BOH Final Minutes of January 27, 2021

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH January 27, 2021 Rebecca Crawford, Financial &Administrative Services Director, gave a report on the 2nd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY20-21 after the second quarter is $286k/month or $1.6M YTD, representing 41% of our overall budgeted revenue for the year. As usual though, the total second 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 are higher than this point last fiscal year due to state allocations for the COVID-19 pandemic response (FY 19-20 second quarter YTD: $209k). Expenses are in line with revenues, at 43% of the overall budget. • Dental Earned Revenue by Source: The FY 20-21 average monthly revenue ($31.3k/month) for the second 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 in the first quarter. 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 $188k at the end of the second quarter compared $304k at the end of the FY 19-20 second quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 20-21 ($33k/month) at $42.1 k/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 $253k for second quarter FY 20-21 compared to $250k in second 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 $44k/month. It is a seasonal trend to see lower revenue in the second 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. FY 20-21 second quarter YTD revenue ($264k) is higher compared to second quarter YTD FY 19-20 ($243k). • Grants Fund Revenue: FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as anticipated but we will most likely not fully expend the Kenan grant and thus will not request reimbursement for the full grant amount as many FSA staff have been re- deployed for the COVID-19 pandemic response. The BOH members had questions that were addressed by Ms. Crawford and Dr. Meng- Haggerty. S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ January Page 3