Binder - Maricopa Integrated Health System

Transcription

Maricopa Health Centers
Governing Council
Finance Committee
Meeting
April 6, 2016
3:30 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.
3/31/2016 1:32 PM
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:
Mary Jo Whitfield
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
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, April 6, 2016
3:30 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 March 2, 2016: 5 min
Maricopa Health Centers Governing Council’s Finance Committee Members
2.
Discuss and Review Monthly Proposition 480 Capital Purchases Report: 10 min
Kathy Benaquista, Chief Finance Officer, Maricopa Integrated Health System
3.
Discuss and Review the Federally Qualified Health Center-Look Alike Fiscal Year 2017 Proposed
Budget Volumes, Possible Action or Recommendations to the Maricopa Health Centers Governing
Council: 15 Min
Kathy Benaquista, Chief Finance Officer, Maricopa Integrated Health System
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: 20 min
Wyatt Howell, Chief Executive Officer, Maricopa Health Centers Governing Council
Kathy Benaquista, Chief Financial Officer, Maricopa Integrated Health System
a. Visits Summary
b. Governing Council Expenditures and Budget
c.
FQHC LA Financials and Payer Mix
d. Uncovered Sessions Report
5.
Announcements and Closing Comments: 5 min
Maricopa Health Centers Governing Council’s Finance Committee Members
6.
Review Staff Assignments: 5 min
Pam Hjerpe, Assistant to the Chief Executive Officer, Maricopa Health Centers Governing
Council, Maricopa Health Centers Governing Council
Adjourn
4
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 1
Minutes
Maricopa Health Centers Governing Council – Finance Committee
Meeting Minutes – General Session – March 2, 2016
DRAFT
Minutes
Finance Committee General Meeting
Maricopa Medical Center
Administration Building, Auditorium 1
March 2, 2016 4:00 p.m.
Voting Members Present:
Gary Tenney, Committee Chair
Liz McCarty, Committee Vice Chair
Simon Thomas, Member
Gino Turrubiartes, Member
Voting Members Not Present:
Melissa Kotrys, Member
Non-Voting Members Present:
Wyatt Howell, Chief Executive Officer Maricopa Health Centers
Governing Council
Kathy Benaquista, Chief Financial Officer
Others/Guest Presenters:
Christie Markos, Manager, Budgeting and Financial Reporting
Melanie Talbot, Executive Director District Board
Kathleen Rhodes, Executive Director of Nursing Ambulatory &
Physician Services
Patricia Stradleigh, Director of Operations West, Whole Health
Home Clinics, Ambulatory & Physician Services
Troy McGilvra, Director of Ambulatory Operations
Recorded by:
Pamela Hjerpe, Assistant to the Chief Executive Officer
Call to Order
Chair Tenney called the meeting to order at 4:01 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.
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 February 3, 2016
MOTION:
Mr. Turrubiartes moved to approve the Maricopa Health Centers Governing Council
Finance Committee Meeting Minutes dated February 3, 2016.
Mr. Thomas. Motion passed by voice vote.
2.
Discuss and Review the Federally Qualified Health Centers Look Alike Clinics (FQHC-LA) Dental
Performance:
Mr. McGilvra announced that Commission on Dental Accreditation (CODA) completed a review of the
Maricopa Integrated Health System (MIHS) for the Advanced Education in General Dentistry (AEGD)
program. The program was recertified for an additional seven years.
He reported the January’s actual dental visits year to date for fiscal year 2016 were 15,500 compared to a
budget of 16,401. He noted prior year to date actual visits were 16,176, or about 4% more compared to
this fiscal year’s actual visits.
Chair Tenney inquired why the numbers were down this year compared to last year and asked how staff
was addressing the issue.
Mr. McGilvra explained that there were a variety of reasons, one of which was an increase in the no show
rates, and the other was due to staffing issues. He believes the increase in the no show rates was
attributed to the recent change in the Sliding Fee Scale Discount Program, which increased the dental
copayment. When the clinics experience an increase in no show rates, the staff will overbook to fill in the
spots created by the no show patients. In addition, staff is also trying to fill spots with Arizona Health
Care Cost Containment System (AHCCCS) covered pediatric patients, which improves the payor mix.
The staffing vacancies are resolved and a new pool position is being used to fill future temporary
vacancies.
Chair Tenney questioned if a No Show Program or Policy has been implemented.
Ms. Rhodes stated that there was a draft policy distributed for input, however, it was never implemented
due to clinic managers concerns on how to implement it. In addition, there were conversations with
Information Technology (IT) on how a program could be operationalized.
Chair Tenney asked that a draft policy be brought to Executive Committee meeting.
Ms. Talbot pointed out that policies should go through the Compliance & Quality Committee for approval.
Mr. McGilvra reviewed self-pay patient treatment volumes year to date. He pointed out treatment
volumes were not the same as visits, as multiple “treatments” may occur during a visit. He reviewed total
cash collected from self-pay patients, as well as the percentage of self-pay visits compared to total visits.
Year to date January 2016, 44% of the total dental visits are self-pay patients. The goal is to decrease to
38 percent payer mix. He explained that MIHS dental losses $77 per visit on a self-pay patient and gains
$92 from an AHCCCS patient, hence the goal to decrease the number of self-pay patients.
Mr. McGilvra addressed Mr. Thomas and stated he would review the Year to date math on the slide
presentation.
Chair Tenney asked about the volumes at the new Pendergast clinic.
2
Discussion, Presentation and Recommendations by the Committee, cont.:
2.
Discuss and Review the Federally Qualified Health Centers Look Alike Clinics (FQHC-LA) Dental
Performance, cont.:
Mr. McGilvra answered that there was a 76% increase in visits in quarter two compared to quarter one in
fiscal year 2016. He mentioned that recently, there were 418 dental screenings for the Villa de Paz
Elementary School in the Pendergast School District, which resulted in 81 students needing treatment.
Staff is in the process of reaching out to those parents for follow up care.
3.
Discuss and Review the Seventh Avenue Walk in Clinic (SAWIC) to Change to a Freestanding
Urgent Care Model, Possible Action and or Recommendations to the Maricopa Health Centers
Governing Council:
Mr. Howell stated there are compliance and regulatory concerns with respect to how this clinic is currently
structured and operated. The clinic is used as a walk in clinic for acute episodic care, yet MIHS is
receiving Health Resources Services Administration (HRSA) reimbursements as if though it is being used
as a FQHC LA clinic.
He is proposing to convert the clinic to a formal urgent care model. In order to accommodate a potential
increase in volume to due this change, the Seventh Avenue Family Health Center (FHC) will further
expand its hours. He quickly reviewed the pro forma and the financial impact that the conversion will
have.
Ms. Benaquista added that this is more of a regulatory issue from a licensing perspective as opposed to a
HRSA compliance issue. MIHS has always stated it was a walk in clinic and not an emergency room or
an urgent care center.
Chair Tenney noted that by converting the clinic from a FQHC LA clinic to an urgent care center, MIHS
would lose $1 million in HRSA revenue and asked why the clinic could not be used as an FQHC LA clinic.
Ms. Benaquista stated that the capital requirements to modify the existing space to an FQHC LA clinic are
significant, and the space is leased, not owned by MIHS. There have been numerous discussions and
strategies discussed along with looking at the long term goal. Now that staff is aware of the potential
issue, action must be taken to correct it.
Ms. McCarthy clarified that this topic has been discussed at previous meetings and the Finance
Committee had been made aware of the issues.
Chair Tenney requested a roll call vote.
MOTION:
Mr. Turrubiartes moved to recommend to the Maricopa Health Centers Governing Council
to change the Seventh Avenue Walk in Clinic to a Free Standing Urgent Care Model.
Mr. Thomas second.
VOTE:
Ayes: Ms. McCarty, Mr. Thomas, and Mr. Turrubiartes
Nays: Chair Tenney
Absent: Ms. Kotrys
Motion passed.
3
4.
Discuss and Review Federally Qualified Health Centers Look Alike Clinics (FQHC LA) Extended
th
Hours in Avondale, El Mirage, Glendale, South Central and 7 Ave Family Health Centers (FHC)
Possible Action and or Recommendation to the Maricopa Health Centers Governing Council:
Mr. Howell stated that one of the many initiatives underway to improve access to care was to extent the
hours at the FQHC LA clinics.
Ms. Stradleigh said that family practice standards in the community were to offer expanded weekday
hours and Saturday hours. She reviewed the proposed weekday after hours and weekend hours at each
site. She added that security services would be provided for the extended hours.
Mr. Howell explained that it could be a challenge to recruit providers for the extended hours.
Chair Tenney asked that this also be vetted through the Compliance and Quality Committee.
Ms. Stradleigh added that the proposed changes would not be phased in, but rather would occur all at
once.
MOTION:
5.
Mr. Thomas moved to recommend to the Maricopa Health Centers Governing Council to
th
approve the extend hours for the Avondale, El Mirage, Glendale, South Central and 7
Avenue Family Health Centers. Mr. Turrubiartes seconded. Motion passed by voice
vote.
Discuss and Review Closure of the Whole Home Health Care (WHHC) Midtown and Capitol
locations:
Mr. Howell explained that the WHHC at Capitol and Midtown would be closing at the end of May, 2016.
Patients from Capitol will transfer to the Comunidad WHHC. Lifewell, the partner for the Midtown WHHC,
is looking for a bigger space.
6.
Discuss and Review the Maricopa Health Centers Governing Council 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
e. Maricopa Integrated Health System (MIHS) Employee Benefits Program, United
Healthcare
f. WHHC Update on Lifewell meetings
Mr. Howell reported that volumes at the Family Health Centers were relatively strong for the month of
January, 2016 with a year to date increase of two percent.
Ms. Benaquista requested to have an item on the next Finance Committee meeting agenda to discuss the
fiscal year 2017 FQHC LA volumes, and then approval of the volumes at the Governing Council meeting.
4
7.
Review Staff Assignments:
Ms. Hjerpe stated the following were for follow up:
1. Add discussion and approval of a No-Show Policy to the next Executive Committee and
Compliance & Quality Committee agendas
2. Add discussion and approval of the extended Family Health Centers hours to the next
Compliance & Quality agenda
3. Add discussion and approval of fiscal year 2017 FQHC LA volumes to next Finance Committee
agenda
4. Add a monthly recurring report to the Finance Committee agenda for Prop 480 Capital Purchases
8.
Announcements and Closing Comments:
There were no announcement or closing comments.
Adjourn
MOTION:
Mr. Thomas moved to adjourn the March 2, 2016 Maricopa Health Centers Governing
Council Finance Committee Meeting. Ms. McCarty seconded. Motion passed by voice
vote.
The meeting adjourned at 5.43 p.m.
Approved by the Maricopa Health Centers Governing Council’s Finance Committee on April 6, 2016.
________________________________________________
Pamela Hjerpe,
Assistant to the Executive Director,
5
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 2
Monthly Prop 480 Capital
Purchases Report
MARICOPA INTEGRATED HEALTH SYSTEM
PROPOSITION 480 - 1st offering
Note: Current month activity highlighted in 'YELLOW'
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Kelly Summers (CIO)
108212
108213
108212
108212
108212
108220
108213
108212
108216
108220
108213
108212
108212
108216
108216
105411
108220
108212
108216
108250
108216
108216
108212
108212
108220
108220
108213
108213
108212
108212
108212
108216
108216
108216
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
IT
Network Core/Switch Upgrade (DP-001);'Wireless (DP-001)
Client & Mobility
IPT (PBX Replacement)
Legacy Storage (DP-007)
All MIHS sites (recabling)
Single Sign on
Mobile Device Management
Teleconferencing (Video/Collaboration)
Fluency Enterprise
Perimeter, Internal security
Epic 2014 Monitors
WAN Upgrade (DP-001, DP-002)
Backup/DLP (DP-003)
LCM
Epic Modules
PeriCalm or GEConnect smart tracing software
NAC (NFP-017)
Remote Access (NFP-012)
EPCS
new software for Contract approval routing
Integration
VNA & Universal PACS Viewer
Disaster Recovery / Active-Active
Monitoring
SEIMS
IPAM, DNS
MyChart Bedside Tablets
Identity Management Solution
Active Directory
Resource/Capacity Management (NFP-005)
Performance Management (NFP-001 through NFP-004, NFP-007, NFP-015)
Integration SOA Architecture
Software Quality Assurance
Cache Platform Independent License
PWIM Global Monitor Software - additional funding required to support
implementation of CER15-075, Cloverleaf Availability
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
4,100,000
5,140,400
3,000,000
2,500,000
1,000,000
1,000,000
1,250,000
350,000
450,000
1,500,000
1,050,000
250,000
750,000
200,000
150,000
115,269
200,000
400,000
75,000
35,000
10,000
1,200,000
500,000
100,000
250,000
300,000
240,000
1,300,000
400,000
200,000
300,000
2,400,000
600,000
500,000
$
33,200
Total Budgeted Amount
$
Allocated Bond Funding
(Over) / Under
16-909
16-910
$
$
3,000,000
2,500,000
16-900
$
67,176
16-924
$
35,400
31,848,869
$
5,602,576
$
33,000,000
$
$
1,151,131
$
Page 25 of 31
Amount Paid
Amount Paid
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
TOTAL
$
$
1,475,127
67,188
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
67,188
$
-
$
1,475,127
1,475,127
67,188
-
$
1,542,315
33,000,000
$
33,000,000
27,397,424
$
31,457,685
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Sherry Stotler (CNO)
107701
107701
208100
107701
105546
107701
105460
208100
106430
476205
107701
106430
107701
107701
105431
105431
105431
105431
496204
104201, 104202
104582
107452
105482
105482
105431
107701
496201
105431
105431
105431
208100
105431
105431
107701
107701
107701
107701
107701
105420
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Patient montiors - High Acuity
Pyxsis upgrade 2017
Unit 10 Phase II
Stretcher replacement
IVUS - intravascular ultrasound for placement of stents
Vigileo Monitors (8)
Balloon Pumps
Convert Unit 2 at DV to an Adolescent Unit
Endo Tower
Zeiss - Cirrus HD opthal camera
Vivid Q BT12 Ultrasound
Colonoscopes
Zoll Thermoguard XP (formerly Alsius)
Replacement of tray line for room service project
Flexible Ureteroscope (2)
3:1 Mesher
1:1 Mesher
2:1 Mesher
Urodynamics machine (for surgery clinic)
UltraMist System
Replace Chair in Eye Room
EVS UV floor equipment
Fluid Warmers
Puffer Tenometer
Doppler
Autostainer (Histology)
Ultrasound (for breast clinic)
Biom 5
HINNI Laryngoscope
wilson frame
medical beds for psych units
King Tong Pelvic fx reducer
Stryker Core Power Equipment --Contract
Patient Monitoring (Low Acuity) - Formerly named Alarm Management
AIMS Upgrade
AIMS Upgrade
AIMS Upgrade
Temperature Monitoring - Non FQHC Depts
Blood Culture Instrument Lease
2 Pillcams for Endo
Replace 11 ultrasounds
POC Ultrasounds (10)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
6,979,132
1,175,211
450,000
403,200
160,000
112,000
110,000
100,000
80,000
60,655
55,750
50,000
33,230
33,000
13,390
13,300
26,600
26,600
22,835
20,120
20,000
18,500
6,494
5,200
3,950
47,000
27,821
10,513
8,645
5,253
209,968
8,600
369,113
350,010
176,382
150,000
88,650
13,950
1,307,000
450,000
Page 26 of 31
16-908
$
6,979,132
16-912
16-922
16-928
16-920
$
$
$
$
398,013
132,500
111,930
142,151
16-919
$
60,655
16-906
$
33,230
16-927
16-927
16-927
16-929
16-925
$
$
$
$
$
13,300
26,600
26,911
22,000
24,670
16-930
$
10,513
16-926
16-904
16-907
16-901
16-902
16-903
$
$
$
$
$
$
8,600
369,113
350,010
52,482
12,000
101,500
Amount Paid
Amount Paid
Dec 2015
Jan 2016
$
$
$
Amount Paid
$
Feb 2016
1,786,905
$
228,439
33,230
369,113
$
51,232
$
101,500
12,000
Amount Paid
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
1,786,905
33,230
369,113
228,439
51,232
12,000
101,500
-
$
13,202,072
$
8,875,310
$
13,000,000
$
(Over) / Under
$
$
(202,072)
$
381,113
$
185,962
$
2,015,344
$
2,582,419
13,000,000
$
13,000,000
4,124,690
$
10,417,581
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Kelly Summers (CIO)
107702
107702
105411
107751
107702
Facilities
Facilities
Facilities
Facilities
Facilities
Facilities
Plant upkeep and repair
Ice Machine Replacement
Steam Condensate Return Piping Replacement
Minor renovations
Replace OR Cabinets
Batteries
Roof Repair/Replacement
MMC 7th Floor Roof
$
$
$
$
$
Amount Paid
Amount Paid
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
TOTAL
2,420,000
16-911
16-914
$
$
23,801
62,569
16-905
$
276,425
1,080,000
30,000
12,000
1,500,000
$
245,414
$
29,168
$
$
$
$
$
$
$
$
274,582
$
$
5,042,000
$
362,795
$
5,000,000
$
(Over) / Under
$
$
(42,000)
$
-
$
245,414
$
29,168
-
$
274,582
5,000,000
$
5,000,000
4,637,205
$
4,725,418
Department
Grouping
Description
Budgeted Amount
Responsible owner - Wyatt Howell (CAO)
107702
416604
416603
416604
496205
456503
456405
416604
476101
416608
416601
416601
476101
476102
416604
416604
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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
Page 27 of 31
CER Number
CER Amount
Amount Paid
Amount Paid
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-
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
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
52,089
63,564
15,990
-
TBD
$
-
TBD
15,990
$
$
$
$
65,593
100,000
1,227,083
19,390
$
$
(Over) / Under
$
16-917
$
57,074
$
52,089
16-915
16-916
$
$
65,264
63,819
$
$
63,564
15,990
16-921
$
70,276
16-918
$
15,990
$
$
$
$
$
$
147,633
$
147,633
3,000,000
$
3,000,000
2,727,577
$
2,852,367
$
15,990
3,000,000
$
272,423
3,000,000
$
$
-
$
-
$
-
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Kathy Benaquista (CFO)
908100
107701
Contingency
Contingency
Bond related expenses (legal fees, etc.)
Audiology - Astera Audiometer
$
$
325,646.00
11,326.23
$
(Over) / Under
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
Amount Paid
$
$
$
$
TOTAL
325,646
-
$
325,646
6,000,000
$
6,000,000
5,663,028
$
5,674,354
$
$
325,646.00
11,326.23
336,972
$
336,972
$
6,000,000
$
$
5,663,028
$
Page 28 of 31
N/A
16-913
Amount Paid
$
-
$
-
$
-
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Amount Paid
Responsible owner - Susan Doria (SVP-Strategic Planning)
108100
Strategic
$
910,000
$
Dec 2015
142,000
995,000
$
910,000
$
142,000
$
10,000,000
$
$
9,005,000
$
Navigant - Proposition 480 planning
$
995,000
$
(Over) / Under
16-923
Amount Paid
$
Jan 2016
284,000
$
284,000
Amount Paid
Amount Paid
Feb 2016
$
$
$
$
TOTAL
426,000
-
$
426,000
10,000,000
$
10,000,000
9,090,000
$
9,574,000
$
-
Department
Grouping
Description
Budgeted Amount
CER Number
CER Amount
Responsible owner - Kathy Benaquista (CFO)
Reimbursement for Capital Expenditures
$
36,000,000.00
$
$
(Over) / Under
$
$
36,000,000.00
36,000,000.00
$
36,000,000.00
36,000,000.00
$
36,000,000.00
-
Budgeted Amount
GRAND TOTALS
$
N/A
106,000,000
VARIANCE: Budgeted amount vs CER amount issued
Remaining cash in the bank
$
CER Number
Amount Paid
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
$
-
$
-
$
-
-
52,360,076
$
53,639,924
$
TOTAL
36,000,000
$
36,000,000.00
$
36,000,000.00
$
CER Amount
$
Amount Paid
$
-
Amount Paid
Amount Paid
Amount Paid
Amount Paid
Dec 2015
Jan 2016
Feb 2016
TOTAL
590,301
$
715,376
$
3,667,271
$
41,298,594
$
64,701,405.60
9,501.10
Interest income earned
ACTUAL cash in the bank
$
Page 29 of 31
64,710,906.70
Maricopa Integrated Health System
Bond Proceeds account
acct# 750876711
CER #
Description
Beginning balance - 08/12/15
Bond proceeds
Less:
Bond related expenses
Cash transfer to MIHS operating account
expenses related to bond issuance
Reimbursement for capital expenditures
Amount
$ 106,000,000.00
(325,646.00)
(36,000,000.00)
(36,325,646.00)
Ending balance - 08/31/15
$ 69,674,354.00
$ 69,674,354.00
Less:
$ 69,674,354.00
$ 69,674,354.00
Less:
$ 69,674,354.00
$ 69,674,354.00
Less:
$ 69,674,354.00
$ 69,674,354.00
Less:
Cetani Corporation
Optiv Security
Navigant Consulting
Stryker Sales Corp
Stryker Sales Corp
16-902
16-900
16-923
16-904
16-904
AIMS upgrade - Cetani 'Custom Dev Integration'
Triton-Web Content Filtering
Navigant - Proposiiton 480 planning
Stryker Core Power Equipment
Stryker Core Power Equipment
(12,000.00)
(67,187.66)
(142,000.00)
(154,087.34)
(215,025.94)
(590,300.94)
$ 69,084,053.06
$ 69,084,053.06
Less:
Navigant Consulting
Navigant Consulting
Zoll Medical Corp
Spray Systems
Southwest Calibration Labs
EQ2
Progressive Roofing
16-923
16-923
16-906
16-905
16-901
16-903
16-905
machine to control core body temperature
MMC 7th floor - roof repair
AIMS upgrade - equipment maintenance software
AIMS upgrade - equipment maintenance software
(142,000.00)
(142,000.00)
(33,229.65)
(6,632.00)
(51,232.00)
(101,500.00)
(238,782.47)
(715,376.12)
$ 68,368,676.94
$ 68,368,676.94
Add:
Interest income
Less:
Capsule Tech Inc
GE Medical Systems
Forsythe Technology
Adams and Wendt Inc
Datex Ohmeda
Progressive Roofing Progressive Services
Henry Schein
Henry Schein
Henry Schein
Henry Schein
9,501.10
16-907
16-908
16-910
16-905
16-908
16-905
16-916
16-918
16-915
16-917
Low acuity monitors
High acuity monitors
MIHS enterprise data storage project
High acuity monitors
CHC dental digital x-ray
McDowell dental digital sensors
Chandler dental digital x-ray
Glendale dental digital x-ray
(228,438.95)
(417,084.78)
(1,475,126.86)
(2,636.25)
(1,369,820.11)
(26,531.39)
(15,990.00)
(15,990.00)
(63,564.00)
(52,089.00)
(3,667,271.34)
$ 64,710,906.70
Page 30 of 31
Bond Interest & Redemption account
acct# 750876729
$
-
$
-
Add:
Maricopa County collection (Bond levy)
$
-
$
77,733.83
Add:
$
77,733.83
$
3,505,737.37
Add:
$
3,505,737.37
$ 15,502,077.06
Add:
$ 15,502,077.06
$ 19,686,293.42
Add:
$ 19,686,293.42
Less:
Interest payment - JP Morgan
77,733.83
3,428,003.54
11,996,339.69
4,184,216.36
1,580,452.33
(1,089,297.22)
$ 20,177,448.53
Add:
Interest income
$ 20,177,448.53
$ 20,861,373.86
Page 31 of 31
680,781.97
3,143.36
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 3
FQHC LA Fiscal Year 2017
Proposed Budget Volumes
FEDERALLY QUALIFIED HEALTH CENTERS LOOK-ALIKE
BUDGET FY 2017
VISITS SUMMARY
y
FY 2014
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*
*Three Months only
Dental Clinics
CHC DENTAL
CHANDLER DENTAL
SOUTH CENTRAL DENTAL
AVONDALE DENTAL
MESA DENTAL
GLENDALE DENTAL
MCDOWELL DENTAL CLINIC
PENDERGAST DENTAL
Total
Grand Totals
Totals without Closed Clinics
Historical and Projected
FY 2015
FY 2016
FY 2016
Actual
Annualized
Budget
Budget Information
FY2017
Variance from
Budget
Proposed
Budget
Variance from
Annualized
15,593
17,250
17,853
21,199
20,351
14,317
18,538
21,495
10,366
20,628
12,477
190,067
% Change
17,583
19,263
21,005
21,474
19,918
14,665
18,066
23,134
10,576
1,658
21,204
13,999
202,545
6.6%
17,691
19,749
22,341
21,579
17,816
14,830
16,623
24,230
10,425
4,833
20,268
14,798
205,183
1.3%
15,289
18,648
20,740
22,609
20,038
15,433
17,652
23,883
10,893
4,515
20,843
13,116
203,659
15.7%
5.9%
7.7%
(4.6%)
(11.1%)
(3.9%)
(5.8%)
1.5%
(4.3%)
7.0%
(2.8%)
12.8%
0.7%
17,691
19,264
22,341
23,061
20,437
15,743
16,954
24,230
10,634
4,608
21,259
13,998
210,220
2.5%
1,310
1,808
1,360
2,392
592
913
327
930
9,632
% Change
1,476
1,323
1,568
4,139
960
999
579
1,068
12,112
25.7%
1,125
1,100
1,489
4,232
693
910
374
914
10,837
-10.5%
1,378
1,177
1,776
3,926
1,044
902
650
1,072
11,925
(18.4%)
(6.5%)
(16.2%)
7.8%
(33.6%)
0.9%
(42.5%)
(14.7%)
(9.1%)
1,182
966
1,705
4,080
900
811
9,644
-11.0%
57
5.1%
(134) (12.2%)
216
14.5%
(152)
(3.6%)
207
29.9%
(910) (100.0%)
(374) (100.0%)
(103) (11.3%)
(1,193) (11.0%)
22,387
10,658
3,996
2,221
18,849
10,175
68,286
% Change
23,777
9,312
4,496
2,568
21,173
9,836
71,162
4.2%
25,329
9,644
3,646
2,604
20,852
10,539
72,614
2.0%
22,516
8,920
4,861
2,572
22,070
9,480
70,419
12.5%
8.1%
(25.0%)
1.2%
(5.5%)
11.2%
3.1%
24,822
9,048
2,545
2,700
21,277
11,641
72,033
-0.8%
(507)
(596)
(1,101)
96
425
1,102
(581)
(2.0%)
(6.2%)
(30.2%)
3.7%
2.0%
10.5%
(0.8%)
26,910
% Change
27,313
1.5%
29,085
6.5%
29,541
(1.5%)
6,941
-76.1%
(22,144)
(76.1%)
11,590
2,250
1,756
2,769
2,607
2,051
2,987
26,010
% Change
11,439
2,407
1,616
2,517
2,739
2,121
3,881
79
26,799
3.0%
11,372
2,195
1,772
2,050
2,266
1,808
4,129
313
25,905
-3.3%
12,218
2,422
1,331
2,486
2,739
1,991
3,934
1,382
28,503
(6.9%)
(9.4%)
33.1%
(17.5%)
(17.3%)
(9.2%)
5.0%
(77.4%)
(9.1%)
9,128
1,891
1,368
1,723
1,956
1,459
3,899
312
21,736
-16.1%
(2,244)
(304)
(404)
(327)
(310)
(349)
(230)
(1)
(4,169)
(19.7%)
(13.8%)
(22.8%)
(16.0%)
(13.7%)
(19.3%)
(5.6%)
(0.3%)
(16.1%)
320,905
% Change
339,931
5.9%
343,624
1.1%
344,047
0.1%
320,574
-6.7%
(906)
(0.3%)
311,040
313,255
312,954
0.1%
313,633
378
292,755
(485)
1,482
2,621
913
331
209
(225)
991
(800)
5,037
%
0.0%
(2.5%)
0.0%
6.9%
14.7%
6.2%
2.0%
0.0%
2.0%
(4.7%)
4.9%
(5.4%)
2.5%
0.1%
BUDGET FY 2017
VOLUMES
Driving factors:
Loss of Meritus Population beginning Jan 2016
‐
Change in SP Copay structure starting Feb 2016
‐
Closure of WHH clinics starting June 2016
‐
Conversion of 7th Ave Walk‐In Clinic ‐ anticipated Oct 2016
‐
FHC Clinics:
FHC volumes are projected to increase by a 2.5% over Annualized FY2016.
‐
Shifts in Types of Providers and what services are offered at the various sights cause variances by ‐
department, however overall we are budgeting an increase of 2.5%.
Some clinics are at capacity and cannot further expand.
‐
7th Ave FHC is budgeted at the FY2015 Actual Run Rate. Meritus patients pushed this clinic to ‐
capacity in FY2016. Current Staffing and space can support the FY2015 numbers.
The Pendergast Clinic is expected to be impacted by the loss of Meritus more than other clinics. Other clinics have other patients to draw upon (ie AHCCCS), this clinic does not have as big a pool to ‐
draw from. At the McDowell Clinic, a long term provider is retiring. We expect a decline in productivity and ‐
visits due to this retirement.
WHH Clinics:
WHH Volumes are projected to decrease by 11.0% compared to Annualized FY2016. This is due to the closure of two clinics (Midtown and Capitol). Without these closures, volumes are expected to ‐
increase by 1.0%.
CHC Clinics:
CHC Volumes are projected to decrease by .8% compared to Annualized FY2016. ‐
MIHS is moving one provider from CHC Adult Walk In clinic to CHC Internal Medicine Primary Care to increase the PCM staff available in Internal Medicine. Acute volume in Same Day can be met by a ‐
single provider. Adjusts provider staffing to patient demand.
MIHS had budgeted a 2% decrease on deliveries, therefore there is a decrease to the number of woman's clinic visits. Additionally, we are proposing to budget the Antepartum Testing Clinic to ‐
decrease; Due to the payor mix of this clinic.
Without the women's clinics decrease all other CHC clinics are budgeted to increase 1.4% compared ‐
to Annualized FY2016.
7th Ave Walk‐In Clinic:
‐
Conversion to urgent care is currently anticipated for Oct 2016. Therefore, the first three months volume is included in these reports. The budget for this clinic is neutral to Annualized FY2016.
Dental Clinics:
Dental Volumes are projected to decrease 16.1% compared to Annualized FY2016.
‐
MIHS is anticipating lower Denal Volumes in most clinics due to the change from Copa Care to ‐
Sliding Fee Schedule.
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 4a
MHCGC Financial Reports
Visit Summary
FEB FY 2016
VISITS SUMMARY
Productive Days
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
#NAME?
Prior Year
#NAME?
Prior Month
FEB FY 2015
Actual
JAN FY 2016
Actual
MTD Analysis
#NAME?
#NAME?
Month To Date FY 2016
FEB FY 2016
Actual
Budget
(Unfavorable)
YTD Analysis
FY 2014
%
FY 2015
Actual - YTD Actual - YTD
Year To Date FY 2016
Actual
Budget
(Unfavorable)
%
1,329
1,376
1,370
1,572
1,655
1,786
1,867
1,656
1,731
1,682
1,250
1,041
1,303
1,385
1,841
1,866
863
777
205
303
1,718
1,695
1,050
1,208
16,182
16,347
Prior Month Variance
1,499
1,593
1,839
1,725
1,537
1,174
1,485
1,867
751
372
1,681
1,274
16,797
3%
1,213
1,480
1,646
1,794
1,590
1,225
1,401
1,896
864
359
1,654
1,041
16,163
286
113
193
(69)
(53)
(51)
84
(29)
(113)
13
27
233
634
24%
8%
12%
(4%)
(3%)
(4%)
6%
(2%)
(13%)
4%
2%
22%
4%
9,721
11,582
11,431
12,120
11,530
14,023
14,287
13,991
12,980
12,826
9,441
9,463
12,337
12,104
14,130
15,373
6,752
7,034
240
13,478
13,972
7,842
8,863
123,929
131,591
Prior Year Variance
11,795
13,165
14,893
14,387
11,876
9,886
11,083
16,154
6,949
3,221
13,512
9,866
136,787
4%
10,011
12,210
13,580
14,804
13,120
10,105
11,558
15,638
7,132
2,957
13,647
8,588
133,350
1,784
955
1,313
(417)
(1,244)
(219)
(475)
516
(183)
264
(135)
1,278
3,437
18%
8%
10%
(3%)
(9%)
(2%)
(4%)
3%
(3%)
9%
(1%)
15%
3%
106
82
92
83
154
133
320
335
84
73
66
59
55
39
90
65
967
869
135
78
139
345
66
61
33
70
927
7%
109
93
141
312
83
72
52
85
947
26
(15)
(2)
33
(17)
(11)
(19)
(15)
(20)
24%
(16%)
(1%)
11%
(20%)
(15%)
(37%)
(18%)
(2%)
820
957
1,282
880
819
1,045
1,675
2,645
325
639
574
595
198
364
625
618
6,318
7,743
Prior Year Variance
749
732
993
2,820
461
606
250
610
7,221
-7%
902
771
1,163
2,571
684
591
426
702
7,810
(153)
(39)
(170)
249
(223)
15
(176)
(92)
(589)
(17%)
(5%)
(15%)
10%
(33%)
3%
(41%)
(13%)
(8%)
1,896
1,895
755
712
355
296
222
233
1,847
1,691
807
819
5,882
5,646
1,982
796
286
217
1,855
816
5,952
5%
1,787
708
386
204
1,752
874
5,711
195
88
(100)
13
103
(58)
241
11%
12%
(26%)
6%
6%
(7%)
4%
14,652
15,377
7,045
6,026
2,394
3,022
1,502
1,665
12,404
13,985
6,839
6,396
44,836
46,471
Prior Year Variance
16,885
6,428
2,430
1,736
13,900
7,027
48,406
4%
14,743
5,841
3,183
1,684
14,451
6,355
46,257
2,142
587
(753)
52
(551)
672
2,149
15%
10%
(24%)
3%
(4%)
11%
5%
2,417
2,503
2,759
10%
2,266
493
22%
17,727
17,942
Prior Year Variance
19,389
8%
19,667
(278)
(1%)
1,022
816
200
171
55
144
227
150
228
160
165
138
366
297
2
27
2,265
1,903
705
144
122
137
166
105
353
33
1,765
-7%
970
190
106
197
218
158
312
110
2,261
(265)
(46)
16
(60)
(52)
(53)
41
(77)
(496)
(27%)
(24%)
15%
(30%)
(24%)
(34%)
13%
(70%)
(22%)
7,102
7,853
1,479
1,695
1,181
1,264
1,930
1,795
1,682
1,822
1,424
1,423
1,948
2,585
4
16,746
18,441
Prior Year Variance
7,580
1,463
1,180
1,366
1,510
1,204
2,753
209
17,265
-6%
8,000
1,586
871
1,628
1,794
1,304
2,576
905
18,664
(420)
(123)
309
(262)
(284)
(100)
177
(696)
(1,399)
(5%)
(8%)
35%
(16%)
(16%)
(8%)
7%
(77%)
(7%)
27,713
27,268
28,200
3%
27,348
852
3%
209,556
222,188
Prior Year Variance
229,068
3%
225,748
3,320
1%
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 4b
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
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
-
730090 - FOOD - CATERING & SPECIAL FUNCTIONS
760010 - SOFTWARE
760020 - OFFICE SUPPLIES
Sub-Total Supplies
91
-
207
207
870070 - COMMUNICATION SERVICES
Sub-Total Utilities
-
91
5
5
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
11
11
33
33
-
183
183
500
26
526
(44)
(44)
-
-
-
APR
$
-
MAY
$
-
JUN
$
-
Actual
FEB YTD
$
37,042
463
16,154
53,660
Budget
FEB YTD
$
37,488
11,314
48,802
Variance
$
446
(463)
(4,840)
(4,857)
13
79
92
124
124
-
-
-
-
101
47
233
47
547
975
384
2,805
194
16
3,282
4,320
11,001
384
2,805
94
(31)
3,049
(47)
3,773
10,026
2,534
2,534
169
169
282
58
340
-
-
-
-
3,921
84
4,005
1,661
69
1,730
(2,260)
(15)
(2,275)
-
-
-
-
-
-
5
5
478
478
58,644
$ 62,010
-
$ 6,139
$ 6,891
$ 7,396
$ 6,383
$ 11,188
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
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
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
870070 - COMMUNICATION SERVICES
Sub-Total Utilities
60
60
60
60
60
60
60
60
Grand Total $ 7,629
$ 7,878
$ 7,461
$ 7,643
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
MAR
$
-
200
344
544
Grand Total $ 6,845
Contract Labor
Salaries
OT Salaries
Benefits
FEB
$
4,362
9
2,093
6,465
$ 6,873
$
6,929
$
-
$
-
$
-
$
-
$
472
472
$
3,366
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
FEB YTD
$
37,042
463
16,154
53,660
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
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
208
9
216
3,921
84
4,005
2,491
103
2,594
(1,429)
19
(1,410)
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
60
5
5
716
716
$ 7,630
$ 8,242
$ 8,061
7,465
$ 7,826
$ 22,653
$ 7,836
$ 17,661
58,644
$ 117,986
$
$
Budget
Budget
FY 2016 Remaining
$
$
56,414
19,372
(463)
16,760
605
73,174
19,514
711
711
$
59,342
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 4c
FQHC LA Financials &
Payer Mix
FQHC - LA
MTD Summary vs Budget
With Ancillary Services
FEB FY 2016
FHC and WHH
FEB Month to Date
Actual
(a) Visits
Budget
17,724
Operating Revenues
Net patient service revenue
17,110
CHC
FEB Month to Date
%
Actual
4%
Budget
5,952
4%
Budget
1,765
36%
6,186
735,901
(100%)
35%
332,209
334,304
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
789,611
119
280,917
1,237,140
74,859
2,948
86,931
2,257
286,364
2,761,146
792,778
270,832
1,106,357
163,794
4,926
108,215
2,326
393,449
2,842,676
0%
100%
(4%)
(12%)
54%
40%
20%
3%
27%
3%
379,646
131,492
268,533
41,102
2,894
72,268
895,934
419,961
135,030
261,372
43,132
159
4,937
58,754
923,346
10%
270,235
90,232
23,337
11,850
3,680
399,333
260,906
80,677
25,599
14,692
3,226
385,099
(67,124) $
(20%)
(50,795)
(15%)
$
Percent Margin
1,364,678 $
33%
(q) Overhead Allocation
860,768
(r) Margin After Overhead Allocation
(s)
Per Visit Analysis ($/Visit)
(t) Net patient service revenue
(u) PMPM Revenue
(v)
Total operating revenues
503,910
12%
Percent Margin
(214,544)
(8%)
$
886,184
(1,100,728)
(42%)
95,064 $
10%
(23%)
3%
(187,445)
(25%)
$
$
(1%)
729,715
990,998
3%
(3%)
5%
100%
41%
332,209
334,304
52%
456%
57%
(o) Margin (before overhead allocation)
(p)
$
%
(22%)
34,401
2,628,132
$
7th Ave Walk-in Clinic
FEB Month to Date
2,261
2,593,731
3,934,478
$
Actual
191,346
4,125,824
$
990,998
%
(c) PMPM Revenue
(d)
(b)
$
5,711
Dental
FEB Month to Date
Actual
Budget
2,759
$
(1%)
(4%)
(12%)
9%
19%
(14%)
(4%)
$
507,865
$
2,266
22%
441,058
15%
507,865
441,058
128,563
34,956
128,363
8,898
430
49,112
23,124
373,446
168,939
47,239
127,097
10,201
609
49,706
22,217
426,007
134,419 $
26%
%
352,152
362,926
127,933
123,373
94,806
108,150
(257,088)
(26%)
(550,371)
(75%)
(195,057)
(59%)
(174,168)
(52%)
39,612
8%
(93,099)
(21%)
Actual
28,200
$
15%
24%
26%
(1%)
13%
29%
1%
(4%)
12%
15,051
3%
All Clinics Combined
FEB Month to Date
Variance
Favorable
Budget
(Unfavorable)
$
5,765,550
27,348
$
4,098,808
191,346
5,956,896
40,587
4,139,396
1,568,055
119
537,596
1,634,036
148,196
15,228
142,617
2,257
381,756
4,429,860
1,642,584
533,778
1,494,826
242,725
20,386
166,083
2,326
474,420
4,577,129
1,527,036 $
26%
1,435,659
91,377
2%
852
$
(437,733) $
(11%)
1,480,634
(1,918,367)
(46%)
%
3%
1,666,741
41%
150,759
1,817,500
371%
44%
74,528
(119)
(3,819)
(139,209)
94,529
5,158
23,467
69
92,664
147,269
5%
100%
(1%)
(9%)
39%
25%
14%
3%
20%
3%
1,964,769
108%
44,974
1,919,795
106%
$221.99
$10.80
$232.78
$151.59
$2.01
$153.60
52%
$166.50
$0.00
$166.50
$127.78
$1.08
$128.87
29%
$188.22
$0.00
$188.22
$147.83
$0.00
$147.83
27%
$184.08
$0.00
$184.08
$194.64
$0.00
$194.64
(5%)
$204.45
$6.79
$211.24
$149.88
$1.48
$151.36
$54.58
$5.30
$59.88
$155.79
$166.14
6%
$150.53
$161.69
7%
$226.25
$170.29
(33%)
$135.36
$188.00
28%
$157.09
$167.37
$10.28
6%
(x) Margin (before overhead allocation)
$77.00
($12.54)
(714%)
$15.97
($32.82)
($38.03)
($22.46)
69%
$48.72
$6.64
634%
$54.15
($16.01)
$70.16
(438%)
(y) Overhead Allocation
$48.57
$51.79
(z) Margin After Overhead Allocation
$28.43
($64.33)
(w)
6%
144%
(149%)
40%
$59.17
$63.55
7%
$72.48
$54.55
(33%)
$34.36
$47.73
28%
$50.91
$54.14
$3.23
6%
($43.19)
($96.38)
55%
($110.51)
($77.02)
(43%)
$14.36
($41.09)
135%
$3.24
($70.15)
$73.39
(105%)
FQHC - LA
YTD Summary vs Budget
FEB FY 2016
FHC and WHH
FEB Year to Date
Actual
(a) Visits
144,008
Operating Revenues
141,160
%
Actual
2%
Budget
48,406
5%
Budget
17,265
(17%)
5,912,983
21%
7,145,343
49,487
5,962,470
(100%)
20%
2,278,089
2,759,040
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)
6,674,601
271
2,375,839
9,085,401
1,150,168
24,480
834,633
20,448
2,891,241
23,057,082
6,415,267
2,302,796
8,850,854
1,343,817
39,319
931,430
20,517
3,238,543
23,142,542
(4%)
100%
(3%)
(3%)
14%
38%
10%
0%
11%
0%
3,265,186
(14)
1,121,333
2,057,792
351,318
657
29,398
530,346
7,356,016
3,394,618
1,115,678
2,090,960
344,731
1,267
39,271
471,451
7,457,975
4%
100%
(1%)
2%
(2%)
48%
25%
2,194,539
683,788
183,056
126,422
20,726
3,208,532
2,177,464
690,758
210,674
117,527
25,703
3,222,124
(q) Overhead Allocation
(r) Margin After Overhead Allocation
(s)
(t) Net patient service revenue
(u) PMPM Revenue
(v)
7,187,885
Percent Margin
(533,385)
(2%)
(1,468,731)
(7%)
$
(210,672) $
(3%)
(1,495,505)
(25%)
$
$
(930,443) $
(41%)
Actual
2,759,040
32%
452%
37%
(12%)
1%
2,278,089
%
(7%)
275,211
21,673,811
6,654,500 $
22%
$
7th Ave Walk-in Clinic
FEB Year to Date
18,664
21,398,600
$
$
Actual
1,519,476
29,711,582
Percent Margin
7,145,343
%
28,192,106 $
(o) Margin (before overhead allocation)
(p)
$
46,257
Dental
FEB Year to Date
(c) PMPM Revenue
(d)
(b)
$
Budget
CHC
FEB Year to Date
19,389
$
(17%)
(1%)
1%
13%
(8%)
19%
0%
(463,084)
(17%)
Budget
$
3,253,349
$
19,667
(1%)
3,828,017
(15%)
3,253,349
3,828,017
1,080,050
(6)
324,063
1,034,123
72,225
2,874
395,520
194,922
3,103,772
1,445,292
410,983
1,016,778
86,835
4,963
398,751
192,338
3,555,939
149,577 $
5%
%
Actual
$
(15%)
25%
100%
21%
(2%)
17%
42%
1%
(1%)
13%
272,078
7%
$
All Clinics Combined
FEB Year to Date
Variance
Favorable
Budget
(Unfavorable)
229,068
225,748
40,868,888 $
33,898,640 $
6,970,248
21%
1,519,476
42,388,364
324,699
34,223,338
1,194,777
8,165,025
368%
24%
13,214,376
251
4,505,023
12,177,317
1,756,767
154,434
1,280,278
20,448
3,616,508
36,725,403
13,432,640
4,520,214
11,958,592
1,986,056
163,075
1,395,154
20,517
3,902,331
37,378,580
5,662,961 $
13%
(3,155,242) $
(9%)
3,320
%
218,264
(251)
15,191
(218,725)
229,289
8,641
114,876
69
285,823
653,178
1%
2%
100%
0%
(2%)
12%
5%
8%
0%
7%
2%
8,818,203
108%
7,214,526
2,891,322
2,931,397
1,027,905
1,032,260
787,951
902,742
11,895,063
12,080,926
185,863
(8,683,258)
(40%)
(3,101,994)
(43%)
(4,426,902)
(74%)
(1,958,348)
(86%)
(1,495,344)
(54%)
(638,375)
(20%)
(630,665)
(16%)
(6,232,102)
(15%)
(15,236,168)
(45%)
8,632,340
106%
$195.77
$10.55
$206.32
$151.59
$1.95
$153.54
34%
$147.61
$0.00
$147.61
$127.83
$1.07
$128.90
15%
$131.95
$0.00
$131.95
$147.83
$0.00
$147.83
(11%)
$167.79
$0.00
$167.79
$194.64
$0.00
$194.64
(14%)
$178.41
$6.63
$185.05
$150.16
$1.44
$151.60
$28.25
$5.19
$33.45
$160.11
$163.95
2%
$151.96
$161.23
6%
$185.84
$172.64
(8%)
$160.08
$180.81
11%
$160.33
$165.58
$5.25
3%
(x) Margin (before overhead allocation)
$46.21
($10.41)
($53.89)
($24.81)
117%
$7.71
$13.83
(44%)
$24.72
($13.98)
$38.70
(277%)
(y) Overhead Allocation
$49.91
$51.11
(z) Margin After Overhead Allocation
($3.70)
($61.52)
(w)
(544%)
(87%)
22%
($4.35)
($32.33)
2%
$59.73
$63.37
6%
$59.54
$55.31
(8%)
$40.64
$45.90
11%
$51.93
$53.52
$1.59
3%
94%
($64.08)
($95.70)
33%
($113.43)
($80.12)
(42%)
($32.93)
($32.07)
(3%)
($27.21)
($67.50)
$40.28
(60%)
FQHC - LA
FEB 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
September 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
12,488
2,651
8,761
659
5,526
306
30,391
14,772
2,705
7,064
650
2,578
431
28,200
Payer
AHCCCS
Medicare
FAP - Self-Pay
Grants
Commercial
Other
Total
September October November December January
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%
41%
9%
29%
2%
18%
1%
100%
60%
50%
40%
30%
20%
10%
0%
AHCCCS
September
Medicare
October
November
FAP - Self-Pay
December
Grants
January
February
Commercial
Other
February
52%
10%
25%
2%
9%
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
101,226
20,879
66,979
3,909
33,345
3,026
229,364
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
44%
9%
29%
2%
15%
1%
100%
FINANCIAL STATEMENT HIGHLIGHTS
For the month ending February 28, 2016
OPERATING REVENUE
(a) Visits
Actual
28,200
229,068
Month-to-Date
Year-to-Date
Budget
27,348
225,748
Variance
852
3,320
%Variance
3.1%
1.5%
Visits were above budget for the month by 852 and for the year by 3,320. The CHC, FHC and 7th Ave Walk in clinics exceeded budget while the Dental,
WHH clinics missed their budget.
(b) Net Patient Service Revenue
Actual
Month-to-Date
Year-to-Date
$
$
5,765,550
40,868,888
$
$
Budget
4,098,808
33,898,640
$
$
Variance
1,666,741
6,970,248
%Variance
40.7%
20.6%
Net patient service revenue is better than budget for both MTD of $1.7M and YTD of $7.0M. The additional revenue related to the Lab and Radiology
only accounts was not budgeted. 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. Because of these focused efforts, volumes were up compared to Budget. Also, AHCCCS volumes
as a percent of the Total made up 52% in February, up from 41% in January (see the Payor Mix Graphs).
(c) PMPM Revenue
Actual
Month-to-Date
Year-to-Date
$
$
Budget
191,346
1,519,476
$
$
Variance
40,587
324,699
$
$
150,759
1,194,777
%Variance
371.4%
368.0%
Per Member Per Month revenue is over budget on a MTD by $150.8K and 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. In February, a yearto-date true-up payment was received from Southwest Catholic Health Centers of $115K. It was found they were only paying $3 per member per month
when they were contracted to pay $4.50 per member per month. The additional $1.50 per member was corrected for the time period September through
January, with February's payment received at the correct $4.50 per member rate.
OPERATING EXPENSES
(e) Salaries and Wages
Actual
Month-to-Date
Year-to-Date
Month-to-Date FTEs
Year-to-Date FTEs
$
$
1,568,055
13,214,376
372
375
$
$
Budget
1,642,584
13,432,640
340
363
Variance
$
$
74,528
218,264
(32)
(12)
%Variance
4.5%
1.6%
-9.5%
-3.2%
(3,819)
15,191
%Variance
-0.7%
0.3%
Salaries and wages were under budget by $74.5K for the month and $218.3K YTD.
(g) Employee Benefits
Actual
Month-to-Date
Year-to-Date
$
$
Budget
537,596
4,505,023
533,778
4,520,214
Variance
$
$
Employee Benefits were over budget for the month by $3.8K and remain under budget YTD by $15.2K.
Benefits as a % of Salaries
Month-to-Date
Year-to-Date
Actual
34.3%
34.1%
Budget
32.5%
33.7%
Variance
-1.8%
-0.4%
%Variance
-5.5%
-1.3%
FINANCIAL STATEMENT HIGHLIGHTS
For the month ending February 28, 2016
OPERATING EXPENSES (continued)
(h) Medical Service Fees
Actual
Month-to-Date
Year-to-Date
$
$
1,634,036
12,177,317
$
$
Budget
1,494,826
11,958,592
Variance
$
$
(139,209)
(218,725)
%Variance
-9.3%
-1.8%
94,529
229,289
3.62
1.13
%Variance
38.9%
11.5%
40.8%
12.8%
Medical Service Fees missed budget by $139.2K for the month and by $218.7K YTD.
(i) Supplies
Actual
Month-to-Date
Year-to-Date
Month-to-Date Supplies per Visi
Year-to-Date Supplies per Visit
$
$
$
$
Budget
148,196
1,756,767
5.26
7.67
$
$
$
$
Variance
242,725
1,986,056
8.88
8.80
$
$
$
$
Supplies expense is better than budget by $94.5K MTD and by $229.3K 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
15,228
154,434
$
$
Variance
20,386
163,075
$
$
5,158
8,641
%Variance
25.3%
5.3%
Purchased services were better than budget for the month by less than $5.2K and better than budget YTD by $8.6K. This appears to be a timing issue
with the Dental Laboratory Services as we have received very few invoices for February yet.
(k) Other Expenses
Actual
Month-to-Date
Year-to-Date
$
$
Budget
142,617
1,280,278
$
$
Variance
166,083
1,395,154
$
$
23,467
114,876
%Variance
14.1%
8.2%
For the month other expenses is under budget by $23.5K and $114.9K YTD. There was an issue with duplicate Rent paid for South Central and
Midtown WHHs. The result was that five months of Rent for the two locations was paid twice, roughly $10K. AP canceled the duplicate checks and
credited the five months of rent back to the two locations.
(l) Interest Expenses
Actual
Month-to-Date
Year-to-Date
$
$
Budget
2,257
20,448
$
$
381,756
3,616,508
$
$
Variance
2,326
20,517
$
$
474,420
3,902,331
$
$
69
69
%Variance
3.0%
0.3%
92,664
285,823
%Variance
19.5%
7.3%
Interest Expenses are on track with budget.
(m) Allocated Ancillary Expense
Actual
Month-to-Date
Year-to-Date
$
$
Budget
Allocated ancillary expenses were $92.7K under budget for the month and $285.8K YTD.
Variance
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 4d
Uncovered Sessions Report
Chandler
El Mirage
Glendale
Guadalupe
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
* Required AVONDALE Total possible sessions
Kathryn Donesa-Zuzak, M.D. - Center Medical DirectorFamily Practice
Laila Sajwani, M.D.
Family Practice
Rose Vutien, M.D.
Internal Med/Pediatrics
Shannon Skinner, M.D.
Thomas Zheng, M.D.
OB/GYN
Heidi Schmidt PA-C
Family Practice
Mott, Joseph MD
OB/GYN
Jamie Bohannan
FP
Peters, Michael MD
OB/GYN
Jessica Kappes, P.A.
Family Practice
April Estes, D.O.
Family Practice
Yvonne Lamos, CNM
OB/GYN
Raina Roy, MD
CARDIOLOGY
Chandler Total
236.025
* Required CHANDLER Total possible sessions
Mason Roy, D.O - Center Medical Director
Wendy Byers, NP (float)
Tonia Graham, NP
Kimberely Keene, NP
Melinda Baehr NP
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
Heidi Schmidt, PA
Yvonne Lamos, CNM
Avondale Total
209.25
El Mirage Total
137
Internal Medicine
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
Family Practice
CARDIOLOGY
Glendale Total
242
Family Practice
Family Practice
Family Practice
Family Practice
OB/GYN
Guadalupe Total
* Required GUADALUPE Total possible sessions
105
20.0
177
8.9
43.0
30.0
40.0
416
274
352
38.75
28.0
310
236
4
14
9.7
9.1
8.8
#DIV/0!
8.0
8.4
#DIV/0!
3.5
203.8
1779.0
8.7
27.0
28.9
40.0
9.0
6.0
15.0
2.0
228
259
316
85
42
109
11
37.5
38.0
25.5
3.0
317
320
158
12
8.4
9.0
7.9
9.4
7.0
7.3
5.5
#DIV/0!
#DIV/0!
8.5
8.4
6.2
4.0
231.9
1857.0
8.0
9.4
8.1
8.6
40
13
377
105
38.5
0
40
4
330
0
347
10
#DIV/0!
8.7
2.5
135.5
1169
8.6
Total %
Uncovered
Volume
Restriction
FMLA
Missed
Sessions
due to
Vacancy
Specialty
Unplanned
Absence
Provider
Average
# of
Total # of Patients
Sessions Patients
per
Session
CME
FHC
Avondale
FQHC Uncovered Provider Sessions / Productivity - FEBRUARY 2016
(WHH Total Possible Sessions RED tab)
Provider PTO
* Total Possible Sessions Per clinic is required
4
Comments ** Required**
Went from 1.0 FTE to .9 FTE. Sessions not covered
Monday sessions at Pendergast
10
3.75
Sick
2
PTO
2
0
3.75
10
0
4
19.75
0.96%
0.00%
1.79%
4.78%
0.00%
1.91%
9.44%
3
8.48%
10
2.125
2
3
10
4.125
0
0
0
1.27%
4.24%
1.75%
0.00%
0.00%
0.00%
17.125 Total Percentage of Uncovered Sessions not including PTO or CME
1.75%
7.26%
27
27 sessions unfilled due to Vacancy - Dr. Ricardo Tapia
NP Graham - PTO x 1 Session
1.25
1.25
0
0
27
0
0
28.25
0.91%
0.00%
0.00%
19.71%
0.00%
0.00%
20.62%
6
4
19.71%
10
40
26
91
356
236
9.1
8.9
9.1
4
30
38
37.5
31.25
2
135
321
146
192
14
4.5
8.4
3.9
6.1
7.0
2.5
PTO x 2.5 sessions
8.75
PTO x 8.75 sessions
214.75
1491
6.9
16.4
162
31
26
4
14
91.4
CME x 6 sessions, PTO x 8 sessions
2
15.25
6
4
0
0
0
25.25
6.30%
2.48%
1.65%
0.00%
0.00%
0.00%
10.43%
3.6
243
239
29
70
9.9
7.8
9.2
7.3
5.0
743
8.1
13.6
0
0
0
0
0
13.6
12.95%
0.00%
0.00%
0.00%
0.00%
0.00%
12.95%
2 Sessions missed
Total Percentage of Uncovered Sessions not including PTO or CME
1.65%
3 days PTO/no coverage
6
3 days off sick, no coverage
4
2 days PTO/no coverage
last day at Guadalupe was 2-10-16
works only 2 days/week at Guadalupe
0.00%
Maryvale
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
Maryvale Total
Pendergast
* Required MARYVALE Total possible sessions
Jessica Holmes MD - Center Medical Director
Family Practice
Tanya Giorgio-Sarkisan, F.N.P.
Family Practive
26
16
18
7.5
4
29
16
3
18
8
246
143
119
36
27
214
73
19
113
36
10.1
8.8
9.9
9.5
8.9
6.6
4.8
6.8
7.4
4.6
6.3
6.3
4.5
205.5
1620
7.9
10
88
8.8
3
18
6.0
Dedra Wadsworth NP (float)
Family Practice
1.5
12
8.0
Claire Veltkamp, NP
Rachel Finegan, FNP
Wendy Byers, NP (float)
Family Practice
Family Practice
37.5
231
6.2
Family Practice
2.5
18
7.2
54.5
367
6.7
* 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
* 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
Peters, Michael MD
Mott, Joseph MD
* Required MESA Total possible sessions
Total %
Uncovered
Volume
Restriction
FMLA
2/8 called out sick for AM session, 2/12 called out sick for AM session
2
12 sessions FMLA, 1 not covered
12
2/16 - out 1 session for Deposition prep, 2/22 missed AM/PM session for deposition
1
1
2/4 Out of office x 1 session (planned) not eligible for PTO pay, 2/9 missed 1 session due to sitter issues
1
2
0
3
0
12
0
17
0.83%
0.00%
1.24%
0.00%
4.97%
0.00%
7.04%
0
0
0
0
0
0
0
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
4
8
1
2
9
10
2
0
0
0
21
3.75%
4.17%
0.83%
0.00%
0.00%
0.00%
8.75%
6.21%
#DIV/0!
54.5
Family Practice - HIV
Internal Medicine- HIV
Psychiatry
Obstetric-HIV
McDowell Total
Mesa
242
35
317
241.5
Pendergast Total
McDowell
24
4
32
Missed
Sessions
due to
Vacancy
Specialty
Unplanned
Absence
Provider
Average
# of
Total # of Patients
Sessions Patients
per
Session
CME
FHC
Provider PTO
25
37
143
250
36
38
40
32
8
159
211
231
108
29
5.7
6.8
4.4
5.6
5.8
3.4
3.6
216
1131
5.2
40
3
32.5
40
38
3
14
40
19.25
2
4
279
16
216
221
296
14
81
191
92
12
24
7.0
5.3
6.6
5.5
7.8
4.7
235.75
1442
6.1
240
Internal Medicine
Cardiology
OB/GYN
Family Practice
Family Practice
Family Practice
PEDs
Family Practice
PEDS
OB/GYN
OB/GYN
Mesa Total
237.75
0.00%
3 sessions admin
4
2
0.83%
works only 1 day/week 1/2 day
7.5
2
2
Off 3 days/works 10 hour days/coverage for only 2 sessions
1 day off sick/no coverage
worked 3 1/2 days/month
5.8
4.8
4.8
6.0
6.0
worked only 7 days
New provider, still at decreased schedule
New provider, start date February 3rd, on decreased schedule
covered for Dr. Narla
covered for Dr. Narla
9.5
0
0
0
0
0
9.5
4.00%
0.00%
0.00%
0.00%
0.00%
0.00%
4.00%
0.00%
South Central
Sunnyslope
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
*Required 7TH AVE FHC Total possible sessions
Shaghayegh Abdollahi, M.D.
Center Medical Director
Dale Collins, M.D.
OB/GYN
7th Ave Total
201.25
8.9
8.3
8.6
8.8
8.2
6.4
185.68
1572
8.5
19
138
7.3
1
0
0.0
OB/GYN
26
132
5.1
Douglas Nelson, M.D.
Internal Medicine
37
325
8.8
Susan Geren, M.D.
Pediatrics
24
196
8.2
Wendi Carlton, M.D.
Michelle Buenafe, M.D.
Renuka Nigam, M.D.
Tara Begay, F.N.P.
Pediatrics
Pediatrics
Pediatrics
Family Practice
16
116
7.3
9
69
7.7
0
0
34
213
6.3
Jamie Bohannon, F.N.P
Family Practice
20
97
4.9
Jennifer Poethke, PAC
John Fitzharris, D.O
Family Practice
Internal Medicine
34
164
4.8
0
0
220
1450
* 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
South Central Total
288
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
*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
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
Internal Medicine
* Required INTERNAL MEDS Total possible sessions
Nancy McNeill,NP
Same Day
Andrea Brock,NP
Same Day
* Required SAME DAY Total possible sessions
6.6
24
28.00
184
211
15
10.5
38.75
37.5
40
40
4
6
6
2
2
2
2
107
90
264
219
298
187
30
35
32
9
9
12
8
7.7
7.5
7.1
8.6
6.8
5.8
7.5
4.7
7.5
5.8
5.3
4.5
4.5
6.0
4.0
257.75
1695
6.6
Total %
Uncovered
Volume
Restriction
FMLA
Meetings
10
4.25
14.25
0
1.32
0
0
0
15.57
7.08%
0.00%
0.66%
0.00%
0.00%
0.00%
7.74%
2
4
1
0.00%
CME: 02/19/16
Post Call: 02/03/16 Unscheduled PTO: 02/10/16 & 02/11/16
PTO: 02/03/16 (AM=1 session) Unscheduled PTO: 02/16/16 (PM=1 session)
Admin Time: 02/25/16 (Admin. Time=1 session for IM Department Faculty Meeting)
1
Jury Duty: 02/24/16 & 02/25/16
24
Last day with South Central FHC 12/26/14
4
2
PTO: 02/12/16 & 02/16/16
Unscheduled PTO: 02/17/16
4
2
PTO: 02/19/16 & 02/22/16
Unscheduled PTO: 02/24/16
#DIV/0!
24
Last day with DMG/MIHS: 07/15/15
9
2
9
48
0
0
68
3.13%
0.69%
3.13%
16.67%
0.00%
0.00%
23.61%
1.5
19.79%
1 session due to an ill child, 0.5 for admin
1.25
2.5
Continues to ramp up.
12
FMLA - all sessions were covered by other providers
2.5
0
0
0
12
0
14.5
0.91%
0.00%
0.00%
0.00%
4.36%
0.00%
5.27%
17
14
11
6
17
40
34
189
113
78
25
131
132
156
11.1
8.1
7.1
4.2
7.7
3.3
4.6
6
139
824
5.9
6
0
0
0
0
0
6
4.14%
0.00%
0.00%
0.00%
0.00%
0.00%
4.14%
145
Same Day Total
77
1.32
#DIV/0!
275
Internal Meds Total
Same Day
344
311
345
263
258
51
Pamela Parker, M.D.
Sunnyslope Total
Internal Meds
38.68
37.5
40
30
31.50
8
Missed
Sessions
due to
Vacancy
Specialty
Unplanned
Absence
Provider
Average
# of
Total # of Patients
Sessions Patients
per
Session
CME
FHC
7th Ave FHC
Provider PTO
30
38
140
202
4.7
5.3
7
68
342
5.0
9
0
0
0
0
0
9
11.69%
0.00%
0.00%
0.00%
0.00%
0.00%
11.69%
4.36%
0.00%
2
0.00%
Women's Total
204.5
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
Primary Care
PEDs Primary Care Total
Avondale Dental
Chandler Dental
CHC Adult Dental
CHC Peds Dental
Glendale Dental
McDowell Dental
Mesa Dental
South Central Dental
Pendergast Dental
* 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
*Required ALL DENTAL Total possible sessions
8
6
4
5
5
4
4
3
4
2
4
1
4
3
35
38
32
37
41
48
31
25
36
9
33
7
21
26
7.5
5
2
4
4
4
37
4
39.5
8
43
42
8
15
54
25
201
35
270
52
8
11
9
1
201
65
89
59
8
1385
4.4
6.3
8.0
7.4
8.2
12.0
7.8
8.3
9.0
4.5
8.3
7.0
5.3
8.7
5.7
8.4
4.0
3.8
13.5
6.3
5.4
8.8
6.8
6.5
8.1
8.1
6.6
8.0
6.9
414
0
4.5
0
0
28
9.29%
1.96%
0.00%
2.20%
0.00%
0.00%
13.45%
2.20%
0.00%
0.00%
Missed
Sessions
due to
Vacancy
4
Unplanned
Absence
19
1
0
4
3
0
2
5
0
5
0
1
2.5
4
0
184
41
281
166
225
88
142
80
211
311
15.3
20.5
14.8
15.1
9.4
11.0
5.9
5.0
9.2
9.4
1
172
1729
10.1
6
0
0
0
0
0
3.49%
0.00%
0.00%
0.00%
0.00%
0.00%
36
121
36
40
40
20
40
40
32
38
40
32
20
106
139
176
52
191
142
108
261
167
124
35
3.4
2.9
3.5
4.4
2.6
4.8
3.6
3.4
6.9
4.2
3.9
1.8
414.0
1622.0
3.9
0
12
2
19
11
24
8
24
16
23
33
172
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
Total %
Uncovered
* 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
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
Volume
Restriction
PEDs Primary Care
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
Kenworthey, Mary Ellen NP
Liebherr, Susan NP
Martinez, Anita CNM
Stahr, Lisa CNM
Bambulas, Tammalynn CNM
Sarsam, Sue Ellen, NP
Specialty
FMLA
Women's
Provider
Average
# of
Total # of Patients
Sessions Patients
per
Session
CME
FHC
Provider PTO
4
1
2
2
Out sick 2.8.16
4
Out sick 2.8.16 - 2.9.16
2
Out sick 2.1.16
4
4
4
6
2
20
2
8
0
0
0
30
4.83%
0.48%
1.93%
0.00%
0.00%
0.00%
7.25%
1.93%
Adriana Vulic FNP
Evette Campos, NP
Family Practice
Family Practice
16
61
3.8
Dedra Wadsworth NP
Family Medicine
24
134
5.6
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
184
Total FQHC possible sessions
3663.78
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
121.4
32.0
27.2
89.5
24.0
4.0
298.0
20.0
2.0
8.0
0.0
0.0
0.0
30.0
80
0
0
0
0
0
0
0
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
#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
Adriana Vulic FNP
Dedra Wadsworth NP
Whole Health Home Clinic SWN Highland
Wendy Byers, NP
Tara Helm, NP
Uncovered sessions
24.0
Total %
Uncovered
Whole Health Home Clinic POCN Comunidad
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Family Medicine
346
Volume
Restriction
Whole Health Home Clinic POCN Capitol
8.7
#DIV/0!
#DIV/0!
3.3
#DIV/0!
#DIV/0!
Dawn LaPrade FNP
Jamie Bohannan
Dedra Wadsworth
Byers, Wendy NP
Kim Arnold, NP
Natalie Tejada
40
FMLA
Whole Health Home Clinic SWN San Tan
Specialty
Missed
Sessions
due to
Vacancy
Whole Health Home Clinic PIR East Valley
Provider
Unplanned
Absence
FHC
Average
# of
Total # of Patients
Sessions Patients
per
Session
CME
Provider PTO
Uncovered %
3.73%
0.98%
0.84%
2.75%
0.74%
0.12%
9.17%
4.83%
0.48%
1.93%
0.00%
0.00%
0.00%
7.25%
2
22
3
66
14
27
2
6
22
139
14
60
2
180
3
922
#DIV/0!
#DIV/0!
1.5
3.0
#DIV/0!
#DIV/0!
#DIV/0!
1.9
#DIV/0!
3.0
6.3
#DIV/0!
4.3
#DIV/0!
1.5
5.1
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 5
Announcements & Closing
Comments
(Verbal Report No handout)
Governing Council
Finance Committee
Meeting
April 6, 2016
Item 6
Review Staff Assignments
Note Page
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Binder - Maricopa Integrated Health System

Transcription

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