Final Project Healthcare Administration

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FM010_Assessment_FinancialProjectionsfortheCenterforDiabetesCare-5.xlsx

Sheet1

Adapted from
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf
Patient-Generated Revenue by Payer
Fiscal year from April 1 to March 31
Year 1 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 1,250 $133.04 $166,300 -67.61 $ 250,812 98% $245,796
Medicare 2,000 $132.70 $265,396 -10.48 $ 286,356 95% $272,038
Private Insurance 100 $137.08 $13,708 $72.44 $ 6,464 80% $5,172 Year 3 assumes CHW are at their capactiy of 7200 patient visits, or 4 CHW FTEs see 10 patients per day 4 days per week, 45 weeks a year
Self Pay (sliding fee) 50 $111.68 $5,584 $89.89 $ 1,090 40% $436
3,400 $ 544,722 $523,441
Year 2 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 1,750 $133.04 $232,820 -67.61 $ 351,137 98% $344,115
Medicare 3,500 $132.70 $464,442 -10.48 $ 501,122 95% $476,066 $171.04 133.04 133.04
Private Insurance 400 $137.08 $54,834 $72.44 $ 25,858 80% $20,686 $170.60 132.6977549111
Self Pay (sliding fee) 200 $111.68 $22,336 $89.89 $ 4,358 40% $1,743 $176.24 137.0847146866
5,850 $ 882,476 $842,610 $143.58 111.6807951356
Year 3 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 2,000 $135.70 $271,402 -67.61 $ 406,622 98% $398,489
Medicare 3,800 $135.35 $514,336 -10.48 $ 554,160 95% $526,452
Private Insurance 900 $139.83 $125,844 $72.44 $ 60,648 80% $48,518
Self Pay (sliding fee) 500 $113.91 $56,957 $89.89 $ 12,012 40% $4,805
7,200 $ 1,033,442 $978,265
Grant Funding by Source Year 1 Year 2 Year 3
PPHF Grant $100,000 $100,000 $100,000
Foundation Grants $75,000 $ 50,000
Total $175,000 $150,000 $100,000
Non-Staffing Costs Year 1 Year 2 Year 3
Fringe Benefits $ 59,609 $ 60,802 $ 62,018
Travel $ 5,000 $ 5,000 $ 10,000
Training $ 35,000 $ 10,000 $ 15,000
Equipment $ 5,000 $ 2,000 $ 2,000
Supplies $ 15,000 $ 15,300 $ 15,606
Contractual $ 8,000 $ 8,160 $ 8,323
Allocated Rent $ 23,418 $ 23,769 $ 24,126
Depreciation $ 26,277 $ 35,036 $ 35,036
Insurance $ 4,004 $ 4,204 $ 4,414
Overhead Allocation $ 9,167 $ 9,442 $ 9,725
Uncollectible Income $ - 0 $ - 0 $ - 0
Marketing $ 45,000 $ 15,000 $ 15,000
Indirect Charges $ 54,764 $ 56,955 $ 59,233
Total Non-Staffing Costs $ 290,240 $ 245,668 $ 260,481
Staffing costs
Annual Salary FTE Year 1 Year 2 Year 3
Endocronologist 0.93 $ 158,000 $ 165,900 $ 174,195
Contract Specialists 0.3 $ 75,000 $ 78,750 $ 82,688
Nurse Practitioner 0.95 $ 84,094 $ 86,617 $ 89,215
Community Health Workers 4 $ 244,000 $ 251,320 $ 258,860
Reception/office management 1 $ 35,000 $ 35,700 $ 36,414
$ 596,094 $ 618,287 $ 641,371
Capital Costs Year 1 Year 2 Year 3
Server $15,000
Remodel of office space $98,550
Security System $2,654
Furniture $12,281 1000 1000
Practice Management System $5,000 2500 2500
Computers & Cabling $41,696
$175,181 $3,500 $3,500

patient-generated revenue

Projected Patient-Generated Revenue by Payer
Fiscal year from April 1 to March 31
Year 1 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 1,250 $0.00 $0 -67.61 $ 84,513 98% $82,822
Medicare 2,000 $0.00 $0 -10.48 $ 20,960 95% $19,912
Private Insurance 100 $0.00 $0 $72.44 $ (7,244) 80% ($5,795)
Self Pay (sliding fee) 50 $0.00 $0 $89.89 $ (4,495) 40% ($1,798)
3,400 $ 93,734 $95,141
Year 2 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 1,750 $0.00 $0 -67.61 $ 118,318 98% $115,951
Medicare 3,500 $0.00 $0 -10.48 $ 36,680 95% $34,846
Private Insurance 400 $0.00 $0 $72.44 $ (28,976) 80% ($23,181)
Self Pay (sliding fee) 200 $0.00 $0 $89.89 $ (17,978) 40% ($7,191)
5,850 $ 108,044 $120,425
Year 3 number of visits average charge per visit total charges average adjustment per visit amount billed collection rate income
Medicaid 2,000 $0.00 $0 -67.61 $ 135,220 98% $132,516
Medicare 3,800 $0.00 $0 -10.48 $ 39,824 95% $37,833
Private Insurance 900 $0.00 $0 $72.44 $ (65,196) 80% ($52,157)
Self Pay (sliding fee) 500 $0.00 $0 $89.89 $ (44,945) 40% ($17,978)
7,200 $ 64,903 $100,214
Adapted from: Chelius, L., Hook, J., & Rodriguez, M. (2010). Financial analysis of Open Door Community Health Centers’ telehealth experience. Retrieved from http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20O/PDF%20OpenDoorFinancialAnalysis.pdf
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf

grant funding

Projected Grant Funding by Source
Year 1 Year 2 Year 3
PPHF Grant $100,000 $100,000 $100,000
Foundation Grants $75,000 $ 50,000
Total $175,000 $150,000 $100,000
Adapted from Chelius, L., Hook, J., & Rodriguez, M. (2010). Financial analysis of Open Door Community Health Centers’ telehealth experience. Retrieved from http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf     
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf

non-staffing costs

Projected Non-Staffing Costs
Year 1 Year 2 Year 3
Fringe Benefits $ 59,609 $ 60,802 $ 62,018
Travel $ 5,000 $ 5,000 $ 10,000
Training $ 35,000 $ 10,000 $ 15,000
Equipment $ 5,000 $ 2,000 $ 2,000
Supplies $ 15,000 $ 15,300 $ 15,606
Contractual $ 8,000 $ 8,160 $ 8,323
Allocated Rent $ 23,418 $ 23,769 $ 24,126
Depreciation $ 26,277 $ 35,036 $ 35,036
Insurance $ 4,004 $ 4,204 $ 4,414
Overhead Allocation $ 9,167 $ 9,442 $ 9,725
Uncollectible Income $ 21,281 $ 39,865 $ 55,177
Marketing $ 45,000 $ 15,000 $ 15,000
Indirect Charges $ 54,764 $ 56,955 $ 59,233
Total $ 311,520 $ 285,533 $ 315,659
Adapted from Chelius, L., Hook, J., & Rodriguez, M. (2010). Financial analysis of Open Door Community Health Centers’ telehealth experience. Retrieved from http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf     
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf

staffing costs

Projected Staffing Costs
Annual Salary
FTE Year 1 Year 2 Year 3
Endocronologist 0.93 $ 158,000 $ 165,900 $ 174,195
Contract Specialists 0.30 $ 75,000 $ 78,750 $ 82,688
Nurse Practitioner 0.95 $ 84,094 $ 86,617 $ 89,215
Community Health Workers 4.00 $ 244,000 $ 251,320 $ 258,860
Reception/Office Management 1.00 $ 35,000 $ 35,700 $ 36,414
Total $ 596,094 $ 618,287 $ 641,371
Adapted from: Chelius, L., Hook, J., & Rodriguez, M. (2010). Financial analysis of Open Door Community Health Centers’ telehealth experience. Retrieved from http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20O/PDF%20OpenDoorFinancialAnalysis.pdf
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf

capital costs

Projected Capital Costs
Year 1 Year 2 Year 3
Server $ 15,000
Remodel of Office Space $ 98,550
Security System $ 2,654
Furniture $ 12,281 $ 1,000 $ 1,000
Practice Management System $ 5,000 $ 2,500 $ 2,500
Computers & Cabling $ 41,696
Total $ 175,181 $ 3,500 $ 3,500
Adapted from Chelius, L., Hook, J., & Rodriguez, M. (2010). Financial analysis of Open Door Community Health Centers’ telehealth experience. Retrieved from http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf     
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/O/PDF%20OpenDoorFinancialAnalysis.pdf

Sheet7

Sheet8

Sheet9

Sheet10

Sheet11