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<br /> <br />Agenda Item Number: <br /> <br />ORANGE COUNTY BOARD OF HEALTH <br />AGENDA ITEM SUMMARY <br /> <br />Meeting Date: August 28, 2019 <br /> <br />Agenda Item Subject: 4th Quarter Financial Report FY 18-19 <br /> <br />Attachment(s): 4th Quarter Financial Report <br /> 4th Quarter Billing Dashboard <br /> <br />Staff or Board Member Reporting: Rebecca Crawford <br /> <br />Purpose: ___ Action <br /> _X_ Information only <br /> ___ Information with possible action <br /> <br /> <br />Summary Information: <br /> <br />Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY19 <br />after the fourth quarter was $275/month or $3.3 million for the entire fiscal year, <br />representing 91.7% of our overall budgeted revenue for the year. This was a decrease <br />of $161k from FY 17-18. Expenses were higher than revenues at 93% of the total <br />overall budget but lower than the percentage of total budget expenditures from FY 17- <br />18, which reflects department-wide efforts to decrease expenditures in anticipation of <br />lower revenue. The total overall expenditures were $10.2 million compared to year end <br />FY 17-18, which were $9.7 million. <br /> <br />Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14- <br />15, the average billing accuracy rate for dental for FY 18-19 was 90% as compared to <br />101% in FY 17-18. Please note the change in billing accuracy from FY 17-18 to FY 18- <br />19 is because of the change in calculations to connect payments made back to the date <br />of service (accrual basis of accounting) rather than the date of payment (cash basis of <br />accounting) to help staff track true billing accuracy and compare to the medical billing <br />accuracy measures. The medical billing accuracy measure continues to be a challenge <br />as we work with UNC to improve the accuracy of the reporting system for Health <br />Department revenue and is not included in this quarter’s dashboard. <br /> <br />Dental Earned Revenue by Source: The FY 18-19 average monthly revenue <br />($46/month) for the fourth quarter was above our budget projection ($45k/month) and <br />above our FY 17-18 average of $42.5k/month. FY 18-19 dental earned revenue totaled <br />$552k at the end of the fiscal year, compared to $511k at the end of FY 17-18.