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MINUTES - Draft <br />ORANGE COUNTY BOARD OF HEALTH <br />October 28, 2020 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2020 Agenda & Abstracts/ October Page 3 <br />Average YTD monthly revenue in FY20-21 after the first quarter is $195k/month or <br />$584k YTD, representing 17% of our overall budgeted revenue for the year. As usual <br />though, the total first quarter revenue is skewed down due to the majority of state funds <br />not eligible to be drawn in July (this is typical) and allocations of Medicaid Max funds will <br />not be transferred into our budget until the end of the fiscal year. Revenues were only <br />slightly below this point last fiscal year (FY 19-20 1st Quarter YTD: $216k). Expenses <br />are in line with revenues, at 18% of the overall budget. <br /> <br />• Dental Earned Revenue by Source: <br />The FY 20-21 average monthly revenue ($31.3k/month) for the first quarter is below our <br />budget projection ($41k/month) and our FY 19-20 average of $39.7k/month due to <br />longer than anticipated dental clinic closures during the pandemic and the Dental <br />Division Director vacancy. PPE shortages had a negative impact on the dental clinic and <br />its ability to re-open to increased capacity, as Dental staff are required to wear a higher <br />level of PPE for most procedures. The clinic is working with Duke Hospital to sanitize <br />N95 masks, which have allowed staff to see more patients. FY 20-21 dental earned <br />revenue totaled $94k at the end of the first quarter compared to $160k at the end of the <br />FY 19-20 first quarter. <br /> <br />• Medical Earned Revenue by Source: <br />Medical earned revenue is currently above the budgeted projection for FY 20-21 <br />($33k/month) at $44.3k/month due to greater than anticipated revenue during the <br />pandemic. Telehealth visits have been very successful and allowed the clinic to continue <br />to see patients and bill for services even as in-person visits were limited. Billing staff <br />have also worked diligently to collect as much revenue as possible from Medicaid and <br />insurance companies from older accounts. We anticipate this trend toward increased <br />revenue will continue to improve as the medical clinic gradually adds more in-person <br />visits based on PPE availability and staff capacity. Medical clinic revenue totals $133k <br />for first quarter FY 20-21 compared to $130k in first quarter FY 19-20. <br /> <br />• Environmental Health Earned Revenue by Source: <br />Environmental Health earned revenue is slightly below the budgeted projection for FY <br />20-21 ($53k/month) at $48.4k/month. It is a seasonal trend to see lower revenue in the <br />first quarter of the year than in later quarters due to spring pool inspections. EH staff <br />have worked hard to continue OSWP inspections during the pandemic with little to no in- <br />person required of residents. <br /> <br />• Grants Fund Revenue: <br />FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as <br />anticipated and will continue to increase as we fill the vacant Navigator position in <br />November. <br /> <br />The BOH members had questions and comments that were addressed by Ms. Crawford <br />and Ms. Stewart. <br /> <br />C. Advisory Board Update <br /> <br />Beverly Scurry, Board of Health Strategic Plan Manager, made reference to the Advisory Report <br />and stated that COVID-19 related issues were a topic of discussion for most boards. She <br />directed the Board to review the Advisory Report and asked if there were any questions. The <br />Board had none.