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