Board Meeting June 18, 2018 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 Approval of Agenda and Minutes CLOSED SESSION Financials CEO Report Action Items Discussion Items Adjournment
APPROVAL OF AGENDA MOTION: “I, ______, move that the Board approve the June 18, 2018 Meeting Agenda.”
APPROVAL OF MEETING MINUTES MOTION: “I, ______, move that the Board approve the May 14, 2018 Meeting Minutes.”
CLOSED SESSION • REAL ESTATE • PERSONNEL BOARD MEMBERS ONLY
CASH ON HAND $1,580,257.81 ACCOUNT RECIEVABLES MOTION: $3,947,041.39 “ As a member of the Finance Committee, I _________, move that the Board approve the FINANCIAL REPORT financials for the month of March, 2018.”
CEO REPORT FINANCIAL FOCUS UPDATE ADVOCACY UPDATE DIVISIONAL UPDATES HRSA FY 2019 STRATEGIC PLANNING PROCESS VOLUNTEERS
CEO REPORT GROWTH REPORTS FINANCIAL FOCUS UPDATE CASH FLOW ACTION PLAN
GROWTH REPORT – PRIMARY CARE Net Revenue Per Weekly GOALS # DAYS 4 Visit PC 166.00 MTD THRU MONTH END FORECAST - PRIMARY CARE REVENUE & Net Patient Rev/Visit 99.00 WEEK ONE [5/01 - 5/05] 5/04 BUDGET 92 76 Actual Schedule PROJ PRIMARY CARE PROJ VAR Sched 10-Hr AVE/ REVEN 10-Hr VISITS VISITS > ule Day Actual Day VISITS % GOAL DAY UE ACT MTD GOAL % GOAL REV BUD REV REV % VAR 100 Dr. Turner 0.50 46.0 11.5 38.0 9.5 19 50% 4.8 3,154 19 16,559 242 Dr. Helton 1.00 92.0 23.0 76.0 19.0 46 61% 11.5 7,636 46 319 76% 40,089 Ashley Whitley (ADD 320 BH) 0.90 82.8 20.7 68.4 17.1 61 89% 15.3 10,126 61 287 111% 53,162 320 Ashleigh McGrath 1.00 92.0 23.0 76.0 19.0 61 80% 15.3 10,126 61 319 100% 53,162 268 Amanda Sherwood 0.75 69.0 17.3 57.0 14.3 51 89% 12.8 8,466 51 239 112% 44,447 168 Dr. Hampton 0.50 46.0 11.5 38.0 9.5 32 84% 8.0 5,312 32 160 105% 27,888 0 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 #DIV/0! 0 235,30 56,85 1,418 TOTALS 4.15 427.8 107.0 353.4 88.4 270 76% 67.5 44,820 270 1,325 107% 5 178,449 6 31.86% Patient $140,333 83% Revenue
GROWTH REPORT – ORAL HEALTH / DENTIST Net Rev Per Dental Visit 225.00 Weekly GOALS MONTH END FORECAST Net Patient Rev/Visit 113.00 WEEK ONE [5/01 - 5/05] THRU 5/04 75 62 Schedule Schedule PROJ ORAL HEALTH- REVENU Schedul 10 Hr VISITS % GOAL PROJ REV DENTISTS FTE VISITS % GOAL AVE/DAY E ACT MTD GOAL e 10 Hr Day Actual Day 100 Dr Suter 0.30 22.5 5.6 18.6 4.7 19 102% 3.8 4,275 19 78 128% 22,444 84 Dr. Garland 0.75 56.3 14.1 46.5 11.6 16 34% 3.2 3,600 16 195 43% 18,900 137 30,713 Dr. Empkey 0.50 37.5 9.4 31.0 7.8 26 84% 5.2 5,850 26 130 105% 131 29,531 Dr. Garrity 0.80 60.0 15.0 49.6 12.4 25 50% 5.0 5,625 25 208 63% 121 27,169 Dr Blattel 0.80 60.0 15.0 49.6 12.4 23 46% 4.6 5,175 23 208 58% 131 29,531 Dr. Landsford 1.00 75.0 18.8 62.0 15.5 25 40% 5.0 5,625 25 260 50% 26 Dr. Mazuranic 0.30 22.5 5.6 18.6 4.7 5 27% 1.0 1,125 5 78 34% 5,906 74 16,538 Dr. Desamero 0.50 37.5 9.4 31.0 7.8 14 45% 2.8 3,150 14 130 56% 263 59,063 Dr. Puisis 1.00 75.0 18.8 62.0 15.5 50 81% 10.0 11,250 50 260 101% 53 11,813 Dr. Greaves 0.30 22.5 5.6 18.6 4.7 10 54% 2.0 2,250 10 78 67% 0 0.0 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 #DIV/0! 0 1,118 TOTALS 6.25 468.8 117.2 387.5 96.9 213 42.6 47,925 213 1,628 251,606 55% 69% Patient Revenue 83% $126,362
GROWTH REPORT – ORAL HEALTH / HYGENISTS Weekly GOALS MONTH END FORECAST # Pts 42 33 WEEK ONE [5/01 - 5/05] THRU 5/04 Schedule Schedule OH - HYGIENISTS FTE VISITS % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV Schedule 10 Hr Day Actual 10 Hr Day 0 Sandy Holified 0.10 4.20 1.1 3.3 0.8 0 0% 0.0 0 0 14 0% 0 Suzanne Seawel 0.80 33.60 8.4 26.4 6.6 15 57% 3.0 3,375 15 79 111 71% 17,719 Anna Kloeppel 0.20 8.40 2.1 6.6 1.7 3 45% 0.6 675 3 16 28 57% 3,544 Amanda Govreau 0.80 33.60 8.4 26.4 6.6 5 19% 1.0 1,125 5 26 111 24% 5,906 Renee Blanken 0.75 31.50 7.9 24.8 6.2 0 0% 0.0 0 0 0 104 0% 0 Ashley Wegener 0.25 10.50 2.6 8.3 2.1 3 36% 0.6 675 3 16 35 45% 3,544 Angelica Miller 1.00 42.00 10.5 33.0 8.3 9 27% 1.8 2,025 9 47 139 34% 10,631 Tiffany Grant 0.50 21.00 5.3 16.5 4.1 25 152% 5.0 5,625 25 131 69 189% 29,531 Kate Poleos 0.75 31.50 7.9 24.8 6.2 0 0% 0.0 0 0 0 104 0% 0 0.00 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 0 #DIV/0! 0 0 0.00 0.0 0.0 0.0 #DIV/0! 0.0 0 0 0 #DIV/0! 0 TOTALS 5.15 216.3 54.1 170.0 42.5 60 35% 12.0 13,500 60 315 714 44% 70,875 Patient 79% Revenue $35,595 MONTH END FORECAST - DENTAL REVENUE & BUDGET PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR 1,118 1,628 69% 251,606 315 714 44% 70,875 1,433 2,341 61% 322,481 454,880 -132,399 -29.11% Patient Revenue 161,957
CASH FLOW ACTION PLAN # ACTION STEP OWNER Apr-18 # ACTION STEP OWNER Apr-18 2 Primary Care Action Plan with 4 key action Darlene Prior Action plan revised to focus on 4 1 Develop a "Growth Report" with publication Sue The Growth Report has been steps that is reported on with weekly updates each Tuesday that records the units of service key initiatives with inclusion of Office designed and implemented with and in-depth review at MORs, which are Managers in the implementation and (visits) each for Primary Care and Oral Health. publication each Tues. to Leadership scheduled the 4th Monday of each month. oversight. Scheduled call each Friday The run rate for each week will be used to Council, Practice Managers for to review progress and daily forecast the revenue at the month-to-date run Primary Care & Oral Health, and email/calls as needed. rate. This report will be reviewed with weekly Finance Committee. alignment steps. (a) Inclusion of the Primary Action Plan with this Sue Completed. Improvement Plan. (a) Develop the Growth Report format Sue Developed 4/06 with revisions over (b) Weekly review with Darlene Herrell (Primary Sue Ongoing. the next two weeks with its current Care Operations Manager) on Fridays at 7:30 AM. format. (c) Monthly review and alignment discussions with Sue Ongoing. Dr. Turner has added one (b) Produce the number units of service for the Darlene; Compliance with meeting this Primary Care Leadership (Darlene Herrell, Dr. additional hours (20 per week) for prior week that is due to Sue by noon each Nicole expectation by the Practice Turner, Patty Vanek) seeing patients. Ongoing discussions Monday. Managers, Darlene Herrell for PC and Nicole Bollinger for OH. on collocation of primary care providers at the BH clinics. Plan to (c) Obtain the revenue production for the prior Amy Report revised to use net revenue have NP, Ashley Whitley at Arnold week and send to Sue by noon each Monday. per visit to forecast the revenue MTD eff. 7/1. We have moved Dr. and month end. CEO & CFO worked Hampton to The Valley after Jill was together to derive the conservative terminated and patient visits are rate based on an annual trend. increasing. (d) Reduction in staff - one NP effective 4/06/18 HR Completed. (d) Populate the Growth report and distribute by 3 Sue Distributed per plan. PM each Tuesday to Leadership Council, Primary (e) Add one day additional treatment to Dr. Turner's Sue Completed. Care and Dental Leadership. schedule (f) Continue with enhanced marketing plan. Kim; Liz Two meetings this month with (e) Review of the Growth report by C-Team with Sue, Amy, C-Team meets weekly on Mondays Nathanael (Marketing) and Primary assessment of ongoing progress, or lack of, and Lisa, Margo to review of Growth Report, Cash Care. Outcomes are updated alignment steps. Flow report and other measures as brochures and input for the social part of financial management. media postings.
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