for Inflation $350 $360 $352 $300 $350 $311 $250 $340 $257 $200 $330 $150 $320 $100 $310 $50 $300 $0 $290 FY04 FY03 FY02 FY01 FY00 FY99 FY98 FY97 FY96 FY95 FY04 FY03 FY02 FY01 FY00 FY99 FY98 FY97 FY96 FY95 $311 General Government revenues have not kept up with population growth and inflation. Even though governmental revenues may increase in dollars, revenues (adjusted for inflation and population) actually declined. However, the County fund balance is healthy, which indicates that although revenues are down, spending is under control. Maricopa County Internal Audit 5 FY04 Financial Condition Report — July 2005 Maricopa Integrated Health System At the end of FY 2004, Maricopa Integrated Health System included the following: • Maricopa Medical Center (hospital / delivery system) • Maricopa Health Plan (ambulatory managed care) • Maricopa Long - Term Care Program (MLTCP / ALTCS) • Health Select (managed employee care) • Senior Select (Medicare plan) Because final FY 2004 financial statements for the health plans are not expected to be completed by the end of FY 2005 (June 30), this section is limited to: • Describing general events from FY 2004 and subsequent periods • Reporting cash trends for the delivery system and health plans derived from Maricopa County Treasurer records General Events: In November 2003, Maricopa County voters authorized the formation of a separate health care district. In January 2005, the Medical Center moved to the new Special Health Care District. The health plans remained with Maricopa County in order to resolve significant financial and information system problems. The County plans to close or transfer the health plans to the Special Health Care District in FY2006. Citizens Approve Formation of Health Care District Med Center Moved to Special District FY 2004 Maricopa County Internal Audit Transition Timeline Health Plans Remain with County FY 2005 6 County Plans to Close or Transfer Health Plans to New District County Provided $15 Million Credit FY 2006 FY04 Financial Condition Report — July 2005 Health System Cash • In January 2005, the General Fund extended a $15 million credit line to the new Special Health Care District. • In May 2005, the General Fund extended the $15 million loan for a period of 10 years, interest-free for the first five years. • Declining health plans’ cash in FY 2004 and subsequent periods is attributed to settlements with the Medical Center and with claims payment systems that led to advance payments and potential duplicate payments to health care providers. Cash at Year-End (Millions) Health Plans and Medical Center $200 $150 $140 $128 $89 $100 $49 $47 $50 $- FY00 $(50) $(100) FY01 FY02 $(28) $(55) $(28) FY04 $(22) $(76) Health Plans Maricopa County Internal Audit FY03 7 Medical Center FY04 Financial Condition Report — July 2005 FY05 Period Health System Cash Combined Health Plans Average Cash (Millions) Maricopa Health Plan, Long Term Care Plan, and Senior Select $100 $77 $80 $60 $40 Average Balance $20 Lowest Daily Balance $(40) Jan 2 005 Feb 2005 Ma r 2005 Ap r 2 005 Ma y 200 5 $(20) $Jul 2 00 4 Au g 2 004 Se p 2 004 Oct 2 004 Nov 2 004 Dec 2 004 $- May Ave. $(15) May Low $(26) Special Health Care District Average Cash in Millions (Data Source: Maricopa County Treasurer) 20 10 $10 0 $ 1 (10) (20) J Fe Ma A Ju Au S Oc No De Ma l2 b2 g 2 ep 2 t2 v2 c 2 an 2 r 2 pr 2 y2 00 0 0 0 0 0 00 00 00 00 00 05 05 04 05 05 4 4 4 4 4 5 (30) (40) Medical Center With Line of Credit Borrowing Medical Center Without Line of Credit Borrowing Maricopa County closed the Senior Select plan in FY2005 and plans to close or transfer the Maricopa Health Plan and Long Term Care Plan to the Special Health Care District by September 2006. In June 30, 2005, Maricopa County plans to transfer approximately $26 million from its General Fund to eliminate May 2005 cash deficits of the Maricopa Health Plan, Long Term Care and Senior Select health plans. Final accountings of the health plans are pending the completion of annual financial audits, including FY2004 and applicable future periods. Future cash transfers to the health plans may occur until all obligations are settled. Maricopa County Internal Audit 8 FY04 Financial Condition Report — July 2005 $2.5 Billion Managed by County Treasurer Maricopa County Treasurer Investment Summary (Source: Maricopa County Treasurer) $3.0 $2.5 $2.5 $2.0 $1.9 $2.0 $1.9 FY2000 FY2001 FY2002 $2.3 $2.1 $1.7 $1.5 $1.0 $0.5 $FY1999 FY2003 FY2004 FY2005 Projected The County Treasurer pools deposits of the County, school districts, and special districts. Cash not required for liquidity is invested in accordance with state law and under a strategy that gives highest priority to 1) safety of principal, 2) sufficient liquidity to meet the needs of the County and its subdivisions, and 3) return on investment. Investments may include U.S. Treasury Bills and Bonds, U. S. Agency Notes and Bonds, Commercial Paper, Corporate Bonds, and Repurchase Agreements. Who Does the Money Belong to? ( April 30,2005) Clearing 3% NonCounty Funds 68% Comparative Investment Yields State Treasurer Local Government Investment Pool vs. Maricopa County County General Fund 12% 7% 6% Other County Funds 17% Maricopa County 5% 4% 3% 2% State Investment Pool 1% 0% FY1999 FY2000 FY2001 FY2002 FY2003 FY2004 YTD 4/30/05 State Treasurer Local Government Investment Pool Maricopa County Treasurer Maricopa County Internal Audit 9 FY04 Financial Condition Report — July 2005 Transportation Department Transportation Department Special Revenue and Capital Projects Funds Cash and Fund Balance (Millions) Unreserved Fund Balance FY 20 04 20 03 FY 20 02 FY 20 01 FY 20 00 FY 19 99 FY FY 19 98 $70 $60 $50 $40 $30 $20 $10 $0 Cash State shared Highway Users Revenue (fuel tax) is the primary revenue source for the Transportation Fund. Other revenues include state shared Vehicle License Tax and other intergovernmental revenues. The Arizona Constitution and statutes restrict how Transportation funds may be spent. Expenditure levels may vary from year to year based upon the timing of specific capital projects. Transportation Department Special Revenue and Capital Projects Funds Revenues and Expenditures (Millions) $140 $120 $100 $80 $60 $40 $20 $0 FY1998 FY1999 FY2000 FY2001 FY2002 FY2003 FY2004 Total Revenues Maricopa County Internal Audit Total Expend. 10 FY04 Financial Condition Report — July 2005 Flood Control District Flood Control District Special Revenue and Capital Projects Funds Cash and Fund Balance (Millions) $50 $40 $30 $20 $10 Unreserved Fund Balance 20 04 FY FY 20 03 20 02 FY 20 01 FY 19 99 20 00 FY FY FY 19 98 $0 Cash Flood Control’s primary funding comes from property taxes. Another significant revenue source comes from intergovernmental agreements with cities and towns. The District’s mission is to provide flood hazard identification, regulation, remediation, and education to Maricopa County citizens. Expenditures may vary from year to year based upon the timing of specific capital projects. Flood Control District Special Revenue and Capital Projects Funds Revenues and Expenditures (Millions) $90 $80 $70 $60 $50 $40 $30 $20 $10 $0 FY1998 FY1999 FY2000 FY2001 FY2002 FY2003 FY2004 Total Revenues Maricopa County Internal Audit 11 Total Expenditures FY04 Financial Condition Report — July 2005 Population & Growth 2003 to 2004 From 2003 to 2004, Maricopa County’s population increased more than any other county in the nation, and is currently the fourth most populous county. Top Five Counties Total Population July 2004 Per U.S. Census Bureau 12,000,000 9,937,739 10,000,000 8,000,000 5,327,777 6,000,000 3,644,285 3,501,001 4,000,000 2,987,591 2,000,000 Los Angeles Cook County,CA County, IL Harris County, TX Maricopa County Orange County, CA Top Five Counties Numerical Growth July 2003 to July 2004 Per U.S. Census Bureau (Growth Rate Noted) 120,000 112,233 100,000 89,128 77,357 80,000 75,285 58,936 60,000 40,000 20,000 Maricopa County (3.3%) Maricopa County Internal Audit Riverside County, CA (5.0%) 12 Los Angeles Clark County, San County, CA NV (4.8%) Bernardino (0.8%) County, CA (3.2%) FY04 Financial Condition Report — July 2005 Report Methodology Definition Financial Condition is defined as a local government’s ability to finance services on a continuing basis. A county in good financial condition can sustain existing services to the public, withstand economic slumps, and meet the demands of changing service needs. Objectives, Scope, and Methodology The objective of this report is to evaluate Maricopa County’s financial condition using key financial indicators. Indicators were selected from authoritative sources on evaluating governmental entity financial condition and judged to be the most indicative of a county’s overall financial health. Our primary information sources were published Comprehensive Annual Financial Reports (CAFR) and Maricopa County Treasurer cash reports. Ten benchmark counties’ and Maricopa County’s audited financial statements were used as primary sources for comparing selected General Fund trends. The benchmark counties are: Population Major Metro Area • Clark 1.6 million Las Vegas, NV • Harris 3.6 Houston, TX • King 1.8 Seattle, WA • Los Angeles 9.9 Los Angeles, CA • Multnomah 0.7 Portland, OR • Orange 3.0 Santa Ana / Anaheim, CA • Pima 0.9 Tucson, AZ • Salt Lake 0.9 Salt Lake City, UT • San Diego 2.9 San Diego, CA • Santa Clara 1.7 San Jose, CA Other sources include the Governmental Accounting Standards Board, the International City/County Managers Association, ASU Center for Business Research, Arizona Department of Economic Security Research Administration, Arizona Department of Revenue Econometrics Unit, Maricopa County’s Strategic Plans (budgetary documents), and Auditor General Reports. Trend analysis is used in this report. Trend analysis involves examining financial indicators’ historical data over several years. Adjustments for inflation were made according to the “U.S. Consumer Price Index—All Items.” Maricopa County Internal Audit 13 FY04 Financial Condition Report — July 2005 Maricopa County Internal Audit 301 W. Jefferson, Suite 1090 Phoenix, AZ 85003 Telephone: (602) 506-1585 Facsimile: (602) 506-8957 E-Mail: jsimpson@maricopa.gov