1. Finance Committee
June 11, 2018

2. FY18 Performance - April
Cash position down $348k from 3/31 (3 payrolls in Mar) – Cash balance 5/30 - $2..25M (includes $0.735M CD’s)
New Medicaid/DMH is $1.21M down $108K from last month;
A/R - $148K from new grant funders & $534K from grant, Managed Care & Medicare funders over 30 days (high confidence to collect).
Have received to date in May for older non-DMH A/R balances - $203K.
DMH-Medicaid A/R remaining open from FY17 is $8K.
Accrued Liabilities increased $141K for payroll accrual for year end
April Visits down vs March

3. FY18 Performance YTD

4. FY18 Performance 2H
May Board Meeting
June Board Meeting

5. FY18 Performance - Projection
June
FTE Health Coaches & Billable Visits – Progress & Set the Bar for FY19
Pursue Aggressively: Re-Base Revenue/Visit to $247 (~$3.8M comparable revenue in FY18)
Note: FY18 Non Budgeted: IT Capital: $206K; Re-Branding Project: $76K; Capital Campaign & Feasibility Study: $67K

6. FY19 Preliminary Budget Summary
Revenue
Productivity, Productivity, Productivity
Attain Quarterly Billable Visit Goals FY18 Billable Visits increased to FY19 Avg. with Incremental Increase
Re-Base Reimbursable Cost/Visit from $ to $232 (or $247)
Grant Revenue – Continue Reporting Probability of Attainment, Revenue Timing & Monitoring on Monthly Basis
Expenditures
Developing Capex Budget (Cash)
Layer in Incremental FTE’s by Month for Wages
Strategic
Present Outpatient Program P&L (Non Case Management) – Revenue & Costs; Monthly Visibility
Initial Viability Linked to Core P&L
Initiate Premier Healthcare Organization Positions as Productivity Goals are Met

7. FY19 Preliminary Budget Grant Revenue Assumption

8. Preliminary FY19 Budget FY18 Budget versus FY19 Budget
Revenue Scenario's based on $'s/Visit, FTE's, Visits Productivity
No Bridges, Peter & Paul Revenue; No Out Patient Program Revenue
Grant Revenue, Probability, Timing in Progress, FY18 YE ~$2.5M
No Incremental Headcount in FY19; Residential Hourly Wage Increase in FY18
No OutPatient Program Expenditures
No Bridges, Peter & Paul Expenses

9. Preliminary FY19 Budget Revenue & Cost Assumptions

10. Preliminary FY19 Budget Revenue & Cost Assumptions

11. Preliminary FY19 Budget Revenue & Cost Scenario’s

12. Preliminary FY19 Budget Revenue & Cost Likely Scenario’s
Secure Re-Base Costs/Visit at $247
Complete Grant Revenue analysis
Continue drill down on all expenditure categories
Develop monthly budgets
Develop Capex budget
Develop P&L’s for PHO and Out Patient Programs

13. Back Up

14. PfP Health Coach Playbook
Connected CCBHC Journey Processes - Intake to Billable Visits to Payment
Feb Board Meeting
PfP Health Coach Playbook
CCBHC
FY18 2H
Process Priority
Impact, Execute
FY18 Projection
FY19 Budget
Medicaid Revenue Productivity – Billable Visits/Health Coach; Learnings
Attain Contributions & Grant Revenue Targets
Cost containment – Managing budgeted expenses
FY18/19 People Investment - $1.2M
$135K Re-Branding & Capital Campaign
FY19: Re-Base Cost Report to $247/Visit
FTE/Health Coach Process
Clinical + Fuel (Fill up the Tank)
Develop, Change CCBHC Processes
Fuel – Easy, “Go Do It” behaviors in Playbook
Good Practices – Clinical Cross Team Input
30 Days to Implement New Practice in Playbook
Productivity, Billable Visits per Health Coach
Team Dashboard
FY18 Break Even
1H: ($229K)
2H: ($302K)
Q4: $437K T-1 Housing Adjustment
Total Year ($94K)
TBD Q4 Quality Bonus $567K?
↑ Billable Visits per Health Coach, by FTE category – Productivity Track
Re-Base Revenue per Visit to $247
Revenue by Categories, Month, %
Out Patient Program: Non-Case Management
Psychiatric, Therapy, Substance Abuse, Eating Disorder
Children/Youth Programs
FY19 Capex Budget
Capital Campaign
New Facility

15. Health Coach Summary Work In Progress