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Agenda Item Number: ORANGE COUNTY BOARD OF HEALTH AGENDA ITEM SUMMARY Meeting Date: January 30, 2019 Agenda Item Subject: 2nd Quarter Financial Report FY 18-19 Attachment(s): 2nd Quarter Financial Report 2nd Quarter Billing Dashboard Staff or Board Member Reporting: Rebecca Crawford Purpose: ___ Action _X_ Information only ___ Information with possible action Summary Information: Total Health Department Revenue: Average YTD monthly revenue in FY19 after the second quarter is $210k/month or $1.3m YTD, representing 36.4% of our overall budgeted revenue for the year. Multiple factors contribute to the lower than normal revenue: Electronic Medical Record (EMR) change to Epic, provider on maternity leave in Dental, and departmental closures due to hurricane Florence, snow, and overall wet weather negatively impacting onsite well and septic inspections. Allocations of Medicaid Max funds will not be transferred into our budget until the end of the fiscal year. Expenses are higher than revenues, but on trend, at 45.5% of the overall budget. Total Billing Accuracy: Billing Accuracy is under construction due to the change in medical EMR. The Informatics team and UNC Epic reporting staff are working diligently to have this measure for both medical and dental back by the third quarter financial report. Dental Earned Revenue by Source: The FY 18-19 average monthly revenue ($41k/month) for the second quarter is below our budget projection ($45k/month) and our FY 17-18 average of $42.6k/month due to having a dentist on maternity leave. We are now able to see our new Hygienist has quickly caught up to our existing Hygienists in terms of seeing patients and meeting monthly revenue goals and anticipate the monthly average will increase along with our total revenue to be closer to the budgeted amount. FY 18-19 dental earned revenue totaled $246k at the end of the second quarter.