text:
You should read this discussion together with our unaudited condensed
consolidated financial statements and the accompanying notes included herein.
Throughout this Quarterly Report on Form 10-Q, we refer to Community Health
Systems, Inc., or the Parent Company, and its consolidated subsidiaries in a
simplified manner and on a collective basis, using words like "we," "our," "us"
and the "Company". This drafting style is suggested by the Securities and
Exchange Commission, or SEC, and is not meant to indicate that the publicly
traded Parent Company or any particular subsidiary of the Parent Company owns or
operates any asset, business or property. The hospitals, operations and
businesses described in this filing are owned and operated, and management
services provided, by distinct and indirect subsidiaries of Community Health
Systems, Inc.
Executive Overview
We are one of the largest publicly traded hospital companies in the United
States and a leading operator of general acute care hospitals in communities
across the country. We provide healthcare services through the hospitals that we
own and operate and affiliated businesses in non-urban and selected urban
markets throughout the United States. We generate revenues by providing a broad
range of general and specialized hospital healthcare services and other
outpatient services to patients in the communities in which we are located. As
of March 31, 2016, we owned or leased 194 hospitals included in continuing
operations, comprised of 190 general acute care hospitals and four stand-alone
rehabilitation or psychiatric hospitals. As of April 29, 2016, immediately
following the completion of the spin-off of Quorum Health Corporation, or QHC,
as discussed below, we owned or leased 157 hospitals included in continuing
operations, comprised of 154 general acute care hospitals and three stand-alone
rehabilitation or psychiatric hospitals. In addition to our hospitals and
related businesses, we own and operate home care agencies, located primarily in
markets where we also operate a hospital. Until the completion of the spin-off
to QHC on April 29, 2016, as discussed below, we also provided management
advisory and consulting services to non-affiliated general acute care hospitals
located throughout the United States through our former subsidiary Quorum Health
Resources, LLC, or QHR. For the hospitals and home care agencies that we own and
operate, we are paid for our services by governmental agencies, private insurers
and directly by the patients we serve. For our management advisory and
consulting services, we are paid by the non-affiliated hospitals utilizing our
On August 3, 2015, we announced a plan to spin off 38 hospitals and QHR into
QHC, an independent, publicly traded corporation. The transaction was structured
to be generally tax free to us and our stockholders. On April 29, 2016, we
completed the spin-off of these 38 hospitals and QHR into QHC and distributed,
on a pro rata basis, all of the shares of QHC common stock to our stockholders
of record as of April 22, 2016. These stockholders of record as of April 22,
2016 received a distribution of one share of QHC common stock for every four
shares of our common stock held as of the record date plus cash in lieu of any
fractional shares. Immediately following the completion of the spin-off, our
stockholders owned 100% of the outstanding shares of QHC common stock. Following
the spin-off, QHC became an independent public company with its common stock
listed for trading under the symbol "QHC" on the New York Stock Exchange.
In connection with the spin-off, we entered into a separation and distribution
agreement as well as certain ancillary agreements with QHC on April 29, 2016.
These agreements allocate between QHC and us the various assets, employees,
liabilities and obligations (including investments, property and employee
benefits and tax-related assets and liabilities) that comprise the separate
companies and govern certain relationships between, and activities of, QHC and
us for a period of time after the spin-off.
On March 1, 2016, we completed the acquisition of an 80% ownership interest in a
joint venture with Indiana University Health that includes IU Health La Porte
Hospital in La Porte, Indiana and IU Health Starke Hospital in Knox, Indiana,
and affiliated outpatient centers and physician practices.
On April 1, 2016, we completed the acquisition of 80% interest in Physicians'
Specialty Hospital (20 licensed beds), a Medicare-certified specialty surgical
hospital in Fayetteville, Arkansas.
On April 29, 2016, we entered into a definitive agreement with Universal Health
Services, Inc., or UHS, to sell our unconsolidated minority equity interests in
Valley Health System LLC, a joint venture with UHS representing four hospitals
in Las Vegas, Nevada, in which we own a 27.5% interest, and in Summerlin
Hospital Medical Center LLC, a joint venture with UHS representing one hospital
in Las Vegas, Nevada, in which we own a 26.1% interest. We will receive $445
million in cash from UHS in return for the sale of our equity interests in the
second quarter of 2016.
Table of Contents
Operating results and statistical data for the three months ended March 31,
2016, exclude our hospitals that have previously been classified as discontinued
operations for accounting purposes. In addition, during the year ended
December 31, 2015, we divested seven hospitals previously recorded in
discontinued operations and one additional hospital. Two of these hospitals were
required to be divested by the Federal Trade Commission as a condition of its
approval of our acquisition of Health Management Associates, Inc., or HMA,
We are also in the process of negotiating with potential buyers to enter into
definitive agreements to sell ten additional hospitals as well as our investment
in certain non-hospital operations, and we currently expect those transactions
to close during the third quarter of 2016; however, there can be no assurance
that these dispositions will be completed or, if they are completed, the
ultimate timing of the completion of these dispositions. These ten additional
hospitals and non-hospital operations that have been targeted for sale
represented approximately $1.0 billion of annual net operating revenues during
2015. These potential transactions, and transactions that have already been
completed in 2016, are intended to further implement our strategy to divest of
underperforming assets, reduce our debt and refine our portfolio to a more
sustainable group of hospitals with higher operating margins. When consistent
with this strategy, we may also consider additional hospitals for disposition.
Our net operating revenues for the three months ended March 31, 2016, increased
$88 million to approximately $5.0 billion compared to approximately $4.9 billion
for the three months ended March 31, 2015. Our provision for bad debts increased
to $755 million, or 13.1% of operating revenues (before the provision for bad
debts) for the three months ended March 31, 2016, from $735 million, or 13.0% of
operating revenues (before the provision for bad debts) for the three months
ended March 31, 2015.
We had income from continuing operations before noncontrolling interests of $37
million during the three months ended March 31, 2016, compared to $112 million
for the three months ended March 31, 2015. Income from continuing operations
before noncontrolling interests for the three months ended March 31, 2016
included an after-tax charge of $14 million for the impairment of long-lived
assets and an after-tax charge of $2 million related to costs incurred for the
spin-off of QHC. Income from continuing operations before noncontrolling
interests for the three months ended March 31, 2015, included an after-tax
charge of $5 million for loss from early extinguishment of debt, $1 million
after-tax expense for acquisition and integration expenses from the HMA merger
and an after-tax charge of $5 million for the government legal settlements for
several qui tam matters settled in principle and related legal expenses. These
after-tax charges were partially offset by an after-tax income of $4 million
from fair value adjustments, net of legal expenses, related to the HMA legal
proceedings underlying the CVR agreement. Consolidated inpatient admissions for
the three months ended March 31, 2016, decreased 2.6%, compared to the three
months ended March 31, 2015, and consolidated adjusted admissions for the three
months ended March 31, 2016, increased 0.7%, compared to the three months ended
March 31, 2015. Same-store inpatient admissions for the three months ended
March 31, 2016, decreased 2.0%, compared to the three months ended March 31,
2015, and same-store adjusted admissions for the three months ended March 31,
2016, increased 1.3%, compared to the three months ended March 31, 2015.
Self-pay revenues represented approximately 12.3% and 12.6% for the three months
ended March 31, 2016 and 2015, respectively. During 2015 and through the three
months ended March 31, 2016, we experienced a decline in self-pay admissions and
adjusted admissions resulting in a corresponding decline in self-pay revenues as
a percentage of total net operating revenues. This decrease is reflective of an
increase in Medicaid admissions and revenues, primarily in Medicaid expansion
states, as a result of the implementation of the Patient Protection and
Affordable Care Act, as amended by the Health Care and Education Reconciliation
Act of 2010, collectively, the Reform Legislation. The reduction in self-pay
admissions and revenue was also experienced in non-expansion states, although to
a lesser degree. The amount of foregone revenue related to providing charity
care services as a percentage of net operating revenues was approximately 2.3%
and 2.2% for the three months ended March 31, 2016 and 2015, respectively.
Direct and indirect costs incurred in providing charity care services were
approximately 0.3% for both the three months ended March 31, 2016 and March 31,
The U.S. Congress and certain state legislatures have introduced and passed a
large number of proposals and legislation designed to make major changes in the
healthcare system, including changes that increased access to health insurance.
The Reform Legislation mandates that substantially all U.S. citizens maintain
medical insurance coverage and expands health insurance coverage through a
combination of public program expansion and private sector health insurance
reforms. Based on projections issued by the CBO in March 2016, the incremental
insurance coverage due to the Reform Legislation could result in 24 million
formerly uninsured Americans gaining coverage by the end of 2026.
As the number of persons with access to health insurance in the United States
increases, there may be a resulting increase in the number of patients using our
facilities who have health insurance coverage. Prior to giving effect to the
spin-off of QHC, we operated hospitals in eight of the 10 states that
experienced the largest reductions in uninsured rates among adult residents
between 2013 and 2015, and after giving effect to the spin-off of QHC, we
continue to operate hospitals in five of such 10 states. Most of these states
with the greatest reductions in the number of uninsured adult residents have
established a health insurance exchange operated either by the state or in
partnership with the federal government and also expanded Medicaid. However,
states may opt out of the Medicaid coverage expansion provisions of the Reform
Legislation without losing existing federal Medicaid funding. A number of states
have opted out of the Medicaid coverage expansion provisions, but could
ultimately decide to expand their programs at a later date. Of the 28 states in
which we operated hospitals that were included in continuing operations as of
March 31, 2016, 15 states have taken action to expand their Medicaid programs,
including Louisiana, which is expected to implement Medicaid coverage expansion
at some point in 2016. At this time, the other 13 states have not, including
Florida, Tennessee and Texas, where we operated a significant number of
hospitals as of March 31, 2016. Some states that have opted out are evaluating
options such as waiver plans to operate an alternative Medicaid expansion plan.
Failure to expand Medicaid or implement an effective alternative in these states
will likely have a negative impact on the goal of reducing the number of
uninsured individuals.
We believe our hospitals are well positioned to participate in the provider
networks of various qualified health plans, or QHPs, offering plan options on
the health insurance exchanges created pursuant to the Reform Legislation. For
the 2016 plan year, all of our hospitals in continuing operations as of
March 31, 2016 have arrangements to participate in at least one health insurance
exchange agreement, approximately 90% of such hospitals participate in two or
more contracts, approximately 87% of such hospitals participate in the first or
second lowest cost bronze plan networks (QHPs with a 60% actuarial value) and
approximately 90% of such hospitals participate in the first or second lowest
cost silver plan networks (QHPs with a 70% actuarial value).
The Reform Legislation makes a number of changes to Medicare and Medicaid, such
as reductions to the Medicare annual market basket update for federal fiscal
years 2010 through 2019, a productivity offset to the Medicare market basket
update, and a reduction to the Medicare and Medicaid disproportionate share
hospital payments, each of which could adversely impact the reimbursement
received under these programs.
The Reform Legislation includes provisions aimed at reducing fraud, waste and
abuse in the healthcare industry. These provisions allocate significant
additional resources to federal enforcement agencies and expand the use of
private contractors to recover potentially inappropriate Medicare and Medicaid
payments. The Reform Legislation amends several existing federal laws, including
the Anti-Kickback Statute and the False Claims Act, to make it easier for
government agencies and private plaintiffs to prevail in lawsuits brought
against healthcare providers. These amendments also make it easier for
potentially severe fines and penalties to be imposed on healthcare providers
that violate applicable laws and regulations.
We believe the expansion of private sector health insurance and Medicaid
coverage will, over time, increase our reimbursement related to providing
services to individuals who were previously uninsured, which should reduce our
expense from uncollectible accounts receivable. The various provisions in the
Reform Legislation that directly or indirectly affect reimbursement take effect
over a number of years. In addition, we believe that the Reform Legislation has
had a positive impact on net operating revenues and income from continuing
operations during 2015 and the three months ended March 31, 2016 as the result
of the expansion of private sector and Medicaid coverage that has already
occurred from the Reform Legislation, and we believe that the net impact of the
Reform Legislation on our net operating revenues will continue to be positive.
Other provisions of the Reform Legislation, such as requirements related to
employee health insurance coverage, have increased and will continue to increase
our operating costs.
Because of the many variables involved, including clarifications and
modifications resulting from the rule-making process, legislative efforts to
repeal or modify the law, future judicial interpretations resulting from court
challenges to its constitutionality and interpretation, the development of
agency guidance, whether and how many states ultimately decide to expand
Medicaid coverage, the number of uninsured who elect to purchase health
insurance coverage, budgetary issues at federal and state levels, and the
potential for delays in the implementation of the Reform Legislation, it is
difficult to predict the ultimate effect of the Reform Legislation. We may not
be able to fully realize the positive impact the Reform Legislation may
otherwise have on our business, results of operations, cash flow, capital
resources and liquidity. Furthermore, we cannot predict whether we will be able
to modify certain aspects of our operations to offset any potential adverse
consequences from the Reform Legislation.
Payment under the Medicare program for physician services, which is based upon
the Medicare Physician Fee Schedule, or MPFS, changed in April 2015 with the
enactment of the Medicare Access and CHIP Reauthorization Act of 2015, or MACRA.
The law effectively eliminated a payment reduction that was scheduled for
physicians and other practitioners who treat Medicare patients. MACRA provides
for a 0.5% update to the MPFS for each calendar year through 2019. In addition,
MACRA requires the establishment of the Merit-Based Incentive Payment System, or
MIPS, beginning in 2019, under which physicians will receive performance-based
payment incentives or payment reductions based on their performance with respect
to clinical quality, resource use, clinical improvement activities, and
meaningful use of electronic health records. MIPS will consolidate certain
existing physician incentive programs, and also requires the Centers for
Medicare and Medicaid Services, or CMS, to provide, beginning in 2019, incentive
payments for physicians and other eligible professionals that participate in
alternative payment models, such as accountable care organizations. In addition,
MACRA extended the Medicare Inpatient Low Volume payment and Medicare Dependent
Hospital programs to qualifying hospitals through September 30, 2017. If
additional legislation is not passed to extend these Medicare hospital payment
programs, we could experience a reduction in future reimbursement.
The federal government has implemented a number of regulations and programs
designed to promote the use of electronic health records, or EHR, technology and
pursuant to the Health Information Technology for Economic and Clinical Health
Act, or HITECH, established requirements for a Medicare and Medicaid incentive
payments program for eligible hospitals and professionals that adopt and
meaningfully use certified EHR technology. These payments are intended to
incentivize the meaningful use of EHR. Our hospital facilities have been
implementing EHR technology on a facility-by-facility basis since 2011. We
recognize incentive reimbursement related to the Medicare or Medicaid incentives
as we are able to implement the certified EHR technology and meet the defined
"meaningful use criteria," and information from completed cost report periods is
available from which to calculate the incentive reimbursement. The timing of
recognizing incentive reimbursement does not correlate with the timing of
recognizing operating expenses and incurring capital costs in connection with
the implementation of EHR technology which may result in material
period-to-period changes in our future results of operations.
As of October 1, 2014, eligible hospitals and, as of January 1, 2015,
professionals that have not demonstrated meaningful use of certified EHR
technology and have not applied and qualified for a hardship exception are
subject to penalties. Eligible hospitals are subject to a reduced market basket
update to the inpatient prospective payment system standardized amount as of
2015 and for each subsequent fiscal year. Eligible professionals are subject to
a 1% per year cumulative reduction applied to the Medicare physician fee
schedule amount for covered professional services, subject to a cap of 5%.
Although we believe that our hospital facilities are currently in compliance
with the meaningful use standards, there can be no assurance that all of our
facilities will remain in compliance and therefore not be subject to the HITECH
penalty provisions. We recognized approximately $18 million and $26 million
during the three months ended March 31, 2016 and 2015, respectively, for HITECH
incentive reimbursements from Medicare and Medicaid related to certain of our
hospitals and for certain of our employed physicians, which are presented as a
reduction of operating expenses.
As a result of our current levels of cash, available borrowing capacity,
long-term outlook on our debt repayments, the refinancing of our term loans and
our continued projection of our ability to generate cash flows, we anticipate
that we will be able to invest the necessary capital in our business over the
next twelve months. We believe there continues to be ample opportunity for
growth in substantially all of our markets by decreasing the need for patients
to travel outside their communities for healthcare services. Furthermore, we
continue to benefit from synergies from our acquisitions and will continue to
strive to improve operating efficiencies and procedures in order to improve our
profitability at all of our hospitals.
Sources of Revenue
The following table presents the approximate percentages of operating revenues,
net of contractual allowances and discounts (but before provision for bad
debts), by payor source for the periods indicated. The data for the periods
presented are not strictly comparable due to the effect that hospital
acquisitions have had on these statistics.
Three Months Ended
March 31,
2016 2015
Medicare 24.9 % 24.8 %
Medicaid 10.3 10.4
Managed Care and other third-party payors 52.5 52.2
Self-pay 12.3 12.6
Total 100.0 % 100.0 %
As shown above, we receive a substantial portion of our revenues from the
Medicare and Medicaid programs. Included in Managed Care and other third-party
payors is operating revenues from insurance companies with which we have
insurance provider contracts, Medicare managed care, insurance companies for
which we do not have insurance provider contracts, workers' compensation
carriers and non-patient service revenue, such as rental income and cafeteria
sales. In the future, we generally expect revenues received from the Medicare
and Medicaid programs to increase due to the general aging of the population. In
addition, the Reform Legislation has increased and is expected to continue to
increase the number of insured patients in states that have expanded Medicaid,
which in turn, has reduced and is expected to continue to reduce the percentage
of revenues from self-pay patients. The Reform Legislation, however, imposes
significant reductions in amounts the government pays Medicare managed care
plans. The trend toward increased enrollment in Medicare managed care may
adversely affect our operating revenue growth. Other provisions in the Reform
Legislation impose minimum medical-loss ratios and require insurers to meet
specific benefit requirements. Furthermore, in the normal course of business,
managed care programs, insurance companies and employers actively negotiate the
amounts paid to hospitals. The trend toward increased enrollment in managed care
may adversely affect our operating revenue growth. There can be no assurance
that we will retain our existing reimbursement arrangements or that these
third-party payors will not attempt to further reduce the rates they pay for our
Net operating revenues include amounts estimated by management to be
reimbursable by Medicare and Medicaid under prospective payment systems and
provisions of cost-based reimbursement and other payment methods. In addition,
we are reimbursed by non-governmental payors using a variety of payment
methodologies. Amounts we receive for the treatment of patients covered by
Medicare, Medicaid and non-governmental payors are generally less than the
standard billing rates. We account for the differences between the estimated
program reimbursement rates and the standard billing rates as contractual
allowance adjustments, which we deduct from gross revenues to arrive at net
operating revenues. Final settlements under some of these programs are subject
to adjustment based on administrative review and audit by third parties. We
account for adjustments to previous program reimbursement estimates as
contractual allowance adjustments and report them in the periods that such
adjustments become known. Contractual allowance adjustments related to final
settlements and previous program reimbursement estimates impacted net operating
revenues and net income by an insignificant amount in each of the three months
ended March 31, 2016 and 2015.
The payment rates under the Medicare program for hospital inpatient and
outpatient acute care services are based on a prospective payment system,
depending upon the diagnosis of a patient's condition. These rates are indexed
for inflation annually, although increases have historically been less than
actual inflation. On August 17, 2015, CMS published the final rule to increase
this index by 2.4% for hospital inpatient acute care services that are
reimbursed under the prospective payment system, beginning October 1, 2015. The
final rule also makes other payment adjustments that, coupled with the 0.8%
reduction for documentation and coding, a 0.5% multifactor productivity
reduction, and a 0.2% reduction to hospital inpatient rates implemented pursuant
to the Reform Legislation, yielded an estimated net 0.9% increase in
reimbursement for hospitals. For fiscal year 2016, an additional reduction
applies to hospitals that do not submit required patient quality data. We are
complying with this data submission requirement.
Payments may also be affected by admission and medical review criteria for
inpatient services commonly known as the "two midnight rule." Under the rule,
for admissions on or after October 1, 2013, services to Medicare beneficiaries
are only payable as inpatient hospital services when there is a reasonable
expectation that the hospital care is medically necessary and will be required
across two midnights, absent unusual circumstances. Stays expected to need less
than two midnights of hospital care are subject to medical review on a
case-by-case basis. Enforcement through Recovery Audit Contractor audits is
expected to begin in 2016. Reductions in the rate of increase or overall
reductions in Medicare reimbursement may cause a decline in the growth of our
net operating revenues.
Currently, several states utilize supplemental reimbursement programs for the
purpose of providing reimbursement to providers to offset a portion of the cost
of providing care to Medicaid and indigent patients. These programs are designed
with input from CMS and are funded with a combination of state and federal
resources, including, in certain instances, fees or taxes levied on the
providers. Similar programs are also being considered by other states. The
programs are generally authorized for a specified period of time and require
CMS's approval to be extended. CMS has indicated that it will take into account
a state's status with respect to expanding its Medicaid program in considering
whether to extend these supplemental programs. We are unable to predict whether
or on what terms CMS will extend the supplemental programs in the states in
which we operate, including Texas. Some of these programs are scheduled to
expire in 2016. As a result of existing supplemental programs, we recognize
revenue and related expenses in the period in which amounts are estimable and
collection is reasonably assured. Reimbursement under these programs is
reflected in net operating revenues and included as Medicaid revenue in the
table above, and fees, taxes or other program related costs are reflected in
other operating expenses.
Results of Operations
Our hospitals offer a variety of services involving a broad range of inpatient
and outpatient medical and surgical services. These include general acute care,
emergency room, general and specialty surgery, critical care, internal medicine,
obstetrics, diagnostic services, psychiatric and rehabilitation services. The
strongest demand for hospital services generally occurs during January through
April and the weakest demand for these services occurs during the summer months.
Accordingly, eliminating the effect of new acquisitions, our net operating
revenues and earnings are historically highest during the first quarter and
lowest during the third quarter.
The following tables summarize, for the periods indicated, selected operating
© Edgar Online, source Glimpses


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About VivaLaColdplay : Elloh! :D
VivaLaColdplay's FML badges
You see, sonny boy, moderating FMLs is a bit like running a marathon.
I like your style
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subset: commoncrawl


text:
Despite Gingrich and Santorum's apparent shifts, it remained unclear whether grass-roots conservatives are ready to embrace Romney.
Gingrich and Santorum aggressively questioned his conservative credentials during the primaries with Santorum at one point declaring Romney the worst candidate to face Obama. But asked Tuesday night on CNN if Romney was "the right guy" to represent the Republican Party, Santorum said he was.
Romney's success will depend, at least in part, on his ability to compete financially with Obama.
The Republican's campaign had about $10 million in the bank at the end of March, according to federal filings. Obama reported having more than $104 million in his account; he'd already spent $90 million on the general election.
Romney was eager to turn the political page after Tuesday's primary wins in New York, Pennsylvania, Connecticut, Rhode Island and Delaware.
"After 43 primaries and caucuses, many long days and not a few long nights, I can say with confidence — and gratitude — that you have given me a great honor and solemn responsibility," he told supporters gathered in New Hampshire. He urged all who are struggling in a shaky economy to "hold on a little longer — a better America begins tonight."
Romney is only 300 delegates away from the 1,144 delegates it takes to formally secure his party's nomination, and that could happen by the end of May.
Obama set the modern fundraising record in 2008, when he and his Republican rival, Sen. John McCain, spent more than $1 billion combined; Obama spent more than $730 million.
The two major-party candidates set a spending record of $700 million in 2004.
Obama opened his finance events to press coverage in June 2008 after he became the presumptive Democratic nominee and largely plays by the same rules as president. Reporters are allowed in if he makes remarks during the event, regardless of size, and are kept out if there are no formal remarks.
Romney's campaign has refused to provide specific times and locations of this week's fundraisers.
Associated Press writers Kasie Hunt and Jim Kuhnhenn contributed to this report.
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- Trump, Clinton all but certain to face... 17


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Steve Stricker - Final round of the World Golf Championships - Cadillac Championship at TPC Blue Monster - Doral, Florida, United States - Sunday 10th March 2013 (3 Pictures)
Steve Stricker
Photo credit: Ai-Wire
Phil Mickelson
Photo credit: Ai-Wire
Sergio Garcia
Photo credit: Ai-Wire
View All: World Golf Championships
It joins '10 Cloverfield Lane' and the upcoming ghost story 'The Conjuring 2'.
A once-in-a-lifetime opportunity for true rock 'n' roll lovers.
Hours after teasing fans with two mysterious, animated short clips via Instagram...
Cyndi Lauper was inspired by Lady Gaga to wear whatever she ''freaking'' wants to...


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HOUSTON – Rev. David W. Ching, an ordained elder of the Church of the Nazarene, graduated from Northwest Nazarene University and received his Master's of Divinity degree on April 13. Ching, of Houston, received his degree during special ceremonies that Sunday, at the Fellowship Church of the Nazarene. The graduation ceremony was presented by Dr. […]
Tag Archives | Northwest Nazarene University
Rev. David Ching earns Master's of Divinity
By Floyd Ingram | 5:05 AM | April 26, 2014 | Business, Living, News
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An improperly anchored seat belt is the cause of a recall issued by Porsche for more than two hundred of its 2011 and 2012 vehicles.
Read This Article
Porsche introduces the newest 911 RSR with an epic video that's a must-see for any Porschephile.
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The entry-level Porsche Macan will feature a 2.0-liter turbocharged four-cylinder engine, according to recent reports.


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BBB Accredited Business since
Central Heating & Air Conditioning Co.
Phone: (216) 731-9400 Fax: (216) 731-9421 View Additional Phone Numbers 243 Richmond Rd., Richmond Hts., OH 44143 http://www.centralhtg.com
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Heating & air conditioning service & installation
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Ohio Construction Industry Licensing Board
6606 Tussing Rd., Reynoldsburg OH 43068
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Heating Contractors Heating & Air Conditioning Sheet Metal Work Air Conditioning Equipment - Room Units Air Conditioning Repair Air Conditioning Systems - Cleaning Heating Equipment & Systems Cleaning & Repair Air Purifying & Cleaning Systems & Equipment Furnace Sales & Service Heating & Cooling Demolition Furnace Cleaning Contractors - Sheet Metal Air Conditioning Contractors & Systems Boilers - Repair & Cleaning
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Central Heating & Air Conditioning Co. sells the following brand(s): Aprilaire, Aprilaire, Fujitsu, Fujitsu, Honeywell, Honeywell, Noritz, Slant Fin, Trane, Trane
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Refund and Exchange Policywe offer a 100% satisfaction guarantee in addition to Trane equipment warranties of 10 years on all parts and up to lifetime on heat exchangers
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The Governor's comprehensive transportation plan puts reform first. In fact, the Patrick Administration in two years has already implemented dozens of reforms that have saved tens of millions of dollars. Reform savings at the Turnpike, MBTA, and MassHighway total more than $83 million.
• Turnpike: $31 million saved by reducing administrative staff and toll collector positions, overtime, and outside consultant contracts along with other cuts.
• MBTA: $46.9 million saved through a hiring freeze for non-direct service jobs, overtime reduced by one-third over three years, and more efficient work rules among many reforms.
• MassHighway: $5.7-7.2 million estimated annual savings from the Governor's police detail-flagger plan approved by the legislature.
Visit the Reform & Renew web page to learn more about reforms to date and proposed reforms in the plan. A list of reforms is here.
Recent Posts
Bay State Bike Week is Almost Here! posted on Apr 29
What could be better than April breaking the 70 degree mark? The beginning of May, because we're getting ready for Bay State Bike Week! Every May, Massachusetts residents and bike commuters come together to celebrate human-powered, two-wheeled transportation during Bay State Bike Week. This year, …Continue Reading Bay State Bike Week is Almost Here!
Ashland: Governor Baker Reviews MBTA Infrastructure Investments Progress posted on Apr 28
Governor Charlie Baker today visited a Keolis work site in Ashland to review the progress on infrastructure upgrades the MBTA is making as part of a larger effort the MBTA, its Fiscal and Management Control Board (FMCB) and leadership are making to improve service, access, …Continue Reading Ashland: Governor Baker Reviews MBTA Infrastructure Investments Progress
Walk & Bike to School Day May 4th! posted on Apr 28
Students Across the Commonwealth Will Be Celebrating Massachusetts Walk and Bike To School Day on May 4th. Double knot those shoelaces, and pump up those tires as Massachusetts Walk and Bike to School day is fast approaching. This is the 7th consecutive year for the …Continue Reading Walk & Bike to School Day May 4th!


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First of all you need to acquire the parts. Some scientists maintain that you need fresh gear straight from the morgue but I've never had anything but dramas trying that. Hospital security seem to get a bit uppity when they see you stuffing bits onto the backseat of your car. Running off with a torso whilst dodging a hail of bullets is not a lot of fun.
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day 2: still working on the car
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The Comedy Goldmine examines the funniest and most creative threads from the Something Awful Forums. Although the Comedy Goldmine has changed authors many times over the years, its focus on the Something Awful Forums is still the same. Includes hilarious Photoshops, amusing work stories, parodies, and other types of oddball humor.
Copyright ©2016 Rich "Lowtax" Kyanka & Something Awful LLC.


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Fast ride for Kharma Police in Blakovic Cup
by Rob Shaw on 3 Mar 2012
Karma Police on the plane . ..
Rob Shaw sailing the Nexus sponsored Khama Police reports of the recent Blakovic Cup:
It was actually a good race for us I think and very happy with where we came on the water. Less than an hour
behind Haslar's new RP 42 footer is a good result for a race that was effectively a 90 mile windward leeward.
Had a nice first leg to Cow and Calf which was vmg running in mostly 15-20 of breeze with the occasional
gust that was a bit fresher. We were planning to go down the outside of waiheke until we could see the 50's setting up to go inside so decided we should stick with them to make it a race.
Turns out I think the Equilibrium B&C55 went outside and made good gains in the process. Had a good tussle with the V5 down the Tamaki Strait and across the bottom end of Waiheke, where we led them into the passage.
Had our gps crash on us coming into the passage between the islands so had to get the old school paper chart
out and slow down a bit so we could follow v5 through the gap. once clear we were off again using a back up gps loaded with way points but no chart. We made the light on Cow island and made good time across the Firth of Thames.
Went around Cow island at about 930pm aprox 3 hours after the start about 5 mins behind Wired and 1 min behind V5.
Then the long first leg of the upwind to Flat Rock, Kawau, this took a few hours and the 50's and 42
footer behind us started to pull us in with the 55 catching us about 5 miles into the leg and the last 2 boats to pass us aprox 2/3 the way across to Flat Rock.
Breeze was pretty steady all the way across and quite a steep chop at times that didn't slow us down as much as make for a very wet ride with the occasional wave breaking across the boat, hitting the main and dropping into the cockpit.
All pretty normal stuff for us in these conditions and fortunately it was a very warm night. We didn't lay flat by about .5 mile and once clear of their cracked off for a bit heading towards tiri channel and the finish. Once at Tiri channel the breeze came forward again and built with a squall of aprox 30 to 35 for about 20 mins, the breeze didn't lift us again and we had to put a short tack in to clear rangi light and lay through to the finish.
For full results http://www.rayc.org.nz/sail-wave/GOLD-CUP/BALOKOVIC-CUP.htm!click_here
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From Olympic flag to Olympic Gold and maybe another
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The Road to Rio now 99 days short
The Road to Rio 2016 still has a few curves, bumps and potholes for teams battling to win.
The Road to Rio 2016 still has a few curves, bumps and potholes for teams battling to win in Hyeres, at some World championship events and Weymouth World Cup but for many crews: 'It's 106 miles to Chicago we got a full tank of gas, half a pack of cigarettes, it's dark and we're wearing sunglasses.' Whoops wrong movie.
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An interview with Jake Beattie about the 2016 Race to Alaska
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While a host of major sailing events go from strength to strength, the Sailing World Cup has very major issues.
Last night my Irish better half was sitting beside me on the sofa watching an Australian version of the popular TV Cooking Program My Kitchen Rules on a tablet with her headphones while I was watching Diehard II for the seventeenth time (it's a boy thing) on TV. She suddenly spluttered and laughed, took off her headphones and motioned for me to mute Diehard. (Seriously!!)
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Large spectator fleet heading north for boat watching season
I'm absolutely not going to lay claim to the phrase, but it is insanely apt and hilarious all at the same time, however.
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Laser creator Ian Bruce passes away (1933 - 2016)
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Posted on 24 Mar
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Home > News > World
Monday, 6 January 2014 | MYT 11:48 AM
by matt siegel
SYDNEY (Reuters) - Anti-whaling activists said on Monday they had captured images of Japanese ships killing protected whales inside an internationally recognised whale sanctuary, sparking criticism of the Australian government's handling of the issue.
The aerial footage released by the Sea Shepherd Conservation Society appeared to show the bloodied remains of three minke whales on board the Japanese factory ship Nisshin Maru as it sailed in the Southern Ocean. The group said it had information that a fourth whale had also been killed.
The images have raised pressure on Environment Minister Greg Hunt, who has backed away from a promise made during Australia's election campaign last year to send a ship to monitor Japanese whaling in the area.
His plan to instead send an aircraft staffed by customs officials to randomly swoop over the area has been dismissed by activists as ineffectual.
Bob Brown, a former lawmaker with the Greens party and chairman of Sea Shepherd Australia, called on the conservative Liberal Party-led government to honour its pledge to step up monitoring of the Japanese fleet.
"We've got a federal court ruling that this whaling is illegal and injunction to stop it," he told reporters. "I don't know of any other entity or person in Australia who could simply thumb its nose at the Australian Federal Court with an Australian government saying we won't police it."
Hunt's office did not immediately respond to requests for comment.
The opposition Labor Party accused the government of misleading voters.
"People are entitled to say 'why did they say one thing before the election and another after the election?'," Labor lawmaker Anthony Albanese told reporters.
Australia and Japan have for years been at odds over whaling, which was once practiced by much of the world but is now carried out by only a handful of countries.
Japan catches and kills hundreds of whales in the Southern Ocean each year despite having agreed, under pressure from the United States, to an international moratorium on commercial whaling from 1986.
Japan says it is carrying out scientific research, allowed by a 1946 treaty, to establish whether whale stocks are recovering from over fishing.
Australia says that is a smokescreen for commercial whaling.
The two countries are awaiting the outcome of hearings on the matter held last year at the Hague-based International Court of Justice (ICJ).
Kenya to conduct largest ever burn of elephant tusks and ivory stockpile
Former Auschwitz guard apologises at trial, says it was 'nightmare'
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Helmet cam footage shows Islamic State in battlefield chaos
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Cruz-Fiorina 2016
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January 15, 2014
| Video
If you like your glitter holographic and your crystal black as onyx, this mani is for you. Get the look with "In True Stefani Fashion" and the Swarovski Elements crystals included in the Gwen Stefani Signature Shade boxed set.
January 13, 2014
| Video
Satin and studs are a perfect pair. Get the look with "Love.Angel.Music.Baby." and the Swarovski Elements Studs and Crystals included in the Gwen Stefani Signature Shade boxed set.
January 8, 2014
| Demo
Learn how to create a realistic gel butterfly embellishment with LCN products.
January 2, 2014
| Video
This mani is all about hard lines and high shine. Get the look with the limited edition Gwen Stefani for OPI Signature Shade boxed set.
Best Lil Nail Show Texas 201626 photos
InternatioNAILS: Japan Gallery14 photos
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