Binder - Maricopa Integrated Health System

Transcription

Maricopa Health Centers
Governing Council
Finance Committee
Meeting
May 4, 2016
4:00 p.m.
Agenda
Committee Members
Gary Tenney, Treasurer, Committee Chair
Liz McCarty, Committee Vice Chair
Melissa Kotrys, Member
Simon Thomas, Member
Gino Turrubiartes, Member
Wyatt Howell, Chief Executive Officer, Maricopa Health
Centers Governing Council, Non-Voting member
Kathy Benaquista, Chief Finance Officer, MIHS, NonVoting member
AGENDA
Maricopa Health Centers Governing Council
Finance Committee Meeting
Mission Statement:
Serve the population of Maricopa County with excellent, comprehensive
health and wellness in a culturally respectful environment.
Welcome
We welcome your interest and hope you will often attend Maricopa Health Centers Governing Council Finance
Committee Meetings. Democracy cannot endure without an informed and involved electorate.
The Maricopa Health Centers Governing Council (MHCGC) is the governing body for Maricopa Integrated Health
System’s Federally Qualified Health Centers Look Alike Clinics. Members are represented in each of the five
districts in Maricopa County. Members of the Committee are volunteers. The Governing Council sets policy and
the Chief Executive Officer (CEO) of the MHCGC, who is hired by the Maricopa Integrated Health Systems
(MIHS) and the Governing Council, directs staff to carry out the policies.
Meetings
The Finance Committee generally holds meetings at 4:00 p.m. on the first Wednesday of the month. Please visit
http://www.mihs.org/fhc-board/fhc-board or call the Assistant to the CEO, MHCGC, MHC Governing Councils
Office, at 602-344-1637 to confirm the date of the next regular meeting.
The meeting may appear to proceed quickly, with important decisions reached with little discussion. However,
the agenda and meeting material is available to the Finance Committee prior to the meeting, giving them the
opportunity to study every item and to ask questions of MIHS staff members. If no additional facts are presented
at the meeting, action may be taken without further discussion.
How Citizens Can Participate
The Finance Committee values citizen comments and input. Citizens may appear before the Finance Committee
to express their views. Any member of the public will be given three minutes to address the Finance Committee
on issues of interest or concern to them. If you wish to address the Finance Committee, please complete a
Speaker’s Slip and deliver it to the Assistant to the CEO, MHCGC. If you have anything that you wish distributed
to the Committee and included in the official record, please hand it to the Assistant who will distribute the
information to the Committee Members and MIHS Senior Staff.
Speakers will be called in the order in which requests to speak are received. Your name will be called when the
Call to Public has been opened or when the Committee reaches the agenda item which you wish to speak. As
mandated by the Arizona Open Meeting Law, officials may not discuss items not on the agenda, but may direct
staff to follow-up with the citizen.
Agendas are available within 24 hours of each meeting in the Assistant to the Chief Executive Officer (CEO), Maricopa Health Centers Governing Council’s Office (MHCGC),
Comprehensive Health Center, 1st Floor, 2525 E. Roosevelt, Phoenix, AZ 85008, Monday through Friday between the hours of 7:30 a.m. and 4:00 p.m. Accommodations for individuals
with disabilities, alternative format materials, sign language interpretation, and assistive listening devices are available upon 72 hours advance notice through the Assistant to the CEO,
MHCGC, Comprehensive Health Center, 1st Floor 2525 E. Roosevelt, Phoenix, Arizona 85008, (602) 344-1637. To the extent possible, additional reasonable accommodations will be
made available within the time constraints of the request.
4/29/2016 10:50 AM
When Speaking at the Podium
Please state your name and the city in which you reside. If you reside in Maricopa County, please state the
District you live in.
If you have an individual concern involving the Finance Committee, you are encouraged to contact the Finance
Committee Member at 602-344-1637. We will do everything possible to be responsive to your individual
requests.
Public Rules of Conduct
The Finance Committee Chair shall keep control of the meeting and require the speakers and audience to refrain
from abusive or profane remarks, disruptive outbursts, applause, protests, or other conduct which disrupts or
interferes with the orderly conduct of the business of the meeting. Personal attacks on Finance Committee
Members, staff, or members of the public are not allowed. It is inappropriate to utilize the Call to Public or other
agenda item for purposes of making political speeches, including threats of political action. Engaging in such
conduct, and failing to cease such conduct upon request of the Finance Committee will be grounds for ending a
speaker’s time at the podium or for removal of any disruptive person from the meeting room, at the direction of
the Finance Committee Chair.
If you wish to address the Committee, please complete a speaker’s slip and deliver it to the Assistant to the Chief Executive Officer, MHCGC.
If you have anything you wish distributed to the Committee and included in the official record, please hand it to the Assistant who will
distribute the information to the Committee Members and MIHS Staff. Speakers are limited to (3) three minutes.
(NOTE: One or more of the members of the Maricopa Health Centers Governing Council Finance Committee will attend either in person or
by telephone conference call or video communications.)
Governing Council Members:
District Board:
Elbert Bicknell
Melissa Kotrys
District Board:
Susan Gerard
Gary Tenney,
Liz McCarty,
Julie Roberts
District Board:
Mark Dewane
Gino Turrubiartes,
Simon Thomas,
Christine Hammond
April L. Jordan-Kramer,
Daniel Mattison
Ryan Winkle
District Board:
Mary A. Harden, R.N
Rosalba Rubio
District Board:
Terence McMahon
2
 Maricopa Medical Center  Administration Building  Auditorium 1
 2601 E Roosevelt St. Phoenix, AZ 85008 
Assistant’s Office 602-344-1637  Fax 602-344-0937 
Wednesday, May 4, 2016
4:00 p.m.
One or more of the members of the Maricopa Health Centers Governing Council Finance Committee may attend telephonically. Committee
members attending telephonically will be announced at the meeting.
Pursuant to A.R.S. § 38-431.03(A)(3), or any applicable and relevant state or federal law, the Finance Committee may vote to recess into an
Executive Session for the purpose of obtaining legal advice from the Committee’s attorney or attorneys on any matter listed on the agenda.
The Committee also may wish to discuss any items listed for Executive Session discussion in General Session, or the Committee may wish
to take action in General Session on any items listed for discussion in Executive Session. To do so, the Committee will recess Executive
Session on any particular item and reconvene General Session to discuss that item or to take action on such item.
Call to Order
Roll Call
Call to the Public
This is the time for the public to comment. The Maricopa Health Centers Governing Council Finance Committee may not discuss items that
are not specifically identified on the agenda. Therefore, pursuant to A.R.S. § 38-431.01(H), action taken as a result of public comment will be
limited to directing staff to study the matter, responding to any criticism or scheduling a matter for further consideration and decision at a later
date.
ITEMS MAY BE DISCUSSED IN A DIFFERENT SEQUENCE
Discussion, Presentation and Recommendations by the Committee:
1.
Approve the Maricopa Health Centers Governing Council’s (MHCGC) Finance Committee Meeting Minutes
dated April 6, 2016: 5 min
Maricopa Health Centers Governing Council’s Finance Committee Members
2.
Discuss and Review Downstream Revenue Report and Quarterly Referral Report, Possible Action or
Recommendations to the Maricopa Health Centers Governing Council: 15 min
Kathy Benaquista, Chief Financial Officer
Wyatt Howell, Chief Executive Officer, Maricopa Health Centers Governing Council
3.
Discuss, Review and Approve the Addition of Radiology/Ultrasound Services at the El Mirage Family
Health Center and Make Recommendations to the Maricopa Health Centers Governing Council: 20 min
3
Discussion, Presentation and Recommendations by the Committee (cont.):
4.
Discuss and Review the Chief Executive Officer’s (CEO) Maricopa Health Centers Governing Council’s
Report: 10 min
5.
Discuss and Review the Maricopa Health Centers Governing Council’s Reports, Possible Action, or
Recommendations to the Maricopa Health Centers Governing Council: 25 min
a. Visits Summary
b. Governing Council Expenditures and Budget
c.
FQHC LA Financials and Payer Mix
d. Uncovered Sessions Report
e. Proposition 480 Capital Purchases Report
6.
Review of Finance Committee and Staff Assignments 5 min
Pam Hjerpe, Assistant to the Chief Executive Officer, Maricopa Health Centers Governing
Council
7.
Future Agenda Item Requests and Chair Closing Comments 5 min
Gary Tenney, Committee Chair
Adjourn
4
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 1
Minutes
Maricopa Health Centers Governing Council – Finance Committee
Meeting Minutes – General Session – April 6, 2016
DRAFT
Minutes
Finance Committee General Meeting
Maricopa Medical Center
Administration Building, Auditorium 1
April 6, 2016 3:30 p.m.
Voting Members Present:
Gary Tenney, Committee Chair
Liz McCarty, Committee Vice Chair
Simon Thomas, Member
Gino Turrubiartes, Member
Melissa Kotrys, Member (Arrived at 3:47 p.m.)
Non-Voting Members Present:
Wyatt Howell, Chief Executive Officer Maricopa Health Centers
Governing Council
Kathy Benaquista, Chief Financial Officer (Arrived at 3:32 p.m.)
Others/Guest Presenters:
Kris Gaw, Chief Operations Officer
Christie Markos, Manager, Budgeting and Financial Reporting
Melanie Talbot, Executive Director District Board
Kathleen Rhodes, Executive Director of Nursing Ambulatory &
Physician Services
Lito Landas, Hospital Controller
Recorded by:
Pamela Hjerpe, Assistant to the Chief Executive Officer
Call to Order
Chair Tenney called the meeting to order at 3:30 p.m.
Roll Call
Ms. Hjerpe called roll. Following roll call, Ms. Hjerpe announced that four of the five voting members of
the Maricopa Health Centers Governing Council’s Finance Committee were present, which represented a
quorum. Ms. Kotrys arrived shortly after roll call.
Call to the Public
Chair Tenney asked if any speaker’s slips were turned in or if anyone from the public wished to address
the Committee. There were no comments from the public.
1
Discussion, Presentation and Recommendations by the Committee:
1.
Approve the Maricopa Health Centers Governing Council’s (MHCGC) Finance Committee Meeting
Minutes dated March 2, 2016
MOTION:
2.
Ms. McCarty moved to approve the Maricopa Health Centers Governing Council Finance
Committee Meeting Minutes dated March 2, 2016. Mr. Thomas. Motion passed by
voice vote.
Discuss and Review Monthly Proposition 480 Capital Purchases Report:
Ms. Benaquista report was on the accounting of the Proposition 480 funds for ambulatory services. The
list of items is a starting point and can be amended and changed as needed. These are capital expenses
which are approved and what had been paid. So far, there are very few Capital Expenditure Requests
(CER) issued against the allocated dollars for ambulatory.
Mr. Howell stated that he will review the previous requests and discuss with his staff. He inquired if the
items were not purchased this fiscal year if they would be dropped off.
Ms. Benaquista answered no; the list of items is to cover capital expenses through fiscal year 2018. The
funds can be spent at any time and are not locked into the items either.
Chair Tenney stated that he specifically recalls FY2014 the items were prioritized however the FY2015
capital budget was not line itemed.
3.
Discuss and Review the Federally Qualified Health Centers Look Alike Clinics Fiscal Year 2017
Proposed Budget Volumes, Possible Action or Recommendations to the Maricopa Health Centers
Governing Council:
Ms. Benaquista stated the preliminary ambulatory volumes will be incorporated in the report that will be
presented to the District Board at its April meeting.
Mr. Howell stated that cost reductions and the introduction of the new sliding fee scale will impact the
budget for the future.
Mr. Thomas stated that the expanded hours are not included in the volumes. In his opinion, the money
spent on marketing and outreach has had no impact on the volumes.
Chair Tenney commented that there will be a closure of two Whole Health Home Clinics (WHHC) that will
impact the fiscal year 2017 numbers; WHHC Choices Midtown and WHHC POCN Capitol. He also stated
the proposed volumes for the Comprehensive Health Center (CHC) are disappointing.
Mr. Howell stated that he believes there is a lot of “leakage” with referrals. From the patients’ perspective,
the number of miles driven can make a difference on where they go for referred care. As an example, a
patient living in the Chandler area may not want to travel to Phoenix for specialty care.
Ms. Benaquista stated two WHHC providers went bankrupt and other Provider Network Operations (PNO)
assumed operations. However, once the leases expired the new PNO’s moved the clinics. This model of
care is changing and co-locating is no longer the norm.
2
Discussion, Presentation and Recommendations by the Committee cont.:
3.
Discuss and Review the Federally Qualified Health Centers Look Alike Clinics Fiscal Year 2017
Proposed Budget Volumes, Possible Action or Recommendations to the Maricopa Health Centers
Governing Council cont.:
MOTION:
4.
Mr. Thomas moved to recommend to the Maricopa Health Centers Governing Council to
Approve the Federally Qualified Health Centers Look Alike Clinics (FQHC-LA) Fiscal
Year 2017 Proposed Budget Volumes. Ms. Kotrys second. Motion passed by voice
vote.
Discuss and Review the Maricopa Health Centers Governing Council’s Financial Reports,
Possible Action and or Recommendations to the Maricopa Health Centers Governing Council:
a. Visits Summary
b. Governing Council Expenditures and Budget
c. FQHC LA Financials and Payer Mix
d. Uncovered Sessions Report
Mr. Howell stated the February volumes were strong at 4 percent above budget. Fifty-two percent of the
patients seen had Arizona Health Care Cost Containment System (AHCCCS) coverage, which is an 11%
increase from January. The number of self-paying patients dropped to 25%, or a 4% decrease. The
number of self-paying patients seen in the dental clinics was down to 35%. He is working on
standardizing the providers’ schedules to prevent providers from creating his/her own schedule. There is
a push for Open Access appointments and same day appointments, which is decreasing the no-show
rate. The extension of hours along with weekend hours at some of the clinics is pending commitments
from the providers.
Mr. Howell also commented that he is spending time at all of the Family Health Centers (FHCs) so he can
get to know the staff as well as to have a better understanding of how each FHC flows. He is working on
a call center for improved call management for better customer service. The abandoned call rate is up to
10 percent, which is unacceptable.
He also noted the completion of the 2015 Adjudication of the Uniform Data System (UDS) submission to
Health Resources & Services Administration (HRSA).
Mr. Howell gave an update on the HRSA designation, which has been extended to December 31, 2016 to
allow for HRSA to repair the online portal access for EHB.
Mr. Howell noted the My Chart enrollment was up to 33% year to date with the goal being 35 percent.
Ms. Benaquista reported financially, it was a good month. MIHS lost the Meritus insurance patients,
however, picked up Medicaid (AHCCCS) patients. In February, the new sliding fee scale schedule was
implemented, which increased the collection of payments from self-paying patients. The payer mix had a
positive impact on the operating margin.
3
Discussion, Presentation and Recommendations by the Committee cont.:
4.
Discuss and Review the Maricopa Health Centers Governing Council’s Financial Reports,
Possible Action and or Recommendations to the Maricopa Health Centers Governing Council
cont.:
Mr. Howell noted that when he reviewed Primary Service Area (PSA) demographic information for each of
the FHCs, only 5-15% of the Medicaid population who live within a five-mile radius from the clinic are
using MIHS for their care. The remaining 80-95% of Medicaid patients within the PSA are getting their
care elsewhere. Therefore, there is a huge potential for growth of the Medicaid patient population.
Chair Tenney asked Mr. Howell how staff was targeting the Medicaid population in order to replace the
lost patient volumes from the loss of Meritus.
Mr. Howell responded that staff at the FHCs is proactively calling patient with AHCCCS coverage and reestablishing a connection with the patient.
Mr. Howell reported on the sessions are picking back up and tracking consistently in February. He also
commented on questions from Chair Tenney in regards to the provider’s schedules and the extended
clinic hours. The amendment to the District Medical Group contract was in the process of being drafted
and should be going to the District Board for approval at its next meeting. He added that it will be a
challenge to find providers willing to work the extended hours and weekends.
5.
Announcements and Closing Comments:
Chair Tenney asked Mr. Howell to elaborate on the phone call process and his thoughts on how to correct
the issues.
Mr. Howell explained that the phone calls are not doing the patient a service; even with the new phone
system all that is happening is toggling the patient’s call from one FHC to the next. Ten percent call
abandonment rate is unacceptable.
Mr. Turrubiartes said that it is a challenge when you call one clinic and you get another. As a patient, he
feels that he dialed the wrong number, would hang up, and try again. A call center is a better idea.
Mr. Howell stated that he is in the process of gathering information and will present more details on the
phone center at a future date.
6.
Review Staff Assignments:
Ms. Hjerpe stated the following were for follow up:
1.
Review previous meeting minutes and supporting documents for Fiscal Year 2015 and Fiscal
Year 2016 Capital Budget requests
2.
Check on quarterly reports for downstream revenue
4
Adjourn
MOTION:
Mr. Turrubiartes moved to adjourn the April 6, 2016 Maricopa Health Centers Governing
Council Finance Committee Meeting. Mr. Thomas seconded. Motion passed by voice
vote.
The meeting adjourned at 4.47 p.m.
Approved by the Maricopa Health Centers Governing Council’s Finance Committee on May 4, 2016.
________________________________________________
Pamela Hjerpe,
Assistant to the Executive Director,
5
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 2
Downstream Revenue Report
and Quarterly Referral
Report
MARICOPA INTEGRATED HEALTH SYSTEM
REFERRALS ANALYSIS
FQHC-LA Designated Clinics1
SOURCE:
EPIC referrals data
SCOPE:
Referrals entered into Epic during the period July 1, 2015 through March 31, 2016.
Inpatient, Outpatient, and Medication Auth/Certs have been filtered out.
1
The CHC is included in total; a sub-report would be needed to filter down to just
the Primary Care clinics
SUMMARY BY REFERRAL CLASS
Referral Type
Referring Location or Place of Service
(Multiple Items)
(Multiple Items)
Count of Referral ID
FY
QTR
Grand Total
2016
Referral Class
Q1
Incoming
Internal
Outgoing
(blank)
Grand Total
Referral Type
Q2
99
28,738
11,660
6
40,503
Q3
84
25,312
11,059
5
36,460
108
26,291
13,036
9
39,444
291
80,341
35,755
20
116,407
(Multiple Items)
QTR
FY
Grand Total
2016
7TH AVENUE FHC
7TH AVENUE FHC Total
AVONDALE FAMILY HEALTHCARE CLINIC (FHC)
AVONDALE FAMILY HEALTHCARE CLINIC (FHC) Total
CHANDLER FHC
CHANDLER FHC Total
CHOICES SOUTH CENTRAL IHH
CHOICES SOUTH CENTRAL IHH Total
COMPREHENSIVE HEALTHCARE CENTER (CHC)
COMPREHENSIVE HEALTHCARE CENTER (CHC) Total
EL MIRAGE FHC
EL MIRAGE FHC Total
Referral Class
Incoming
Internal
Outgoing
(blank)
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
Internal
Outgoing
Incoming
Internal
Outgoing
(blank)
Incoming
Internal
Outgoing
Q1
Q2
Q3
3
1,875
658
2
1,824
581
2,536
2
1,707
964
2,673
5
1,398
1,576
2,979
95
40
135
60
10,750
1,730
3
12,543
2
874
1,849
2,725
2,407
3
1,362
854
2,219
6
1,136
1,583
2,725
29
48
77
37
10,322
1,715
4
12,078
5
588
1,492
2,085
3
1,876
758
1
2,638
4
1,160
1,289
2,453
12
883
1,723
2,618
83
40
123
44
11,380
1,728
7
13,159
2
347
1,765
2,114
8
5,575
1,997
1
7,581
9
4,229
3,107
7,345
23
3,417
4,882
8,322
207
128
335
141
32,452
5,173
14
37,780
9
1,809
5,106
6,924
13
REFERRALS ANALYSIS
SOURCE:
EPIC referrals data
SCOPE:
1
GLENDALE FHC
GLENDALE FHC Total
GUADALUPE FHC
GUADALUPE FHC Total
MARYVALE FHC
MARYVALE FHC Total
MCDOWELL FHC
MCDOWELL FHC Total
MESA FHC
MESA FHC Total
PIR METRO IHH
PIR METRO IHH Total
POCN COMUNIDAD IHH
POCN COMUNIDAD IHH Total
SEVENTH AVE WALK IN CLINIC
SEVENTH AVE WALK IN CLINIC Total
SOUTH CENTRAL FHC
SOUTH CENTRAL FHC Total
SUNNYSLOPE FHC
SUNNYSLOPE FHC Total
SWN SAN TAN IHH
SWN SAN TAN IHH Total
EAST VALLEY IHH
Incoming
Internal
Outgoing
(blank)
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
(blank)
Incoming
Internal
Outgoing
Internal
Outgoing
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
Incoming
Internal
Outgoing
Internal
Outgoing
Incoming
Internal
Outgoing
2
1,504
893
2
2,401
4
961
564
1,529
1
1,105
134
1,240
3
802
385
1,190
3
1,921
754
1
2,679
1
23
111
135
63
32
95
4
1,475
1,085
1
2,565
2
865
468
1,335
2
895
158
1,055
1
681
404
1,086
6
1,408
663
2,077
189
3
192
3
2,436
503
2,942
9
2,230
647
2,886
18
157
175
50
154
204
56
26
82
1
197
3
201
7
2,306
479
2,792
8
1,549
588
2,145
12
143
155
45
433
25
410
1,791
1,263
3,054
1
688
469
1,158
1
945
172
1,118
2
693
523
1,218
4
1,572
820
1
2,397
1
31
127
159
43
30
73
2
182
7
191
15
2,430
654
3,099
8
1,716
884
2,608
18
110
128
4
28
426
6
4,770
3,241
3
8,020
7
2,514
1,501
4,022
4
2,945
464
3,413
6
2,176
1,312
3,494
13
4,901
2,237
2
7,153
2
104
392
498
162
88
250
3
568
13
584
25
7,172
1,636
8,833
25
5,495
2,119
7,639
48
410
458
4
98
1,269
14
REFERRALS ANALYSIS
SOURCE:
EPIC referrals data
SCOPE:
1
EAST VALLEY IHH Total
CAPITAL IHH
Incoming
Internal
Outgoing
CAPITAL IHH Total
MIDTOWN IHH
Internal
Outgoing
MIDTOWN IHH Total
HIGHLAND IHH
Internal
Outgoing
HIGHLAND IHH Total
PENDERGAST FAMILY HEALTH CENTER
Incoming
Internal
Outgoing
PENDERGAST FAMILY HEALTH CENTER Total
Grand Total
Referral Type
(Multiple Items)
FY
478
1
125
53
179
12
38
50
49
51
100
435
458
54
26
80
21
8
29
64
44
108
556
85
641
40,503
393
127
520
36,460
45
22
67
38
10
48
45
50
95
5
297
166
468
39,444
Referral Class
Grand Total
2015
7TH AVENUE FHC
CHANDLER FHC
EL MIRAGE FHC
GLENDALE FHC
GUADALUPE FHC
MARYVALE FHC
MCDOWELL FHC
MESA FHC
PIR METRO IHH
POCN COMUNIDAD IHH
SOUTH CENTRAL FHC
SUNNYSLOPE FHC
SWN SAN TAN IHH
EAST VALLEY IHH
CAPITAL IHH
MIDTOWN IHH
HIGHLAND IHH
EAST VALLEY IHH (PIR)
Grand Total
1,371
1
224
101
326
71
56
127
158
145
303
5
1,246
378
1,629
116,407
Internal
72.02%
60.28%
42.38%
68.20%
86.55%
30.15%
62.41%
60.60%
84.11%
68.90%
66.63%
20.39%
66.73%
98.49%
84.10%
72.07%
16.17%
7.86%
68.67%
37.50%
58.72%
100.00%
69.27%
Outgoing
27.98%
39.72%
57.62%
31.80%
13.45%
69.85%
37.59%
39.40%
15.89%
31.10%
33.37%
79.61%
33.27%
1.51%
15.90%
27.93%
83.83%
92.14%
31.33%
62.50%
41.28%
0.00%
30.73%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
15
REFERRALS ANALYSIS
SOURCE:
EPIC referrals data
SCOPE:
1
Referral Type
(Multiple Items)
FY
Referral Class
Grand Total
2016
7TH AVENUE FHC
CHANDLER FHC
EL MIRAGE FHC
GLENDALE FHC
GUADALUPE FHC
MARYVALE FHC
MCDOWELL FHC
MESA FHC
PIR METRO IHH
POCN COMUNIDAD IHH
SOUTH CENTRAL FHC
SUNNYSLOPE FHC
SWN SAN TAN IHH
EAST VALLEY IHH
CAPITAL IHH
MIDTOWN IHH
HIGHLAND IHH
PENDERGAST FAMILY HEALTH CENTER
Grand Total
Internal
Outgoing
73.63%
57.65%
41.17%
61.79%
86.25%
26.16%
59.54%
62.62%
86.39%
62.39%
68.66%
20.97%
64.80%
97.76%
81.43%
72.17%
10.48%
7.17%
68.92%
55.91%
52.15%
76.72%
69.20%
26.37%
42.35%
58.83%
38.21%
13.75%
73.84%
40.46%
37.38%
13.61%
37.61%
31.34%
79.03%
35.20%
2.24%
18.57%
27.83%
89.52%
92.83%
31.08%
44.09%
47.85%
23.28%
30.80%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
16
DOWNSTREAM REVENUE FROM FQHC DESIGNATED DEPARTMENTS
PURPOSE
To quantify the downstream revenue generated by FQHC designated departments.
SOURCE
Epic Resolute Billing and G/L for FHC retail pharmacy.
SCOPE
The base population is all patients who had a qualified visit to a designated FQHC clinic during the period Oct 1, 2014 ‐ Sep 30, 2015.
‐ Downstream revenue from this base population includes payments on all non‐primary care setting encounters that occurred within 6 months subsequent to the FQHC clinic visit.
All data for the FHC Retail Pharmacies is based on the past 12 months.
"Downstream Revenue" is defined as total payments.
DOWNSTREAM REVENUE FROM FQHC DESIGNATED CLINICS
ORIGINATING CLINIC NAME
7TH AVENUE FHC
7TH AVENUE WALK IN CLINIC
ADULT WALK‐IN CLINIC
ANTEPARTUM TESTING ‐ CHC
AVONDALE DENTAL
AVONDALE FHC
CHANDLER DENTAL
CHANDLER FHC
CHC DENTAL
DIABETES OUTREACH CLINIC
EL MIRAGE FHC
FCH WHH SWN SAN TAN
FME WHH PIR EAST VALLEY
FSA WHH PCON CAPITAL
FSA WHH POCN COMUNIDAD
FSC WHH CHOICES SO. CENTRAL
FSU WHH CHOICES MIDTOWN
FSU WHH PIR METRO
FSU WHH SWN HIGHLAND
GLENDALE DENTAL
GLENDALE FHC
GUADALUPE FHC
MARICOPA WOMENS CARE NS12
MARYVALE FHC
MCDOWELL DENTAL
MCDOWELL FHC
MEDICINE CLINIC (PRIMARY CARE)
MESA DENTAL
MESA FHC
PEDIATRIC CLINIC (PRIMARY CARE)
PENDERGAST DENTAL
PENDERGAST FHC
SOUTH CENTAL FHC
SOUTH CENTRAL DENTAL
SUNNYSLOPE FHC
TOTAL ENCOUNTERS
TOTAL CHARGES
6,233 26,997,583.79
6,126 29,954,232.00
3,399 18,504,217.50
248 3,032,670.12
111 239,232.32
3,459 13,542,044.63
95 244,861.71
3,092 12,871,391.11
2,203 12,882,905.42
172 525,723.44
1,775 6,472,173.42
25 1,052,297.45
27 922,332.27
220 1,330,300.72
268 2,596,525.28
266 1,077,728.82
114 1,143,153.32
105 1,356,071.15
196 1,021,350.79
219 879,991.53
6,091 24,264,445.23
2,770 8,832,301.45
7,800 65,013,265.23
3,280 18,869,634.66
253 1,845,539.90
2,240 14,118,981.60
7,610 29,436,534.88
157 948,408.51
4,126 21,641,517.46
6,200 16,204,192.97
1 160.14
833 2,052,844.16
7,138 25,731,651.37
198 565,207.03
6,849 22,369,112.34
TOTAL ADJUSTMENTS
(21,829,938.41)
(24,525,767.15)
(14,976,194.26)
(2,550,385.03)
(214,549.36)
(11,738,768.64)
(195,770.63)
(10,849,263.23)
(10,675,042.82)
(443,410.80)
(5,153,341.03)
(453,474.00)
(652,766.11)
(1,036,428.05)
(2,203,415.77)
(765,947.04)
(990,690.28)
(961,124.50)
(812,936.24)
(720,427.88)
(19,817,812.62)
(7,434,773.45)
(54,368,207.83)
(15,871,502.34)
(1,517,866.33)
(11,393,033.38)
(23,652,006.36)
(759,528.07)
(18,219,049.22)
(13,583,644.56)
(125.72)
(1,524,406.73)
(20,999,018.60)
(483,759.91)
(17,974,094.43)
TOTAL PAYMENTS
3,542,557.57
4,101,806.40
2,323,001.11
373,262.59
18,340.15
1,578,876.41
37,056.41
1,457,258.62
1,850,554.26
50,873.09
952,772.99
239,710.91
266,327.41
296,163.29
294,812.21
243,172.10
237,618.62
369,752.87
207,283.35
126,104.66
3,168,140.76
1,154,045.17
7,224,082.69
2,257,643.82
294,753.74
2,433,641.68
4,743,853.62
178,354.28
2,545,961.07
2,220,795.13
34.42
203,146.00
4,128,089.20
70,231.85
3,198,625.01
TOTAL BALANCE‐
EXPECTED REIMBURSMENT
252,578.08
310,756.75
142,832.38
45,210.67
2,268.39
182,177.87
4,059.74
146,614.82
61,918.60
17,232.07
62,430.38
82,133.35
709.88
1,446.10
67.88
629.93
5,097.28
‐
3,527.24
6,899.88
254,176.69
143,240.88
824,205.42
208,779.79
256.91
170,968.34
297,288.29
7,070.11
242,705.12
107,340.12
‐
86,978.04
171,556.88
256.61
303,000.99
TOTAL 83,899 $ 388,540,584 $ (319,348,471) $ 52,388,703 $ 4,146,415
FQHC Downstream Revenue for Base Period Oct 1 2014 ‐ Sep 30 2015.xlsx
17
DOWNSTREAM REVENUE FROM FQHC DESIGNATED DEPARTMENTS
RETAIL PHARMACY REVENUE
PHARMACY LOCATION
GLENDALE
AVONDALE
SOUTH CENTRAL
7TH AVENUE
MESA
SUNNYSLOPE
CHANDLER
TOTAL
TOTAL PAYMENTS
$ 923,685
477,096
444,627
993,926
605,900
578,874
507,598
$ 4,531,706
# SCRIPTS FILLED
52,552
26,855
30,175
52,019
35,061
35,231
31,238
263,131
Avg $/Script
$ 17.58
17.77
14.73
19.11
17.28
16.43
16.25
$ 17.22
DOWNTREAM REVENUE BY MIHS SERVICE
SERVICE
CHC Breast
CHC CARDIO
CHC ENT
CHC EYE
CHC ONCOLOGY
CHC ORTHO
CHC Peds Specialty
CHC PROC
CHC SPECIALTY
CHC SURGERY
DIALYSIS
EMERGENCY
INPATIENT ACUTE
OBSERVATION
OUTPATIENT
OP SURGERY
INPATIENT PSYCH
RETAIL PHARMACY
TOTAL DOWNSTREAM REVENUE
TOTAL ENCOUNTERS/SCRIPTS TOTAL CHARGES
953 492,317.88
3,640 1,247,766.47
2,335 871,224.41
6,422 2,331,998.69
3,314 13,271,537.23
3,658 3,236,200.88
2,410 960,106.92
25 39,065.23
9,432 4,893,622.25
5,651 3,076,442.44
356 9,814,120.27
12,722 43,740,571.62
4,996 186,072,159.55
858 24,385,623.49
25,768 51,096,372.30
1,192 31,574,912.11
168 11,436,541.98
263,131
TOTAL ADJUSTMENTS
(401,885.57)
(969,967.37)
(601,163.84)
(1,530,463.34)
(10,366,332.47)
(2,609,666.97)
(771,127.54)
(27,561.96)
(4,030,377.59)
(2,574,751.34)
(7,913,807.49)
(37,610,670.93)
(150,918,925.79)
(21,368,818.83)
(43,015,307.79)
(27,068,741.37)
(7,568,900.59)
TOTAL PAYMENTS
85,274.77
246,977.74
255,847.92
718,796.38
2,640,160.60
545,127.23
166,395.74
9,994.44
768,578.77
421,415.14
1,278,997.70
4,152,659.89
25,684,007.05
2,031,585.01
6,595,492.54
3,477,836.60
3,309,555.94
4,531,706.46
TOTAL BALANCE‐
EXPECTED REIMBURSMENT
1,540.74
3,960.05
3,727.73
4,986.32
53,771.03
26,877.21
4,579.97
‐
26,749.31
6,420.59
149,145.45
461,491.33
2,263,948.01
212,806.38
397,849.52
418,256.58
110,305.26
347,031 $ 388,540,584 $ (319,348,471) $ 56,920,410 $ 4,146,415
FQHC Downstream Revenue for Base Period Oct 1 2014 ‐ Sep 30 2015.xlsx
18
19
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 3
Radiology/Ultrasound at El
Mirage FHC
Add Ultrasound Services to El Mirage FHC
Ultrasound services are currently available at the Avondale, Chandler and Maryvale FHCs. The MIHS
Hospital radiology department is getting new ultrasound equipment and the existing equipment will be
available at no cost. The El Mirage FHC outsourced 1,036 ultrasound procedures in 2015. There is a
room available at the El Mirage FHC where ultrasound services can be offered. The only expense will be
the ultrasound sonographer, as the front desk at El Mirage can handle the registration of patients and
the main campus Radiology department will handle scheduling. There will be minimal supply costs for
probe covers, disinfectant and linen.
The attached pro forma shows that starting with two half-day sessions per week and working up to two
full day sessions per week, with conservative assumptions about capacity, will yield a contribution
margin of $80,000 in the first year. After ramp-up, two full days per week at full capacity will net a
contribution margin of $108,000 per year.
Add Ultrasound Services to El Mirage FHC
Two half days per week @90%
capacity
Visits
Two full days per week at 80%
capacity
capacity
capacity
Total
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Year 1
36
36
36
64
64
64
72
72
72
80
80
80
756
Expense
Staffing
Supplies
$ 1,504
$
72
$ 1,504
$
72
$ 1,504
$
72
$
$
3,008
128
$ 3,008
$
128
$ 3,008
$
128
$ 3,008
$
144
$ 3,008
$
144
$ 3,008
$
144
$ 3,008
$
160
$ 3,008
$
160
$ 3,008
$
160
$ 31,584
$ 1,512
Revenue
$ 5,652
$ 5,652
$ 5,652
$ 10,048
$ 10,048
$ 10,048
$ 11,304
$ 11,304
$ 11,304
$ 12,560
$ 12,560
$ 12,560
$ 118,692
Contribution Margin
$ 4,076
$ 4,076
$ 4,076
$
$ 6,912
$ 6,912
$ 8,152
$ 8,152
$ 8,152
$ 9,392
$ 9,392
$ 9,392
$ 85,596
100% Capacity
Half Day
Visits
6,912
Full Day
5
10
Expense
Staffing
Supplies
$
$
188 $
10 $
Revenue
$
785 $ 1,570
Contribution Margin
$
597
376
20
$ 1,194
Assumptions
No equipment charges
Staffing expense per hour
Average reimbursement per service
Supplies per procedure
Visits outsoruced in 2015
Estimate based upon 4 weeks per month
$ 47.00
$ 157.00
$
2.00
1,036
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 4
MHCGC CEO Report
(No Handout Verbal Report)
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 5a
MHCGC Financial Reports
Visit Summary
FEDERALLY QUALIFIED HEALTH CENTERS LOOK-ALIKE
FINANCIAL STATEMENT HIGHLIGHTS
For the month ending March 31, 2016
OPERATING REVENUE
(a) Visits
Actual
30,069
259,137
Month-to-Date
Year-to-Date
Budget
31,193
256,941
Variance
(1,124)
2,196
%Variance
-3.6%
0.9%
Visits were below budget for the month by 1,124 but remain above budget for the year by 2,196. For the month, South Central; McDowell; CHC
Womens; and CHC Antepartum exceeded their budgets. Dental continues to be down (20%) due to changes in the Copa Care Policy.
(b) Net Patient Service Revenue
Actual
Month-to-Date
Year-to-Date
$
$
6,225,812
47,094,699
$
$
Budget
4,674,259
38,572,898
$
$
Variance
1,551,553
8,521,801
%Variance
33.2%
22.1%
While visits are below budget, Net patient service revenue is better than budget for both MTD of $1.5M and YTD of $8.5M. The additional revenue
related to the Lab and Radiology only accounts was not budgeted. Additionally, Ambulatory Management has been making a concerted effort to replace
the Meritus volumes lost. Heavy focus has been to work on gaps in care of AHCCCS patients. Also, AHCCCS volumes as a percent of the Total made
up 52% in March and February (see the Payor Mix Graphs). Self-Pay is down to an overall 23%.
(c) PMPM Revenue
Actual
Month-to-Date
Year-to-Date
$
$
Budget
5,078
1,524,554
$
$
Variance
40,587
365,286
$
$
(35,509)
1,159,268
%Variance
-87.5%
317.4%
Per Member Per Month revenue is below budget on a MTD basis by $35.5K but remains better than budget on a YTD basis by $1.2M. The large
positive variance on a year-to-date basis was due to receiving $3 per member per month from Meritus Health Partners from July through December,
which was not budgeted. Also, a year-to-date true-up payment was received from Southwest Catholic Health Centers of $115K.
OPERATING EXPENSES
(e) Salaries and Wages
Actual
Month-to-Date
Year-to-Date
Month-to-Date FTEs
Year-to-Date FTEs
$
$
1,651,684
14,866,060
372
375
$
$
Budget
1,834,059
15,266,700
340
363
Variance
$
$
182,375
400,640
(32)
(12)
%Variance
9.9%
2.6%
-9.5%
-3.2%
53,037
68,228
%Variance
9.3%
1.3%
Salaries and wages were below budget by $182K for the month and $400.6K YTD.
(g) Employee Benefits
Actual
Month-to-Date
Year-to-Date
$
$
Budget
516,928
5,021,952
569,965
5,090,179
Variance
$
$
Employee Benefits were below budget by $53.0K MTD and $68.2K YTD.
Benefits as a % of Salaries
Month-to-Date
Year-to-Date
Actual
31.3%
33.8%
Budget
31.1%
33.3%
Variance
-0.2%
-0.4%
%Variance
-0.7%
-1.3%
FINANCIAL STATEMENT HIGHLIGHTS
For the month ending March 31, 2016
OPERATING EXPENSES (continued)
(h) Medical Service Fees
Actual
Month-to-Date
Year-to-Date
$
$
1,543,089
13,720,406
$
$
Budget
1,494,945
13,453,537
Variance
$
$
(48,144)
(266,869)
%Variance
-3.2%
-2.0%
87,571
316,860
2.59
1.30
%Variance
32.3%
14.0%
29.7%
14.8%
Medical Service Fees were above budget by $48.1K for the month and by $266.9K YTD.
(i) Supplies
Actual
Month-to-Date
Year-to-Date
Month-to-Date Supplies per Visi
Year-to-Date Supplies per Visit
$
$
$
$
Budget
183,962
1,940,729
6.12
7.49
$
$
$
$
Variance
271,532
2,257,589
8.70
8.79
$
$
$
$
Supplies expense is better than budget by $87.6K MTD and by $316.9K YTD. The Clinics have been able to meet pharmaceutical needs (primarily
vaccines) with current stocks without the need to order additional stock. This trend should continue as we move out of flu season.
(j) Purchased Services
Actual
Month-to-Date
Year-to-Date
$
$
Budget
20,556
174,990
$
$
Variance
20,391
183,466
(165)
8,475
%Variance
-0.8%
4.6%
(3,017)
111,859
%Variance
-1.8%
7.2%
(69)
-
%Variance
-3.1%
0.0%
$
$
Purchased services were better than budget for the month by less than $1.0K and better than budget YTD by $8.5K.
(k) Other Expenses
Actual
Month-to-Date
Year-to-Date
$
$
Budget
171,646
1,451,924
$
$
Variance
168,629
1,563,783
$
$
For the month other expenses were over budget by $3.0K MTD but remain below budget by $111.9K YTD.
(l) Interest Expenses
Actual
Month-to-Date
Year-to-Date
$
$
Budget
2,326
22,775
$
$
405,135
4,021,644
$
$
Variance
2,257
22,775
$
$
534,590
4,436,922
$
$
Interest Expenses are on track with budget.
(m) Allocated Ancillary Expense
Actual
Month-to-Date
Year-to-Date
$
$
Budget
Allocated ancillary expenses were $129.5K under budget for the month and $415.3K YTD.
Variance
129,455
415,278
%Variance
24.2%
9.4%
MAR FY 2016
VISITS SUMMARY
Productive Days
#NAME?
Prior Year
#NAME?
Prior Month
MTD Analysis
#NAME?
#NAME?
Month To Date FY 2016
MAR FY 2015 FEB FY 2016 MAR FY 2016
Actual
Actual
Budget
Actual
FHC Clinics
SOUTH CENTRAL FHC
7TH AVENUE FHC
AVONDALE FHC
MARYVALE FHC
GLENDALE FHC
EL MIRAGE FHC
MESA FHC
CHANDLER FHC
GUADALUPE FHC
PENDERGAST FHC
SUNNYSLOPE FHC
MCDOWELL FHC
Total
WHH Clinics
FSA WHH POCN COMUNIDAD
FCH WHH SWN SAN TAN
FSU WHH PIR METRO
FME WHH PIR EAST VALLEY
FSU WHH SWN HIGHLAND
FSA WHH POCN CAPITOL
FSU WHH CHOICES MIDTOWN
FSC WHH CHOICES SO. CENTRAL
Total
CHC Clinics
MARICOPA WOMENS CARE NS 12
ANTEPARTUM TESTING - CHC
ADULT WALK-IN CLINIC
DIABETES OUTREACH CLINIC
PEDIATRIC CLINIC (PRIMARY CARE)
MEDICINE CLINIC (PRIMARY CARE)
Total
7th Avenue Walk-In Clinic
7TH AVENUE WALK-IN CLINIC
Dental Clinics
CHC DENTAL
CHANDLER DENTAL
SOUTH CENTRAL DENTAL
AVONDALE DENTAL
MESA DENTAL
GLENDALE DENTAL
MCDOWELL DENTAL CLINIC
PENDERGAST DENTAL
Total
Grand Totals
(Unfavorable)
YTD Analysis
FY 2014
%
Year To Date FY 2016
FY 2015
Actual - YTD Actual - YTD
Actual
Budget
(Unfavorable)
%
1,454
1,499
1,769
1,593
1,719
1,839
2,047
1,725
1,723
1,537
1,290
1,174
1,469
1,485
1,965
1,867
870
751
377
372
1,910
1,681
1,320
1,274
17,913
16,797
Prior Month Variance
1,646
1,760
1,865
1,914
1,800
1,134
1,637
1,791
855
384
1,981
1,322
18,089
8%
1,395
1,702
1,893
2,063
1,829
1,409
1,611
2,180
994
412
1,902
1,197
18,587
251
58
(28)
(149)
(29)
(275)
26
(389)
(139)
(28)
79
125
(498)
18%
3%
(1%)
(7%)
(2%)
(20%)
2%
(18%)
(14%)
(7%)
4%
10%
(3%)
11,116
13,036
12,969
13,889
12,959
15,742
15,938
16,038
14,939
14,549
10,635
10,753
13,987
13,573
15,854
17,338
7,683
7,904
617
15,336
15,882
8,991
10,183
140,407
149,504
Prior Year Variance
13,441
14,925
16,758
16,301
13,676
11,020
12,720
17,945
7,804
3,605
15,493
11,188
154,876
4%
11,406
13,912
15,473
16,867
14,949
11,514
13,169
17,818
8,126
3,369
15,549
9,785
151,937
2,035
1,013
1,285
(566)
(1,273)
(494)
(449)
127
(322)
236
(56)
1,403
2,939
18%
7%
8%
(3%)
(9%)
(4%)
(3%)
1%
(4%)
7%
(0%)
14%
2%
162
135
123
78
153
139
381
345
87
66
99
61
52
33
126
70
1,183
927
133
105
128
376
48
74
47
77
988
7%
126
107
162
358
95
82
59
98
1,087
7
(2)
(34)
18
(47)
(8)
(12)
(21)
(99)
6%
(2%)
(21%)
5%
(49%)
(10%)
(20%)
(21%)
(9%)
925
1,119
1,413
1,003
968
1,198
1,835
3,026
386
726
668
694
229
416
697
744
7,121
8,926
Prior Year Variance
882
837
1,121
3,196
509
680
297
687
8,209
-8%
1,028
878
1,325
2,929
779
673
485
800
8,897
(146)
(41)
(204)
267
(270)
7
(188)
(113)
(688)
(14%)
(5%)
(15%)
9%
(35%)
1%
(39%)
(14%)
(8%)
2,132
1,982
840
796
425
286
208
217
1,960
1,855
836
816
6,401
5,952
2,180
889
406
257
1,847
910
6,489
9%
2,055
814
444
235
2,014
874
6,436
125
75
(38)
22
(167)
36
53
6%
9%
(9%)
9%
(8%)
4%
1%
16,514
17,509
7,880
6,866
2,775
3,447
1,650
1,873
13,945
15,945
7,742
7,232
50,506
52,872
Prior Year Variance
19,065
7,317
2,836
1,993
15,747
7,937
54,895
4%
16,798
6,655
3,627
1,919
16,465
7,229
52,693
2,267
662
(791)
74
(718)
708
2,202
13%
10%
(22%)
4%
(4%)
10%
4%
2,656
2,759
2,482
-10%
2,509
(27)
(1%)
19,920
20,598
Prior Year Variance
21,871
6%
22,176
(305)
(1%)
918
705
197
144
134
122
211
137
218
166
169
105
331
353
26
33
2,204
1,765
880
184
124
160
171
126
338
38
2,021
15%
1,115
195
122
227
250
181
359
126
2,575
(235)
(11)
2
(67)
(79)
(55)
(21)
(88)
(554)
(21%)
(6%)
2%
(30%)
(32%)
(30%)
(6%)
(70%)
(22%)
8,052
8,771
1,665
1,892
1,341
1,398
2,155
2,006
1,891
2,040
1,580
1,592
2,199
2,916
30
18,883
20,645
Prior Year Variance
8,460
1,647
1,304
1,526
1,681
1,330
3,091
247
19,286
-7%
9,115
1,780
993
1,855
2,044
1,485
2,935
1,031
21,238
(655)
(133)
311
(329)
(363)
(155)
156
(784)
(1,952)
(7%)
(7%)
31%
(18%)
(18%)
(10%)
5%
(76%)
(9%)
30,357
28,200
30,069
7%
31,193
(1,124)
(4%)
236,837
252,545
Prior Year Variance
259,137
3%
256,941
2,196
1%
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 5b
Governing Council
Expenditures & Budget
Governing Council Expenditures and Budget
FY 2016
Contract Labor
Salaries
OT Salaries
Benefits
JUL
AUG
$
$
4,509
4,369
(7)
220
2,127
1,291
Sub-Total Salaries and Benefits
6,629
5,881
SEP
$
4,368
134
2,196
6,697
OCT
$
4,521
96
2,221
6,838
FY 2016 Actual
NOV
DEC
JAN
$
$
$
4,557
5,771
4,586
(10)
20
1,880
2,339
2,006
6,427
8,111
6,613
880010 - AIRLINE
880020 - TRAVEL REIMBURSEMENT
880030 - MILEAGE ALLOWANCE
880090 - PRINTING_BINDING_DUPLICATING
880150 - SEMINAR FEES
880110 - ORG MEMBERSHIPS/CERT/LICENSE
880080 - BOOK_PAMPHLETS_SUBSCRIPTIONS
880200 - EMPLOYEE RECOGNITION REWARDS
880680 - OTHER MISCELLANEOUS EXPENSES
Sub-Total Other Operating Expenses
101
24
125
47
47
11
11
33
33
-
730070 - FOOD - NON PATIENT NOURISHMENTS
730090 - FOOD - CATERING & SPECIAL FUNCTIONS
760010 - SOFTWARE
760020 - OFFICE SUPPLIES
Sub-Total Supplies
91
91
207
207
183
183
500
26
526
(44)
(44)
870070 - COMMUNICATION SERVICES
Sub-Total Utilities
-
-
-
-
Contract Labor
Salaries
OT Salaries
Benefits
5
5
FEB
$
4,362
9
2,093
6,465
MAR
$
4,665
1,813
6,477
APR
$
-
MAY
$
-
JUN
$
-
Actual
MAR YTD
$
41,707
463
17,967
60,137
Budget
Variance
MAR YTD
$
$
42,289
582
(463)
12,688
(5,279)
54,978
(5,159)
200
344
544
13
79
92
124
124
-
-
-
-
101
47
233
47
547
975
432
3,155
219
18
3,692
4,861
12,376
432
3,155
118
(29)
3,459
(47)
4,314
11,401
2,534
2,534
169
169
282
58
340
35
218
82
335
-
-
-
35
4,139
166
4,339
77
77
(35)
(4,139)
(88)
(4,262)
-
-
1,456
1,456
-
-
-
1,462
1,462
537
537
(924)
(924)
66,913
$ 67,968
-
Grand Total $ 6,845
$ 6,139
$ 6,891
$ 7,396
$ 6,383
$ 11,188
$ 6,873
JUL
$
4,636
1,343
Sub-Total Salaries and Benefits
5,978
AUG
$
4,639
1,588
6,227
SEP
$
4,494
1,317
5,810
OCT
$
4,647
1,345
5,992
NOV
$
4,636
1,344
5,979
FY 2016 Budget
DEC
JAN
$
$
5,147
4,793
1,443
1,617
6,591
6,410
$
6,929
$ 8,268
$
-
$
-
$
-
$
FEB
$
4,496
1,318
5,814
MAR
$
4,801
1,374
6,175
APR
$
4,654
1,347
6,002
MAY
$
4,809
1,376
6,185
JUN
$
4,662
1,349
6,010
Actual
MAR YTD
$
41,707
463
17,967
60,137
$
1,056
Budget
Budget
FY 2016 Remaining
$
$
56,414
14,707
(463)
16,760
(1,207)
73,174
13,037
880010 - AIRLINE
880020 - TRAVEL REIMBURSEMENT
880030 - MILEAGE ALLOWANCE
880090 - PRINTING_BINDING_DUPLICATING
880150 - SEMINAR FEES
880110 - ORG MEMBERSHIPS/CERT/LICENSE
880080 - BOOK_PAMPHLETS_SUBSCRIPTIONS
880680 - OTHER MISCELLANEOUS EXPENSES
Sub-Total Other Operating Expenses
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
540
1,375
48
351
24
2
410
15,000
540
16,375
48
351
24
2
410
540
1,375
48
351
24
2
410
10,000
540
11,375
101
47
233
47
547
975
576
4,207
292
24
4,923
25,000
6,481
41,502
576
4,207
191
(23)
4,690
25,000
(47)
5,934
40,527
730070 - FOOD - NON PATIENT NOURISHMENTS
730090 - FOOD - CATERING & SPECIAL FUNCTIONS
760010 - SOFTWARE
760020 - OFFICE SUPPLIES
Sub-Total Supplies
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
35
4,139
166
4,339
2,491
103
2,594
(35)
(1,647)
(63)
(1,745)
870070 - COMMUNICATION SERVICES
Sub-Total Utilities
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
1,462
1,462
716
716
(745)
(745)
Grand Total $ 7,629
$ 7,878
$ 7,461
$ 7,643
$ 7,630
$ 8,242
$ 8,061
7,465
$ 7,826
$ 22,653
$ 7,836
$ 17,661
66,913
$ 117,986
$
$
$
51,074
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 5c
FQHC LA Financials &
Payer Mix
Maricopa Integrated Health System
FQHC - LA
MTD Summary vs Budget
With Ancillary Services
MAR FY 2016
FHC and WHH
MAR Month to Date
Actual
(a) Visits
Budget
19,077
Operating Revenues
Net patient service revenue
Actual
(3%)
Budget
6,489
2,021
3%
29%
6,186
828,829
(100%)
28%
393,156
380,975
Operating Expenses
(e) Salaries and wages
(f) Contract labor
(g) Employee benefits
(h) Medical service fees
(i) Supplies
(j) Purchased services
(k) Other expenses
(l) Interest expense
(m) Allocated ancillary expense
(n)
Total operating expenses
828,494
119
267,255
1,145,737
109,312
4,786
113,998
2,326
304,939
2,776,968
906,701
292,165
1,106,357
184,112
4,936
109,036
2,257
445,586
3,051,150
9%
100%
9%
(4%)
41%
3%
(5%)
(3%)
32%
9%
388,994
122,790
255,428
39,153
2,350
79,948
888,663
461,491
143,094
261,491
47,475
161
4,999
64,757
983,468
16%
308,766
96,007
28,932
15,309
6,035
455,049
279,228
84,153
28,929
14,692
4,973
411,974
(61,893) $
(16%)
(30,999)
(8%)
(34,464)
(1%)
$
174,500 $
16%
(23%)
10%
(154,639)
(19%)
$
$
Actual
380,975
822,643
1,063,163
14%
2%
18%
100%
53%
393,156
%
(22%)
44%
1,527,865 $
35%
$
7th Ave Walk-in Clinic
MAR Month to Date
2,575
(85%)
43%
$
$
1%
Budget
34,401
3,016,686
Percent Margin
1,063,163
Actual
2,982,285
(o) Margin (before overhead allocation)
(p)
$
6,436
%
5,078
4,304,833
4,299,755
$
%
Dental
MAR Month to Date
(c) PMPM Revenue
(d)
Total operating revenues
(b)
$
19,674
CHC
MAR Month to Date
Budget
2,482
$
3%
(11%)
(14%)
(0%)
(4%)
(21%)
(10%)
$
469,738
$
2,509
(1%)
488,356
(4%)
469,738
488,356
125,431
30,877
141,924
6,564
461
49,263
20,248
374,768
186,639
50,553
127,097
11,017
602
49,622
24,247
449,777
94,971 $
20%
Actual
30,069
$
(4%)
33%
39%
(12%)
40%
23%
1%
16%
17%
38,578
8%
$
$
4,674,259
(1,124)
$
1,551,553
(4%)
33%
5,078
6,230,890
40,587
4,714,846
(35,509)
1,516,044
(87%)
32%
1,651,684
119
516,928
1,543,089
183,962
20,556
171,646
2,326
405,135
4,495,447
1,834,059
569,965
1,494,945
271,532
20,391
168,629
2,257
534,590
4,896,370
182,375
(119)
53,037
(48,144)
87,571
(165)
(3,017)
(69)
129,455
400,923
10%
100%
9%
(3%)
32%
(1%)
(2%)
(3%)
24%
8%
1,735,443 $
28%
1,916,967
126%
865,700
951,175
349,294
386,557
145,782
131,983
662,165
15%
(985,639)
(33%)
(174,794)
(16%)
(541,197)
(65%)
(207,675)
(53%)
(162,982)
(43%)
$225.39
$0.27
$225.66
$151.59
$1.75
$153.33
47%
$163.84
$0.00
$163.84
$127.83
$0.96
$128.79
27%
$194.54
$0.00
$194.54
$147.97
$0.00
$147.97
31%
$189.26
$0.00
$189.26
$194.64
$0.00
$194.64
(3%)
$207.05
$0.17
$207.22
$149.85
$1.30
$151.15
$57.20
($1.13)
$56.07
$145.57
$155.09
6%
$136.95
$152.82
10%
$225.16
$160.01
(41%)
$150.99
$179.27
16%
$149.50
$156.97
$7.46
5%
(4,672%)
$26.89
($24.03)
($30.63)
($12.04)
154%
$38.26
$15.38
149%
$57.72
$63.53
(1,092%)
(w)
(x) Margin (before overhead allocation)
$80.09
($1.75)
(y) Overhead Allocation
$45.38
$48.35
(z) Margin After Overhead Allocation
$34.71
($50.10)
6%
169%
(212%)
1,455,918
(181,524) $
(4%)
(r) Margin After Overhead Allocation
(s)
Per Visit Analysis ($/Visit)
(t) Net patient service revenue
(u) PMPM Revenue
(v)
(171)
(0%)
114,185
6,225,812
31,193
%
(q) Overhead Allocation
Percent Margin
95,142
%
All Clinics Combined
MAR Month to Date
Variance
Favorable
Budget
(Unfavorable)
(75,606)
(15%)
279,524
4%
1,583,899
127,981
(1,765,424)
(37%)
1,788,986
118%
($5.82)
37%
$53.83
$60.07
10%
$72.13
$51.26
(41%)
$38.33
$45.51
16%
$48.42
$50.78
$2.36
5%
($26.94)
($84.09)
68%
($102.76)
($63.30)
(62%)
($0.07)
($30.13)
100%
$9.30
($56.60)
$65.89
(116%)
FQHC - LA
YTD Summary vs Budget
MAR FY 2016
FHC and WHH
MAR Year to Date
Actual
(a) Visits
163,085
Operating Revenues
Budget
160,834
CHC
MAR Year to Date
%
Actual
1%
Budget
54,895
4%
Budget
19,286
(15%)
6,735,626
22%
392%
38%
8,208,506
55,673
6,791,299
(100%)
21%
2,671,245
3,140,015
Operating Expenses
(e) Salaries and wages
(f) Contract labor
(g) Employee benefits
(h) Medical service fees
(i) Supplies
(j) Purchased services
(k) Other expenses
(l) Interest expense
(m) Allocated ancillary expense
(n)
7,503,095
390
2,643,095
10,231,138
1,259,480
29,266
948,631
22,775
3,196,180
25,834,050
7,321,968
2,594,962
9,957,211
1,527,929
44,255
1,040,465
22,775
3,684,129
26,193,693
(2%)
100%
(2%)
(3%)
18%
34%
9%
0%
13%
1%
3,654,180
(14)
1,244,122
2,313,220
390,471
657
31,749
610,294
8,244,679
3,856,109
1,258,771
2,352,451
392,206
1,428
44,269
536,208
8,441,443
5%
100%
1%
2%
0%
54%
28%
2,503,305
779,795
211,988
141,732
26,761
3,663,581
2,456,691
774,911
239,602
132,218
30,676
3,634,099
$
(q) Overhead Allocation
(r) Margin After Overhead Allocation
(s)
(t) Net patient service revenue
(u) PMPM Revenue
(v)
(w)
8,182,365 $
24%
8,053,585
Percent Margin
128,780
0%
(1,503,195)
(6%)
(36,173) $
(0%)
(1,650,144)
(24%)
$
(992,336) $
(37%)
Actual
21,871
$
(15%)
(2%)
(1%)
12%
(7%)
13%
(1%)
(494,083)
(16%)
Budget
$
3,723,087
$
Actual
(1%)
4,316,373
(14%)
3,723,087
4,316,373
1,205,481
(6)
354,940
1,176,047
78,789
3,335
444,783
215,170
3,478,540
1,631,931
461,536
1,143,876
97,852
5,564
448,372
216,585
4,005,716
244,548 $
7%
%
22,176
8,165,701
3,240,616
3,317,955
1,173,687
1,164,242
883,093
(3,276,788)
(40%)
(4,968,099)
(73%)
(2,166,024)
(81%)
(1,658,325)
(53%)
(638,546)
(17%)
(706,270)
(16%)
$
(14%)
26%
100%
23%
(3%)
19%
40%
1%
1%
13%
310,657
7%
(9,668,897)
(39%)
$
1,016,927
All Clinics Combined
MAR Year to Date
Variance
Favorable
Budget
(Unfavorable)
259,137
256,941
47,094,699 $
38,572,898 $
8,521,801
22%
1,524,554
48,619,253
365,286
38,938,184
1,159,268
9,681,069
317%
25%
14,866,060
370
5,021,952
13,720,406
1,940,729
174,990
1,451,924
22,775
4,021,644
41,220,850
15,266,700
5,090,179
13,453,537
2,257,589
183,466
1,563,783
22,775
4,436,922
42,274,950
400,640
(370)
68,228
(266,869)
316,860
8,475
111,859
415,278
1,054,101
3%
100%
1%
(2%)
14%
5%
7%
0%
9%
2%
7,398,404 $
15%
(3,336,766) $
(9%)
13,350,981
13,664,825
(5,952,578)
(12%)
(17,001,591)
(44%)
2,196
%
1%
10,735,169
111%
313,844
10,421,326
108%
$199.23
$9.35
$208.58
$151.59
$1.93
$153.52
36%
$149.53
$0.00
$149.53
$127.83
$1.06
$128.88
16%
$138.51
$0.00
$138.51
$147.85
$0.00
$147.85
(6%)
$170.23
$0.00
$170.23
$194.64
$0.00
$194.64
(13%)
$181.74
$5.88
$187.62
$150.12
$1.42
$151.55
$31.61
$4.46
$36.07
$158.41
$162.86
3%
$150.19
$160.20
6%
$189.96
$171.11
(11%)
$159.05
$180.63
12%
$159.07
$164.53
$5.46
3%
($51.45)
($23.26)
121%
$11.18
$14.01
(20%)
$28.55
($12.98)
$41.53
(320%)
(x) Margin (before overhead allocation)
$50.17
($9.34)
(y) Overhead Allocation
$49.38
$50.77
$0.79
($60.12)
(z) Margin After Overhead Allocation
$
$
3,140,015
33%
309,613
24,690,498
(14%)
2%
2,671,245
%
(9%)
24,380,885
Percent Margin
$
7th Ave Walk-in Clinic
MAR Year to Date
21,238
1,524,554
34,016,415
(o) Margin (before overhead allocation)
(p)
$
Actual
32,491,861 $
$
8,208,506
%
(c) PMPM Revenue
(d)
(b)
$
52,693
Dental
MAR Year to Date
(637%)
3%
101%
(98%)
24%
($0.66)
($31.32)
$59.03
$62.97
6%
$60.86
$54.82
(11%)
$40.38
$45.86
12%
$51.52
$53.18
$1.66
3%
($59.69)
($94.28)
37%
($112.31)
($78.08)
(44%)
($29.20)
($31.85)
8%
($22.97)
($66.17)
$43.20
(65%)
FQHC - LA
MAR FY 2016
(a)
Visits
The number of times patients were seen at the clinics
Operating Revenues
(b)
(c)
(d)
PMPM Revenue
This amount reflects the estimated amount of revenue we expect to collect as cash from
regular operations
Per Member Per Month payments, which represent capitation agreements with Mercy Care
and Care1st.
Net patient service revenue (b) + PMPM revenue (c) = (d)
Operating Expenses
(e)
Salaries and wages
Salaries and wages paid to MIHS employees via payroll
(f)
Contract labor
Temporary staff and contractors
(g)
Employee benefits
Benefits paid to MIHS employees (Ex :health insurance)
(h)
Medical service fees
Fees paid per the contract with District Medical Group (DMG) for providing physician/provider
services
(i)
Supplies
Expenses related to items consumed (Ex: medical and office supplies)
(j)
Purchased services
Expenses related to consulting, dental lab services, lab courier services, and uniform/laundry
cleaning
(k)
Other expenses
All other expenses not listed in another category (Ex: equipment or facility maintenance
agreements, utilities, etc.)
(l)
Interest expense
Interest paid that is related to a capital lease
Allocated ancillary expense
Expense amounts from the following departments are allocated to the individual FQHC cost
centers: radiology, pharmacy, and laboratory because those services were done at the
clinics. This is done in order to match revenue with expenses.
(m)
(n)
Sum of all Operational Expenses, lines (e) through (m) = (n)
(o)
Margin (before overhead allocation)
Total operating revenue (d) less total operating expense (n) = (o)
(p)
Percent Margin
Margin (before overhead allocation) (o) divided by Total operating revenue (d) = (p)
(q)
Overhead Allocation
Expense amounts from departments that provide indirect services to the FQHC departments
(such as: Human Resources, Accounting, Payroll, Security, Information Technology). This is
done in order to match revenue with expenses.
(r)
Margin after Overhead Allocation
Margin (before overhead allocation) (o) less Overhead Allocation (q) = (r)
(s)
Percent Margin
Margin after overhead allocation (r) divided by Total operating revenue (d) = (s)
(t)
Net patient service revenue line (b) divided by Visits line (a) = (t)
(u)
PMPM Revenue
PMPM Revenue line (c) divided by Visits line (a) = (u)
(v)
Total operating revenues line (d) divided by Visits line (a) = (v)
(w)
Total operating expenses line (n) divided by Visits line (a) = (w)
(x)
Margin (before overhead allocation)
Margin (before overhead allocation) line (o) divided by Visits line (a) = (x)
(y)
Overhead Allocation
Overhead allocation line (q) divided by Visits line (a) = (y)
(z)
Margin after Overhead Allocation
Margin after overhead allocation line (r) divided by Visits line (a) = (z)
Note: Reports do not include overhead allocations (i.e. additional expenses related to Financial Services (including: Payroll,
Accounts Payable, Billing), Human Resources, Facilities and Maintenance, etc.)
MIHS - Federally Qualified Health Centers Look-Alike
Comparison ALL FQHC Visits by Payer - 6 Month Trend
Payer
AHCCCS
Medicare
FAP - Self-Pay
Grants
Commercial
Other
Total
October November December January
12,063
2,608
9,100
464
2,116
258
26,609
13,275
2,850
8,968
667
2,753
312
28,825
11,795
2,505
8,801
626
3,709
277
27,713
12,808
2,677
8,934
626
5,009
303
30,357
February
March
12,488
2,651
8,761
659
5,526
306
30,391
15,666
3,041
6,987
695
3,199
481
30,069
October November December January
Payer
AHCCCS
Medicare
FAP - Self-Pay
Grants
Commercial
Other
Total
45%
10%
34%
2%
8%
1%
100%
46%
10%
31%
2%
10%
1%
100%
43%
9%
32%
2%
13%
1%
100%
42%
9%
29%
2%
17%
1%
100%
February
41%
9%
29%
2%
18%
1%
100%
60%
50%
40%
30%
20%
10%
0%
AHCCCS
October
Medicare
November
FAP - Self-Pay
December
January
Grants
February
March
Commercial
Other
March
52%
10%
23%
2%
11%
2%
100%
MIHS - Federally Qualified Health Centers Look-Alike
Comparison ALL FQHC Visits by Payer - 4 Year Trend
Payer
AHCCCS
Medicare
FAP - Self-Pay
Grants
Commercial
Other
Total
FY 13
FY 14
122,914
28,956
119,855
7,829
19,348
1,750
300,652
FY 15
127,137
30,144
133,140
7,542
20,479
2,463
320,905
148,465
31,562
109,451
6,889
40,332
3,188
339,887
YTD FY 16
116,892
23,920
73,966
4,604
36,544
3,507
259,433
Payer
AHCCCS
Medicare
FAP - Self-Pay
Grants
Commercial
Other
Total
FY 13
FY 14
41%
10%
40%
3%
6%
1%
100%
40%
9%
41%
2%
6%
1%
100%
FY 15
44%
9%
32%
2%
12%
1%
100%
60%
50%
40%
30%
20%
10%
0%
AHCCCS
Medicare
FY 13
FY 14
FAP - Self-Pay
FY 15
Grants
YTD FY 16
Commercial
Other
YTD FY 16
45%
9%
29%
2%
14%
1%
100%
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 5d
Uncovered Sessions Report
Kevin Lopez, M.D. - Center Medical Director
Goshtasb Javdan, M.D.
Jessica Holmes MD
Danso, Laura, PA-C
Rachel Curry NP
Rachel Finegan, FNP
Helm, Tara, NP
Claire Veltkamp, NP
Azar Mehizadeh
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice/Float
Family Practice
CARDIOLOGY
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Azar Mehizadeh
CARDIOLOGY
* Required EL MIRAGE Total possible sessions
John Prieve, D.O.--Interim Center Medical Director
Raji Cheruvu, M.D.
Gera Barnard, NP
Emily Brewton, PA
Peggy Ernster, NP
Heather O'Connell, PA
Rachel Curry NP
Christian S. Breburda
* Required GLENDALE Total possible sessions
Lenore Encinas, MD
Kim Arnold, NP
Warren Kuipers, MD
Lindsey Panbechi, PA
Yvonne Lamos, CNM
0.0
0.0
#DIV/0!
0
0
#DIV/0!
#DIV/0!
#DIV/0!
Family Practice
Family Practice
Family Practice
Family Practice
CARDIOLOGY
Total %
Uncovered
Volume
Restriction
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Total Percentage of Uncovered Sessions not including PTO or CME
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
Family Practice
Family Practice
Family Practice
Family Practice
OB/GYN
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Guadalupe Total
* Required GUADALUPE Total possible sessions
#DIV/0!
Internal Medicine
Family Practice
Family Practice
Glendale Total
Guadalupe
0.0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
El Mirage Total
Glendale
0.0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Chandler Total
El Mirage
FMLA
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
* Required AVONDALE Total possible sessions
Kathryn Donesa-Zuzak, M.D. - Center Medical Directo Family Practice
Laila Sajwani, M.D.
Family Practice
Rose Vutien, M.D.
Internal Med/Pediatrics
Shannon Skinner, M.D.
Thomas Zheng, M.D.
OB/GYN
Michael Peters, MD
OB/GYN
Mott, Joseph MD
OB/GYN
Suzanne Hanson, CNM
OB/GYN
Habak, MD
OB/GYN
Jessica Kappes, P.A.
Family Practice
April Estes, D.O.
Family Practice
Yvonne Lamos, CNM
OB/GYN
Raina Roy, MD
CARDIOLOGY
* Required CHANDLER Total possible sessions
Mason Roy, D.O - Center Medical Director
Wendy Byers, NP (float)
Tonia Graham, NP
Melinda Baehr NP
Kimberly Keene, NP (float)
Comments ** Required**
#DIV/0!
Avondale Total
Chandler
Average
# of
Total # of Patients
Sessions Patients
per
Session
Missed
Sessions
due to
Vacancy
Specialty
Unplanned
Absence
Provider
CME
FHC
Avondale
FQHC Uncovered Provider Sessions / Productivity - APRIL 2016
(WHH Total Possible Sessions RED tab)
Provider PTO
* Total Possible Sessions Per clinic is required
0
0
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Hope Kurk, M.D. - Center Medical Director
Michael Dobbs, MD
Mona Khurana, M.D
Kim T. Long, M.D.
Patricia Halpe, M.D.
Nyima Ali, MD
Bidisha Ray, MD
Suzanne Hanson, CNM
Arlene Karlin, CNM
Edward Nash, MD
Lisa Stahr
Amanda Scott MD
various OB/GYN providers
Pediatrics
Pediatrics/Adol Med.
Pediatrics
Pediatrics
Pediatrics
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
Pediatrics/Adol Med.
OB/GYN
#DIV/0!
Debra Wasson. NP
Family Practice
#DIV/0!
Claire Veltkamp, NP
Laura Danso, PA
Kimberly Keene, PA
Jamie Bohannon NP
Wendy Byers, NP (float)
Family Practice
Family Practice
Family Practice
Family Practice
#DIV/0!
Family Practice
#DIV/0!
* Required MCDOWELL Total possible sessions
Sunitha Bandalamuri, M.D. - Center Medical Director
Dr. Roy, MD
Nirmala Narla, M.D.
Lindsey Panbechi, PA
Katherine Davis, NP
Sararian, Shahraz, MD
Renuka Nigam, M.D.
Soheil Taghavi Zargar, MD
Filler, Angela, MD
Total %
Uncovered
Volume
Restriction
FMLA
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
Family Practice - HIV
Internal Medicine- HIV
Psychiatry
Obstetric-HIV
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0.00%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
Internal Medicine
Cardiology
OB/GYN
Family Practice
Family Practice
Family Practice
PEDs
Family Practice
PEDS
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Mesa Total
* Required MESA Total possible sessions
0
#DIV/0!
#DIV/0!
McDowell Total
Mesa
0
#DIV/0!
Pendergast Total
McDowell
0
* Required MARYVALE Total possible sessions
Jessica Holmes MD - Center Medical Director
Family Practice
Tanya Giorgio-Sarkisan, F.N.P.
Family Practive
* Required Pendergast Total possible sessions
Ana Khalsa, M.D. - Center Medical Director
John Post, M.D.
Yvonne Patterson, MD
Brian Arey, NP
Carol Williams, NP
Zhanna Shpitalnik, MD
Obstertic various providers
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Maryvale Total
Pendergast
Missed
Sessions
due to
Vacancy
Average
# of
Total # of Patients
Sessions Patients
per
Session
Specialty
Unplanned
Absence
Provider
CME
FHC
Maryvale
Provider PTO
0
0
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Christina Smarik, M.D. - Center Medical Director
Elizabeth Jerome, MD
Heather Burzinski PA
Nikolina Elez, NP
Jenna Snyder, NP
Anita Martinez CNM
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
OB/GYN
Pamela Parker, M.D.
OB/GYN
#DIV/0!
Douglas Nelson, M.D.
Internal Medicine
#DIV/0!
Susan Geren, M.D.
Pediatrics
#DIV/0!
Wendi Carlton, M.D.
Michelle Buenafe, M.D.
Open .06 FTE Position
Tara Begay, F.N.P.
Pediatrics
Pediatrics
Pediatrics
Family Practice
#DIV/0!
Jamie Bohannon, F.N.P
Family Practice
#DIV/0!
Jennifer Poethke, PAC
Open .06 FTE Position
Family Practice
Internal Medicine
#DIV/0!
*Required SUNNYSLOPE Total possible sessions
Dr. Sandra Yuh, MD Medical Director
Dr. Tequa Salehi-Rad, MD
Dr. Carlo Guerrero, MD
Dr. Anthony Dunnigan, MD
Dr. Llaura Beach, MD
Sarah Raleigh, NP
Cassandra Altamirano, PA
Total %
Uncovered
Volume
Restriction
FMLA
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0.00%
#DIV/0!
#DIV/0!
#DIV/0!
0
0
Family Practice
Internal Medicine
Internal Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
* Required INTERNAL MEDS Total possible sessions
Nancy McNeill,NP
Same Day
Andrea Brock,NP
Same Day
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Same Day Total
* Required SAME DAY Total possible sessions
0
#DIV/0!
#DIV/0!
Internal Meds Total
Same Day
#DIV/0!
#DIV/0!
Sunnyslope Total
Internal Meds
0
#DIV/0!
South Central Total
Sunnyslope
0
*Required 7TH AVE FHC Total possible sessions
Shaghayegh Abdollahi, M.D.
Center Medical Director
Dale Collins, M.D.
OB/GYN
* Required SOUTH CENTRAL Total possible sessions
Bhargavi Joshi, DO - Center Medical Director
Suhair N. Stipho-Majeed, M.D.
Jeffrey Parker, MD
Tabarsi. Baharak, MD
Kristyn Wendelschafer, DO
Lucas Gruwell, FNP
Debbie Wasson, FNP
Scott Sabish, FNP
Suzanne Hanson, CNM
Peters, Michael MD
Thomas Zheng, M.D.
Graham, Patricia MD
Habak,Patricia MD
Barkley, Joel MD
Zuschke, Walter MD
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
7th Ave Total
South Central
Missed
Sessions
due to
Vacancy
Average
# of
Total # of Patients
Sessions Patients
per
Session
Specialty
Unplanned
Absence
Provider
CME
FHC
7th Ave FHC
Provider PTO
0
0
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Women's
Balducci, James MD
Barkley, Joel MD
Collins, Dale MD
Coonrod, Dean MD
Graham, Patricia MD
Greenspan, David MD
Habak,Patricia MD
Johnson-Agbakwu, Crista MD
Manriquez, Maria MD
Marshburn, Paul MD
Mott, Joseph MD
Nelson, Linda MD
Onibokun, Adedayo MD
Peters, Michael MD
Ray, Bidisha MD
Schendel-Dittmann, Megan MD
Videla, Felipe MD
Willmott, Linday MD
Willmott, Lindsay MD
Zuschke, Walter MD
Hayashi, Sylvia NP
Keller, Colleen NP
Hosmer, Lucy, CNM
Kenworthey, Mary Ellen NP
Liebherr, Susan NP
Martinez, Anita CNM
Stahr, Lisa CNM
Bambulas, Tammalynn CNM
Sarsam, Sue Ellen, NP
OB Comp
OB/GYN
OB/GYN
OB/GYN
OB/GYN
Colposcopy
OB/GYN
OB/GYN
OB/GYN
Urogynecology
OB/GYN
Infertility
OB/GYN
OB/GYN
OB/GYN
OB/GYN
Urogynecology
Advanced Gynecology
Gynecology Oncology
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
OB/GYN
Women's Total
PEDs Primary Care
* Required WOMEN'S Total possible sessions
Julia Kelly MD Med Director
Renuka Nigam MD
Shawn McMahon MD
Sarada Panchanathan MD
Aseema Pani MD
Salil Pradhan MD
Michael Dobbs, MD
Wendy Carlton MD
Kamala Vallabhaneni MD
Zachary Robbins MD
Avondale Dental
Chandler Dental
CHC Adult Dental
CHC Peds Dental
Glendale Dental
McDowell Dental
Mesa Dental
South Central Dental
Pendergast Dental
*Required ALL DENTAL Total possible sessions
0
0
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Total %
Uncovered
Volume
Restriction
FMLA
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
PEDs Primary Care Total
* Required PEDs Primary Care Total possible Sessions
Melissa Villamor
Roscoe Williams
Craig Pool
Randall Taylor
John Mann - 3 days/wk
John Chen
Kirk Speicher
Gene Garsha
Christopher Brendemuhl
Michael Wahbah
Sonya Carl
Dr. Rao and Resident
Average
# of
Total # of Patients
Sessions Patients
per
Session
Missed
Sessions
due to
Vacancy
Specialty
Unplanned
Absence
Provider
CME
FHC
Provider PTO
General Dentist
General Dentist
Walk-in Clinic for Dental Emergencies
General Dentist
General Dentist
Pedodontist
Pedodontist
General Dentist
General Dentist
General Dentist
General Dentist
Pedodontist
DENTAL GRAND TOTAL
0
0
#DIV/0!
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0.0
0.0
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Whole Health Home Clinic PIR East Valley
Whole Health Home Clinic SWN San Tan
Whole Health Home Clinic POCN Capitol
Whole Health Home Clinic POCN Comunidad
Dawn LaPrade FNP
Jamie Bohannan
Scott Sabish, FNP
Dedra Wadsworth
Byers, Wendy NP
Kim Arnold, NP
Natalie Tejada
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Rachel Curry NP
Evette Campos, NP
Family Practice
Family Practice
#DIV/0!
Dedra Wadsworth NP
Family Medicine
#DIV/0!
Family Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Whole Health Home Clinic GRAND TOTAL
* Required All WHH Total Possible Sessions
0
Total FQHC possible sessions
0.00
Uncovered sessions
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Total %
Uncovered
Volume
Restriction
#DIV/0!
Rachel Finegan, NP
Whole Health Home Clinic Choices South Central Adriana Vulic FNP
Jamie Bohannon, FNP
Kimberly Keene, FNP
Wendy Byers, NP
Dawn Maldonado, FNP
Whole Health Home Clinic Choices Midtown
Kimberly Arnold, NP
Kimberly Keene, FNP
Adriana Vulic, FNP
Wendy Byers, NP
Evette Campos NP
Whole Health Home Clinic PIR Metro
Scott Sabish, NP
Dedra Wadsworth NP
Whole Health Home Clinic SWN Highland
Wendy Byers, NP
Tara Helm, NP
Total Provider PTO
Total Povider CME
Total Unplanned Absence
Total Missed Sessions Due to Vacancy
Total FMLA
Total Volume Restriction
Grand Total Medical
Total Provider PTO
Total Povider CME
Total Unplanned Absence
Total Missed Sessions Due to Vacancy
Total FMLA
Total Volume Restriction
Grand Total Dental
FMLA
Average
# of
Total # of Patients
Sessions Patients
per
Session
Specialty
Missed
Sessions
due to
Vacancy
Provider
Unplanned
Absence
FHC
CME
Provider PTO
Uncovered %
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
0
#DIV/0!
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 5e
Proposition 480 Capital
Purchases Report
PROPOSITION 480 - 1st offering
Note: Current month activity highlighted in 'YELLOW'
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Wyatt Howell (CAO)
107702
416604
416603
416604
496205
456503
456405
416604
476101
416608
416601
416601
476101
476102
416604
416604
436301
456406
456407
458100
416601
416613
456503
456407
456503
456401
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Ambulatory
Facility upkeep
Maryvale-patient bathroom
Avondale FHC Centralized Referral/Appointment Call center
Maryvale - Pediatric Medical Assistants Back office
Cannon CR2 Fundus Camera
Nomad digital x-ray
Nomad digital x-ray
Maryvale-exam room conversion
Colposcopes
Chandler-Modular work stations
S. Central Renovate VFC -Pharmacy room
East Valley WHH EKG Machine
Construction -Refugee Interpreter Resource Room
Renovation of antepartum testing clinic ultrasound reading room
Maryvale-exam room conversion
Maryvale-Vaccine room
Dinemap Electronic Blood Pressure Machine
Portable nitrous unit
Portable nitrous unit (Glendale)
Cavitron Plus Package
So. Central Portable Audiometer
Hyfrecator
Chandler ADA Doors
Glendale Digital X-Ray unit and Sensors (Panoramic Digital AND Nomad digital)
Avondale Digital X-Ray unit and Sensors
Chandler Dental Digital Radiology - Panoramic x-ray
CHC - Digital Panoramic x-ray
Chandler Dental Replace Chairs Lights, Compressor and Deliverey Units
CHC Dental Replace Chairs Lights, Compressor and Deliverey Units
CHC Cost for new equipment and cost of moving existing to Avondale X-Ray
Avondale- Conversion of area presently leased to WIC. Convert eight offices to exam
rooms by adding plumbing and sinks.
Avondale- Replace all lobby and back office furniture
Avondale- Replace all flooring.
Temperature Monitoring - FQHC Depts
FQHC Contingency
McDowell Dental
$
$
$
$
65,593
100,000
1,227,083
19,390
Total Budgeted Amount
$
Allocated Bond Funding
$
(Over) / Under
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
600,000
137,000
77,975
40,000
33,292
32,224
32,224
30,000
21,000
19,000
12,500
12,500
12,000
12,000
10,000
10,000
7,200
3,050
3,050
2,749
2,700
2,700
15,000
53,789
13,520
65,264
63,819
85,736
127,642
50,000
Amount Paid
Amount Paid
Amount Paid
Amount Paid
Jan 2016
Feb 2016
Mar 2016
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52,089
63,564
60,419
-
TBD
$
-
TBD
$
$
$
$
$
15,990
$
192,062
16-917
$
57,074
$
52,089
16-915
16-916
$
$
65,264
63,819
$
$
63,564
15,990
16-921
$
70,276
15,990
3,000,000
$
272,423
3,000,000
$
3,000,000
$
3,000,000
$
2,727,577
$
2,807,938
$
-
$
15,990
$
147,633
44,429
$
-
16-918
$
$
44,429
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 6
Review Staff Assignments
Governing Council
Finance Committee
Meeting
May 4, 2016
Item 7
Announcements & Closing
Comments
(Verbal Report No handout)
Note Page
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Binder - Maricopa Integrated Health System

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