Consolidated Statement of Operations (in thousands)
For the Twelve Months Ended
June 30, 2008
  For the Twelve Months Ended
June 30, 2009
Total revenue $1,943,610   $2,022,200
Total expense 1,902,670   1,992,500
Excess of revenues over expenses 40,940   29,700
Other changes in net assets 9,500   (48,480)
Change in net assets 50,440   (18,780)
Add back depreciation expense 51,240   58,340
Amount available to meet capital requirements including debt payments 101,680   39,560
Total capital budgets, including debt payments 217,200   127,600
Shortfall $(115,520)   $(88,040)

The Medical Center consolidated statements include: Strong Memorial Hospital, the School of Medicine & Dentistry, the School of Nursing, the University of Rochester Medical Faculty Group, Highland Hospital & Affiliates, Eastman Institute for Oral Health, the Visiting Nurse Service (VNS) and the Highlands at Brighton.