1. Finance Committee
Executive Committee
February 5, 2018

2. FY18 Performance - December
Cash position up $229k from 11/30 – Cash balance 1/29/18 - $2.7M (includes $0.98M CD’s)
New Medicaid/DMH is $1.14M down $38K from last month;
A/R - $132K from grant funders (high confidence to collect).
Have received to date in Jan for older non-DMH A/R balances - $171K.
DMH-Medicaid A/R remaining open from FY17 is $76.8K.
$100K investment in Page General Partner – write off debt from Page Project
Accred Liabilities – $102K for 3rd payroll in March 2018
Dec revenue represents ramp up to projected run rate

3. FY18 Performance YTD

4. Questions Moving Forward FY18 Financial Performance
% to Revenue
FY18 YTD
FY17 YTD
6,858,259.53
5,832,893.22
93%
89%
Finance Committee Feb 1 - FY18 Budget Projections
Revenue
CCBHC Revenue Projections Analysis – Billable Visits
T1 Housing – Medicaid Contra added to budget (prior year Deferred Revenue) – through Nov ($209K)
A/R is accountable
Expenditures
Wages, Tax, Benefits - ↑ 12%, (10%) under budget
Professional Fees - ↑ 292%, 177% over budget – ($350K)
Cash
Infrastructure - $0.6 - $0.8K
Sept 3 payrolls
Sept billable visits
Performance Excellence
Clinical/Operations and Finance
Treatment Plans - Outcomes
CCBHC Revenue Projections Analysis
# Visits (by different staff, visits to claims into $189)
# Health Coaches (clinical staff) – 162 in Oct & Nov
# Work Days in Month – 21 or 22
Billable Visits – 1.7/FTE
Hired Financial Analyst
Forecasting Treatment Plans Impact for Clients’ Health/Life Improvement

5. Value Stream Mapping, Dashboard Development December 19 & 20
Client Engagement through Cash Collection
PfP A3 Objectives linkage through Finance A3 Objectives Drill Down
Process Map – Client Engagement through Cash Collection; Effective Visual Communication within PfP
Process Improvement – Productivity/Efficiency Gains – Premier Health Organization
Revenue Forecast Model
Treatment Plan Model
FTE Health Coaches Billable Hours
ACT Team – Monthly Contacts ~$115/Contact
Residential Specialists ~$200/Contact
Grant Revenue
Work Session Agenda
Cash position
Current finance packet report
Billing & Payment Processes
A/R Model – Billing to Receipt, 100% Complete
12 – 6 – 3 Month Rolling Average

6. Value Stream Mapping, Dashboard Development December 19 & 20
Client Engagement through Cash Collection Hope Journey
We arrived at our next steps to build the Revenue Forecast Model Treatment Plan Model –
Laura & I will meet with you for 30 minutes at 3 pm on January 3rd, prior to our Executive Committee Meeting, and walk through our recommendations on how to get this done without disruption to the organization (gathering new data, why are we gathering data, etc.) – included is what people/functions will be involved, estimate of # of man hours, time frame to complete (4-5 weeks?)
After our meeting, based on your input, we can present it to the Executive Committee (5 minute discussion) on January 3.
After the Executive Committee approval, I believe we should meet with the 3 Clinical Directors & possibly Gary Morse & Jamie Greenfield to get their “buy-in “ to our process; the process focused on our time spent with clients, helping them on their journey – this is not a process designed to find “poor performers”.  We discussed this briefly during our September Finance meeting.  I believe this process assists our Health Coaches provide effective assistance to our clients.  The 3 Clinical Directors & HR should help us craft the message we send the organization (formally or informally) to keep this on a positive, helpful activity.
At a mutually agreed upon start date (Feb 1, mid-Feb, March 1) we will begin the development of the Revenue Forecast model Treatment Plan model.
We are excited to begin this journey – definitely an important step to becoming a premier health organization.

7. Health Coaches Develop Customized Journeys for Clients
“Provide caring, effective services to help those with the greatest challenges recover from mental illness and associated chronic illnesses.”
Through the provision of accessible, efficient, effective and accountable treatment services; individuals and families served will reach their full potential for a purposeful and meaningful life.
The Hope Journey Begins -
Levels of Care – CPRC, ACT Team, Transition
"Illuminating the possibilities" and working collaboratively with those we serve to design a path toward a meaningful life.
Housing
Employment
Therapy
Health Coaches Develop Customized Journeys for Clients
The Recovery Center
Medical Services
Path
Intake
Assessment
Outreach
“…to have the opportunity to live, work and thrive as an integral part of their community…”
Nurturing Children & Youth
Treatment Plan Model – Client Impact Moving Forward

8. Treatment Plan – Client Impact Next Steps
Develop historical monthly FTE report by Category; 1/2016 – 3/2017
Health Coaches ~$100/Hour
ACT Team – Monthly Contacts ~$115/Contact
Residential Specialists ~$200/Contact
Dr/RN/Other ~$80/Event
Develop special report to collect Billable Hours by FTE Category; 1/2016 – 3/2017
Treatment Plan Analytics – Merge FTE Category with Billable Hours by FTE Category
Treatment Plan Client Impact – Baseline Model of Time with Client
Insight – Understand New Model of Visits/Contacts Daily with Clients

9. Health Coaches Develop Customized Journeys for Clients
“Provide caring, effective services to help those with the greatest challenges recover from mental illness and associated chronic illnesses.”
Through the provision of accessible, efficient, effective and accountable treatment services; individuals and families served will reach their full potential for a purposeful and meaningful life.
The Hope Journey Begins -
"Illuminating the possibilities" and working collaboratively with those we serve to design a path toward a meaningful life.
Levels of Care – CPRC, ACT Team, Transition
Health Coaches Develop Customized Journeys for Clients
Treatment Plan
Housing
Employment
Treatment Plan
Therapy
Treatment Plan
Billable Hours
Client Impact
Client Impact
Client Impact 25
The Recovery Center
Medical Services
Path
Intake
Assessment
Outreach
“…to have the opportunity to live, work and thrive as an integral part of their community…”
Nurturing Children & Youth
Treatment Plan Model – Client Impact Moving Forward
Enhancements, Effectiveness for Client Impact
Share Best Practices amongst Health Coaches
Forecasting Treatment Plans Impact for Clients’ Health/Life Improvement
Next Steps – Team Session with Clinical Directors, Gary & Jamie

10. CCBHC Journey Intake to Billable Visits to Payment
April 2016
FY18 Budget
FY Actuals
FY18 Actuals versus Budget
PfP developed CCBHC Cost Report
$189 per Billable Visit, from $100 per Billable Hour
FY18 Actual Costs for Treatment Plan >$189/Visit
In FY19, PfP will Re-Base Cost Report to >$200/Visit
DMH allows Cost Re-Base sometime 1/2019 → 1/2020?
Medicaid Revenue based on Estimated Billable Visits
Professional Fees: Program & Service Costs estimated from CCBHC Cost Report
CCBHC Requirement
Estimated Charity (Non-Medicaid) Revenue (DMH) & Costs
Out Patient Program: Estimate Revenue & Costs
No Capex Budget Impacts Cash Flow
Oct – Dec
↓ 1.7 Billable Visits per FTE/Health Coach
July 1
Projected $.34M Budget Surplus
↓ 1.7 Billable Visits, Revenue
($.94M), Professional Fees
($.74M), Charity
Projected FY18 Deficit ($1.3M)
Run Rate:
FY18 ($.94M), Bridges & Peter & Paul
Run Rate:
FY18 ($.74M)
Non-Case Management
Psychiatric, Therapy, Substance Abuse, Eating Disorder
Capex:
$0.21M

11. PfP Health Coach Playbook
Connected CCBHC Journey Processes - Intake to Billable Visits to Payment
PfP Health Coach Playbook
CCBHC
Aggressively Pursue Re-Base
FY18 Budget
FY19 Budget
Process Priority
Impact, Execute
FY18 Actual Costs for Treatment Plan >$189/Visit
In FY19, PfP will Re-Base Cost Report to >$200/Visit
DMH allows Cost Re-Base sometime 1/2019 → 1/2020?
Regional Allocation from other Providers FY18: $0 - $0.6M
DMH allow PfP to Recoup the $/Visit to New Base Cost
Medicaid Revenue based on Estimated Billable Visits
Professional Fees: Program & Service Costs estimated from CCBHC Cost Report
CCBHC Requirement
Estimated Charity (Non-Medicaid) Revenue (DMH) & Costs
Out Patient Program: Estimate Revenue & Costs
No Capex Budget Impacts Cash Flow
April - June
↑ 2.7 Billable Visits per FTE/Health Coach
Head Count Adds (3 - 4)
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, 1.7 to to 3.5 Billable Visits per Health Coach
Project Professional Fees: FY18 Actuals & Insight
Project Charity Costs: FY18 Actuals & Insight
Non-Case Management
Psychiatric, Therapy, Substance Abuse, Eating Disorder
FY19 Capex Budget