Final Minutes of August 24, 2022

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MINUTES ORANGE COUNTY BOARD OF HEALTH August 24,2022 D. 4th Quarter Financial Reports and Dashboards Micah Guindon, Finance and Administrative Services Director, gave a report on the 4th quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY 21-22 after the fourth quarter is $329k/month or $3.9M projected for the year, representing 93% of our overall projection for the year. Revenues are higher than this point last fiscal year due to increased service levels for patients and residents. Service Revenue in the Environmental Health, Personal Health, and Dental Divisions are all up from the previous fiscal year. Expenses at the end of the fiscal year are at 88% of the overall budget. • Dental Earned Revenue by Source: The FY 21-22 average monthly revenue ($43.2k/month) for the fourth quarter is above our budget projection of$41 k/month and above the FY 20-21 average of$37.1 k/month. Revenue increases are due to a number of factors including only leaving confirmed patients on the schedule in order to decrease the number of no-show appointments. Revenue slowed a bit in Q4 compared to Q3 due to staff vacancies, but still remains higher than FY 20-21. FY 21-22 dental earned revenue totals $519k at the end of the fourth quarter compared $445k at the end of FY 20-21. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 21-22 ($33k/month) at $47.3k/month due primarily to Medicaid Transformation's per member per month rates for Primary Care. Family Planning, Child Health, Adult Health, Diabetes Self-Management Education, and Refugee Health programs are all also bringing in higher than expected revenue. Medical clinic revenue totals $568k through fourth quarter FY 21-22 compared to $489k in FY 20-21. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is above the budgeted projection for FY 21-22 ($53k/month) at $55.2k/month. We are continuing to see the relationship between weather and housing growth and applications submitted to Environmental Health. There is also a trend in applicants changing their plans, which requires new applications. FY 21-22 fourth quarter YTD revenue ($662k) is higher compared to FY 20-21 ($612k). • Multi Year Grant Fund Revenue: Family Success Alliance (FSA) has expended all of the Kenan Grant dollars although the revenue was received in the previous fiscal year. The NC IncK grant has expended $5,230 in Q4, but revenue has not yet been received. The BOH members had questions that were addressed by Ms. Guindon. VI. Action Items (Non-Consent) A. Board Appointment Dr. Bruce Baldwin, Chair, led the BOH in its discussion of the proposed replacement for the dentist representative. S:\Managers Working Files\BOH\Agenda &Abstracts\2022 Agenda &Abstracts/ August Page 7