Board Meeting April 8, 2019 LOCATION PHONE NUMBER WEBSITE - PowerPoint PPT Presentation

Board Meeting April 8, 2019 LOCATION PHONE NUMBER WEBSITE FACEBOOK 21 Municipal Drive +1 636 933 2700 www.comtrea.org https://www.facebook.com/COMTREA/ Arnold, M O 63010

OUR MISSION To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority.

AGENDA 7:30 AM – Meeting Open CEO Report Approval of Agenda and Minutes Action Items CLOSED SESSION Discussion Items Program Highlight Adjournment Financials

APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the, April 8, 2019 Meeting Agenda.”

APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the March 11, 2019 Meeting Minutes.”

CLOSED SESSION BOARD MEMBERS ONLY

CLOSED SESSION MOTION: “I, ____________, move that the Board enter into closed session.” (All others must agree by Voice Vote)

CLOSED SESSION - AGENDA MOTION: “ I, __________, move that the Board approve the April 8, 2019 Closed Session Agenda,”

CLOSED SESSION – MEETING MINUTES MOTION: “I, ___________, move that the Board approve the March 11, 2019 Closed Meeting Minutes.”

CLOSED SESSION – ADJOURNMENT MOTION: “I, ___________, move that the Board adjourn from closed session and enter back into Open Session.” (All others must agree by Voice Vote)

PROGRAM HIGHLIGHT CEO REPORT Presented by Sue Curfman HRSA

CASH ON HAND $ 1,374,948.17 ACCOUNT RECIEVABLES  $ 4,173,054.16 MOTION: “ As a member of the Finance Committee, I _________, move that the Board approve the financials for the month of FINANCIAL REPORT February, 2018.”

Patients love Dr. Garrity and Dr. Mazzoli. Yesterday afternoon we had a couple patients in treatment and I heard someone crying. I wasn’t sure what was going on until I heard the patient thanking everyone. He was so appreciative of the work they had done. He said his seven year old daughter has never seen him smile. He was so excited with the work that was done yesterday he was smiling and in tears. It’s things like this that make me want to come into work every day. We have such great Doctors and Dental Assistants on MAP that are great at what they do and compassionate about their work!

GROWTH REPORT CEO REPORT DIVISION PRODUCTION – MARCH 2019 Division Production Week Week 2 Week 3 Week 4 Week 5 Budget Revenue Profit / Clinical Access 1 Mar. 4-8 Mar. 11- Mar. 18- Mar. 25- Forecast (Loss) Hours March 15 22 29 Forecast 1 Primary Care 58% 68% 68% 38% 69% $249,227 $170,424 ($78,803) Minus PTO 69% 70% 44% 70% Oral Health - Dentists 50% 70% 63% 71% 78% $573,270 $401.355 ($171,915) Minus PTO 69% 76% 66% 72% 81% Oral Health - 21% 47% 54% 70% 57% Hygienists Minus PTO 69% 58% 75% 59% Behavioral Health - 44% 69% 63% 50% 69% $326,946 $421,839 $94,893 Adult Minus PTO 72% 72% 57% 74% Child Psych. 0% 121% 154% 33% 35%

GROWTH REPORT CEO REPORT BEHAVIORAL HEALTH - MARCH 2019 Net Rev Per BH Visit 345.77 Weekly GOALS 80% Net Patient THRU MONTH END FORECAST Rev/Visit 210.66 75 3/31 60 Schedule Actual Actual PROJ BEHAVIORAL Hrs/W % PROJ Schedul 10 Hr 10 Hr VISITS HEALTH FTE k 8-Hr Day ACT MTD GOAL GOAL REV PTO Hours e Day Actual Day 167 Ivy Alwell (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 167 252 66% 57,744 Wk 1 0 122 Bitzer, Maria (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 122 252 48% 42,184 Wk 2 16 9 Dr. P. Gurusiddaiya 0.20 8.00 15.0 3.8 12.0 3.0 2.4 9 50 18% 3,112 Wk 3 53 84 Dr. C.J. Jos 0.50 20.00 37.5 9.4 30.0 7.5 6.0 84 126 67% 29,045 Wk 4 55 38 Dr Daniel Murray 0.20 8.00 15.0 3.8 12.0 3.0 2.4 38 50 75% 13,139 Wk 5 32 188 Kelly Ratz (APN) 1.00 40.00 75.0 18.8 60.0 15.0 12.0 188 252 75% 65,005 TOTAL 155 72 Dr. Gautum Rohatgi 0.50 20.00 37.5 9.4 30.0 7.5 6.0 72 126 57% 24,895 Dr. J. Vasireddy 1.00 40.00 75.0 18.8 60.0 15.0 12.0 196 196 252 78% 67,771 95 Ashley Whitley 0.50 20.00 37.5 9.4 30.0 7.5 6.0 95 126 75% 32,848 62 Dr. Lucas (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 62 76 82% 21,438 49 Dr. Morel (Genoa) 0.30 12.00 22.5 5.6 18.0 4.5 3.6 49 76 65% 16,943 49 SLU Docs 0.56 22.50 42.0 10.5 33.6 8.4 6.7 49 141 35% 16,943 Kamal, Moebbi, Boules 0.0 0.0 Dr. Bhattacharya (SLU) 1,131 SUBTOTAL 7.26 282.50 544.5 136.1 435.6 108.9 87.1 1,131 1,830 391,066 62% PRODUCTIVITY minus PTO

GROWTH REPORT CEO REPORT BEHAVIORAL HEALTH - MARCH 2019 PTO Hours Net Rev Per BH Visit 345.77 Weekly GOALS 80% Wk 1 0 Net Patient THRU MONTH END FORECAST Rev/Visit 210.66 50 3/31 Wk 2 0 40.0 Schedule Actual Actual PROJ BEHAVIORAL % PROJ Schedu 10 Hr 10 Hr VISITS HEALTH FTE 8-Hr Day ACT MTD GOAL GOAL REV Wk 3 0 le Day Actual Day Dr. Lisa Delaney 0.60 30.0 7.5 24.0 6.0 4.8 89 89 101 88% 30,774 Wk 4 0 0.00 0.0 0.0 0.0 0.0 0.0 0 0 #DIV/0! 0 Wk 5 89 SUBTOTAL 0.60 30.0 7.5 24.0 6.0 4.8 89 101 88% 30,774 TOTAL 0 88% PRODUCTIVITY minus PTO BH REVENUE PTO TOTALS Hours - MONTH END FORECAST - BH REVENUE & BUDGET PROJ % PROJ BUD VAR VISITS ACT MTD GOAL GOAL REV REV REV % VAR Adult Psychiatry 1,131 1,131 1,830 62% 391,066 Child Psychiatry 89 89 101 88% 30,774 Total 1,220 1,220 1,930 63% 421,839 326,946 94,893 29.02% Patient Revenue $257,005

GROWTH REPORT CEO REPORT PRIMARY CARE – MARCH 2019 March # of Work Days 21.00 Net Rev Per Visit # DAYS 21 PC 162.00 Weekly GOALS MTD Net Patient THRU Rev/Visit 110.00 101 3/31 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET 86 Schedule Actual Actual PROJ PRIMARY CARE % PROJ BUD VAR Schedu 10-Hr VISITS VISITS FTE Actual 10-Hr Day 8-Hr Day ACT MTD GOAL GOAL REV REV REV % VAR le Day 201 Dr. Helton 1.00 101.0 25.3 86.0 21.5 17.2 201 361 56% 32,562 105 Ashley Whitley 0.50 50.5 12.6 43.0 10.8 8.6 105 181 58% 17,010 238 Ashleigh McGrath 1.00 101.0 25.3 86.0 21.5 17.2 238 361 66% 38,556 147 Amanda Sherwood 0.75 75.8 18.9 64.5 16.1 12.9 147 271 54% 23,814 157 Dr. Hampton 0.50 50.5 16.8 43.0 14.3 10.8 157 181 87% 25,434 Bess Lillimar- 204 Stephens 1.00 101.0 25.3 86.0 21.5 17.2 204 361 56% 33,048 0 Dr. Ashraf 0.00 0.0 0.0 0.0 0.0 0.0 0 0 #DIV/0! 0 1,052 TOTALS 4.75 479.8 124.1 408.5 105.7 83.9 1,052 1,716 61% 170,424 249,227 -78,803 -31.62% 64% PRODUCTIVITY minus PTO Patient Revenue $ 115,720 PTO Hours 78.0

GROWTH REPORT CEO REPORT ORAL HEALTH – MARCH 2019 HD Reimbursement 90.00 30 PTO Hours Net Rev Per OH Visit 169.00 Weekly GOALS - MONTH END FORECAST Net Patient Rev/Visit 150.00 75 THRU 3/31 Schedule 62 Actual Actual ORAL HEALTH PROJ PROJ Schedul PROJ HD VISITS VISITS FTE ACT MTD HD GOAL % GOAL REV PTO Hours e 10 Hr Day Actual 10 Hr Day 8-Hr Day Dr Suter 0.00 0.0 0.0 0.0 0.0 0.0 1 0 1 0 0 #DIV/0! 169 Wk 1 10.0 Dr. Garland 0.50 37.5 9.4 31.0 7.8 6.2 56 0 56 0 130 43% 9,464 Wk 2 47.0 Dr. Empkey 0.50 37.5 9.4 31.0 7.8 6.2 97 0 97 0 130 75% 16,393 Wk 3 22.0 Dr. Garrity 1.00 75.0 18.8 62.0 15.5 12.4 134 0 134 0 260 51% 22,646 Wk 4 10.0 136 30 Dr Blattel 1.00 75.0 18.8 62.0 15.5 12.4 136 30 260 52% 25,684 Wk 5 20.0 158 20 Dr. Landsford 1.00 75.0 18.8 62.0 15.5 12.4 158 20 260 61% 28,502 TOTAL 109.0 Dr. Mazuranic - PRN 0.00 0.0 0.0 0.0 0.0 0.0 22 0 22 0 0 #DIV/0! 3,718 Dr. Greaves - 0 0 PRN/FMLA 0.00 0.0 0.0 0.0 0.0 0.0 0 0 0 #DIV/0! 0 HD Hours FTE < Visits Dr. Emily 1.00 75.0 18.8 62.0 15.5 12.4 188 20 188 20 260 72% 33,572 Wk 1 10.00 15.5 Dr. Taylor 1.00 75.0 18.8 62.0 15.5 12.4 142 20 142 20 260 55% 25,798 Wk 2 30.00 46.5 Dr. Lorenz 1.00 75.0 18.8 62.0 15.5 12.4 127 20 127 20 260 49% 23,263 Wk 3 40.00 62.0 Dr. Darling 1.00 75.0 18.8 62.0 15.5 12.4 289 0 289 0 260 111% 48,841 Wk 4 30.00 46.5 198 20 Dr. Mazoli 1.00 75.0 18.8 62.0 15.5 12.4 198 20 260 76% 35,262 Wk 5 40.00 62.0 151 10 Dr. Shakhnovich 1.00 75.0 18.8 62.0 15.5 12.4 151 10 260 58% 26,419 TOTAL 150.00 232.5 Dr. Cook 1.00 75.0 18.8 62.0 15.5 12.4 153 10 153 10 260 59% 26,757 341.50 TOTALS 11.00 825.0 206.3 682.0 170.5 136.4 1,852 150 1,852 150 2,864 70% 326,488 2,632 73% PRODUCTIVITY minus PTO Visit reduction by HD FTE support (Visit reduction + PTO) Patient Revenue $ 277,800