LAKE FORK HEALTH SERVICE DISTRICT BOARD OF DIRECTORS ...lcamc.net/images/board/11_15_2018_Board_Meeting_Packet.pdf · Treasurer: Scott Beedy Board Member: Jerry Johnson III. Workshop

LAKE FORK HEALTH SERVICE DISTRICT

BOARD OF DIRECTORS MONTHLY MEETING AGENDA

MISSION STATEMENT

The mission of the Lake Fork Health Service District is to enhance the quality of life in our community

by promoting wellness and providing quality health services with care and compassion

while exercising fiscal responsibility.

Thursday, November 15, 2018 – Moseley Health Care Complex, Zeller Wellness Center

I. CALL TO ORDER- Approximately 9:00AM

II. ROLL CALL

III. WORKSHOP

A. Executive Director Report

Financial-(Scott, Dr. Carr, Jessica)

1. Review September 2018 financials

2. Review corrected 2018 budget

3. Review 2019 budget and resolutions

Business Development-(Jami, Mike)

Community Relations-(Janel, Jerry)

Personnel-(Dr. Carr, Jessica, Janel & Jami)

B. Presidents Report

C. Medical Director Report

1. Review extended medical leave policy to employee guidelines- See attached

D. Dental Director Report

E. Any other items

IV. MEETING AGENDA ITEMS

A. Consider any updates to the meeting agenda

B. Approval of minutes from prior board meetings- 10/25/2018

C. Consider approval of the 2019 budget

D. Consider approval of resolution 2018-06 2019 operation budget adoption

E. Consider approval of resolution 2018-07 for 2019 mill levy

F. Consider approval of extended medical leave policy

V. CITIZEN COMMENTS FROM THE FLOOR

VI. ADJOURN

Times stated are approximate and the agenda may be modified as necessary at the discretion of the Board.


BOARD OF DIRECTORS-SPECIAL MEETING

Today’s Date is Thursday, October 25, 2018.

I. The regular monthly meeting of the Lake Fork Health Service District was called to order

by Janel Warren at 9:40am.

The meeting was held in the Moseley Health Care Complex.

II. Roll Call: In attendance were board members: Janel Warren, Jerry Johnson, Scott Beedy,

and Jami Scroggins. Mike Schell is excused. Jessica Whiddon, Tina Coniglio, and Nancy

Zeller were also present. Malinda McDonald is the recording secretary.

Board of Directors:

President: Janel Warren

Vice-President: Jami Scroggins

Secretary: Mike Schell

Treasurer: Scott Beedy

Board Member: Jerry Johnson

III. Workshop

A. Executive Director Report- Medical patient counts through August 2018 were 2,369

vs 3,101 through August 2017. A difference of 732 less patients. Dental patient

counts through August 2018 were 530 versus 510 through August of 2017. A

difference of 20 more patients.

Financial- Reminder that we adjusted property tax income to span over the entire

year, so you will note significant changes in the tax income but it will balance out

by years end. This will also effect monthly net income for this year.

Profit and loss YTD through August dental income is up by about $8,600. Medical

patient income is down by approximately $43,000. Total income is down by about

$21,000 through August. Total expense through August is down by approximately

$8,700. Net ordinary income is down by about $12,000. Total other income is down

by about $43,800 due to the change in tax reporting. Health district expense is down

by approximately $3,100. Net income is down by approximately $52,800. If you look

at the condensed income statement you will note that the comparative net income after

adding tax income back in is -$28,705 in 2018 compared to -$11,752 in 2017 for a

difference of about $16,900 less in net income.

Looking at the month of August 2018 vs month of August 2017 we had an increase of

about $23,800 in net income.

The balance sheet shows cash in the bank around $1,800 less than August of 2017.

Looking at the budget vs actual through August of 2018, dental income is better than

budget by approximately $6,700. Medical income is better than budget by about

$19,000. Total income is better than budget by about $6,700. Total expense is around

$17,000 above budget. Total other income is about $5,700 better than budget. Health

district expense is about $6,200 over budget. Actual net income is -$28,705.39 with

budget being predicted at -$17,883.64. We are about $10,800 over budget as of

August 2018.

BOD members have a mail box in the reception area of the office. Please check those

when you come in, at least monthly.

Budget- The board is looking over the proposed budget for approval at the November

15th meeting. Janel would like to see the Billing Fees taken off and changed to a

Contingency Fund.

Jamie suggested upping the budgeted amount for Sanitation up by 25% due to an

increase in transfer station fees.

To cut back on costs during the winter months Jess has cut the nursing staff to 1 nurse

on Saturdays and Sundays. There is an on call nurse should the need arise.

Jess will be requesting funds from the Endowment Fund for a lab drawing chair.

We are DOT/CDL certified again. Ashley Mines will be doing those. There is an ad in

the Gunnison Newspaper and The Shopper.

Business Development- Massage therapy services are still available through the

winter.

Community Relations- Personnel- Consider change on organizational chart under

Executive Director. This would be an addition of nursing staff concerning

scheduling, business matters and human resources.

B. President

Reports: Janel would like for Jess to take a course on HR and Labor Law.

C. Medical Director

Reports: Consider adding verbiage to employee guidelines concerning no

requirement for FMLA and protecting employment of minority classes when

extended leave is requested. This does not apply to entities with less than 50

employees.

D. Dental Director-

None

IV. MEETING

A. Consider any updates to the meeting agenda:

Motion: To consider adding D. to update to the Organizational Chart.

Motion: Janel Warren

Second: Jerry Johnson

Vote: All vote yes.

Motion Carries

B. Consider approval of minutes from prior month’s board meeting:

Motion: Approval of Minutes for the meetings- 09/17/2018.



Vote: All vote yes.

Motion Carries

C. Consider motion to revise policy Admin 6, to include an item 8, All patients will be

empaneled to the MD/Medical Director.

Motion: To revise policy Admin 6, to include an item 8, All patients will be empaneled

to the MD/Medical Director.

Motion: Scott Beedy


Vote: All vote yes.

Motion Carries

D. Consider update to Organizational Chart:

Motion: To approve Organizational Chart as changed in the packet.


Second: Jami Scroggins

Vote: All vote yes.

Motion Carries

V. CITIZEN COMMENTS FROM FLOOR:

Jamie Scroggins wanted to thank Dr. Carr for her involvement in the search for a new EMS

director.

Nancy Zeller will be leaving for the winter to travel. She will be missed and we hope she

keeps us updated on her travels.

VI. Adjourn

Meeting is adjourned at 11:00am. Next meeting will be November 16 at approximately 9:00

a.m. in the Zeller Wellness & Education Center in the Mosley Health Care Complex.

(President) Date

(Secretary) Date

(Recording Secretary) Date

4:18 PM

11/05/18

Accrual Basis


Profit & Loss Prev Year Comparison January through September 2018

Jan - Sep 18 Jan - Sep 17 $ Change % Change

Ordinary Income/Expense

Income

421 · Medicare Incentive Payment 25,075.78 10,227.39 14,848.39 145.18%

850 · Rental Income

850.1 · Space Rental 2,270.18 3,185.00 -914.82 -28.72%

850 · Rental Income - Other 0.00 100.00 -100.00 -100.0%

Total 850 · Rental Income 2,270.18 3,285.00 -1,014.82 -30.89%

Dental Income

Dental Income - Patient

ADJUSTMENTS

Refunds 0.00 -304.00 304.00 100.0%

Reserve -3,791.51 -4,013.32 221.81 5.53%

ADJUSTMENTS - Other -18,315.99 -16,387.94 -1,928.05 -11.77%

Total ADJUSTMENTS -22,107.50 -20,705.26 -1,402.24 -6.77%

Dental Income - Patient - Other 120,789.40 107,710.20 13,079.20 12.14%

Total Dental Income - Patient 98,681.90 87,004.94 11,676.96 13.42%

Dental Inc - Insurance Incentiv 0.00 139.00 -139.00 -100.0%

Total Dental Income 98,681.90 87,143.94 11,537.96 13.24%

400 · Patient Services Revenue

Incentive Payments

RMHMO 498.50 7,542.00 -7,043.50 -93.39%

Medicaid 1,295.75 0.00 1,295.75 100.0%

Incentive Payments - Other 279.00 0.00 279.00 100.0%

Total Incentive Payments 2,073.25 7,542.00 -5,468.75 -72.51%

400.1 · Services 880.00 0.30 879.70 293,233.33%

400.9 · Patient Fee Writeoffs

400.94 · Refunds 0.00 120.40 -120.40 -100.0%

Reserve Adjmt 32,503.99 -34,829.59 67,333.58 193.32%

400.92 · Refunds-Allowances -35,029.10 -4,387.02 -30,642.08 -698.47%

400.9 · Patient Fee Writeoffs - Other -122,573.87 -151,011.39 28,437.52 18.83%

Total 400.9 · Patient Fee Writeoffs -125,098.98 -190,107.60 65,008.62 34.2%

400 · Patient Services Revenue - Other 360,218.66 481,677.67 -121,459.01 -25.22%

Total 400 · Patient Services Revenue 238,072.93 299,112.37 -61,039.44 -20.41%

408. · Medical Records Copy Fee 22.00 82.00 -60.00 -73.17%

420 · Medicare Audit-Cost Report

420.1 · 2015 Overpayment 0.00 216.00 -216.00 -100.0%

420 · Medicare Audit-Cost Report - Other 10,344.00 0.00 10,344.00 100.0%

Total 420 · Medicare Audit-Cost Report 10,344.00 216.00 10,128.00 4,688.89%

Total Income 374,466.79 400,066.70 -25,599.91 -6.4%

Expense

642 · Donations 125.00 700.00 -575.00 -82.14%

649 · Dental Expense

Licenses and Fees 391.00 51.00 340.00 666.67%

Tuition and Fees 295.00 -69.01 364.01 527.47%

Page 1 of 6

4:18 PM

11/05/18

Accrual Basis




Dental Memberships 0.00 1,444.00 -1,444.00 -100.0%

Service Agreements 600.67 0.00 600.67 100.0%

Billing 0.00 4,062.51 -4,062.51 -100.0%

Advertising 0.00 718.05 -718.05 -100.0%

Depreciation 7,567.02 0.00 7,567.02 100.0%

Accounting 2,200.00 980.00 1,220.00 124.49%

Repairs & Maint 44.85 0.00 44.85 100.0%

Dental Wages 40,286.48 34,136.97 6,149.51 18.01%

Dental Office Supplies 0.00 138.19 -138.19 -100.0%

Dental Lab 4,689.40 3,567.50 1,121.90 31.45%

Dental Insurance Cost 777.00 794.20 -17.20 -2.17%

Dental Professional Pay

Travel 2,504.08 3,047.74 -543.66 -17.84%

Dental Professional Pay - Other 10,650.00 12,070.00 -1,420.00 -11.77%

Total Dental Professional Pay 13,154.08 15,117.74 -1,963.66 -12.99%

Dental Supplies 6,687.95 5,244.62 1,443.33 27.52%

649 · Dental Expense - Other 714.37 650.52 63.85 9.82%

Total 649 · Dental Expense 77,407.82 66,836.29 10,571.53 15.82%

605 · Accounting

605.4 · Billing Fees -Prac Part & Tina 7,713.48 13,237.69 -5,524.21 -41.73%

605.01 · LFHSD 1,965.00 1,828.75 136.25 7.45%

605.02 · LCAMC 4,809.71 6,449.42 -1,639.71 -25.42%

Total 605 · Accounting 14,488.19 21,515.86 -7,027.67 -32.66%

610 · Advertising

610.01 · LFHSD 200.60 0.00 200.60 100.0%

610.02 · LCAMC 4,529.77 8,019.77 -3,490.00 -43.52%

610 · Advertising - Other 349.90 0.00 349.90 100.0%

Total 610 · Advertising 5,080.27 8,019.77 -2,939.50 -36.65%

612 · Audit, LFHSD 4,450.00 4,250.00 200.00 4.71%

620 · Bank Charges 1,115.07 206.49 908.58 440.01%

625 · Bank Credit Card Fees 2,184.58 3,078.62 -894.04 -29.04%

627 · Books & Magazines 69.29 0.00 69.29 100.0%

628 · Cash Over Short -0.81 -0.90 0.09 10.0%

630 · Collection Agency Fees 140.33 0.00 140.33 100.0%

639 · Computer

639.5 · Maintenance Contract 15,986.48 23,632.12 -7,645.64 -32.35%

639.1 · Software 477.00 2,194.95 -1,717.95 -78.27%

639.2 · Services 17,982.19 3,704.00 14,278.19 385.48%

639.3 · Hardware/Office Machines 800.61 1,255.00 -454.39 -36.21%

639.4 · On Line Internet 891.00 792.00 99.00 12.5%

Total 639 · Computer 36,137.28 31,578.07 4,559.21 14.44%

640 · Contract Labor

640.2 · PA Contract Labor 0.00 2,250.00 -2,250.00 -100.0%

640.3 · Contract Services-Medicl Cnty 3,600.00 0.00 3,600.00 100.0%

Page 2 of 6

4:18 PM

11/05/18

Accrual Basis




640 · Contract Labor - Other 3,558.84 2,061.14 1,497.70 72.66%

Total 640 · Contract Labor 7,158.84 4,311.14 2,847.70 66.05%

641 · Courier 2,283.16 2,555.00 -271.84 -10.64%

650 · Depreciation

Xray Eqmt 1,804.50 0.00 1,804.50 100.0%

Medical Eqmt 16,691.67 0.00 16,691.67 100.0%

Office Eqmt 20,765.95 0.00 20,765.95 100.0%

Bldgs 55,653.54 0.00 55,653.54 100.0%

Total 650 · Depreciation 94,915.66 0.00 94,915.66 100.0%

655 · Dues & Subscriptions

655.2 · Memberships 3,427.00 3,120.00 307.00 9.84%

655.3 · Subscriptions 667.37 0.00 667.37 100.0%

655 · Dues & Subscriptions - Other 1,292.53 280.00 1,012.53 361.62%

Total 655 · Dues & Subscriptions 5,386.90 3,400.00 1,986.90 58.44%

656 · Entertainment/Meals 373.98 298.72 75.26 25.19%

660 · Education,Staff

660.4 · Staff Meetings 619.10 1,644.42 -1,025.32 -62.35%

660.3 · Meals 245.72 0.00 245.72 100.0%

660.1 · Tuition & Fees 7,887.06 3,545.20 4,341.86 122.47%

660.2 · Travel & Lodging 6,345.20 1,957.09 4,388.11 224.22%

745 · Seminars & Meetings, Business

745.3 · Travel & Lodging 0.00 1,600.20 -1,600.20 -100.0%

745 · Seminars & Meetings, Business - Other 0.00 380.00 -380.00 -100.0%

Total 745 · Seminars & Meetings, Business 0.00 1,980.20 -1,980.20 -100.0%

Total 660 · Education,Staff 15,097.08 9,126.91 5,970.17 65.41%

670 · Insurance

670.1 · Building Liability 3,693.79 4,473.56 -779.77 -17.43%

670.2 · Health Employee 36,895.90 35,806.30 1,089.60 3.04%

670.3 · General Liability 3,570.32 3,456.41 113.91 3.3%

670.5 · Malpractice 12,699.00 13,717.00 -1,018.00 -7.42%

Total 670 · Insurance 56,859.01 57,453.27 -594.26 -1.03%

680 · Lab - Hospital Processing 452.50 0.00 452.50 100.0%

690 · Licenses & Fees 4,924.73 6,981.67 -2,056.94 -29.46%

715 · Personnel Expenses

715.1 · Loan Repayment

Payment 6,753.50 0.00 6,753.50 100.0%

Wage 16,000.00 0.00 16,000.00 100.0%

715.1 · Loan Repayment - Other -4,000.00 0.00 -4,000.00 -100.0%

Total 715.1 · Loan Repayment 18,753.50 0.00 18,753.50 100.0%

715.2 · Moving 2,323.21 0.00 2,323.21 100.0%

715.3 · Taxes/Payroll - 8.5% 34,481.60 33,128.69 1,352.91 4.08%

715.4 · Wages 369,056.11 371,011.35 -1,955.24 -0.53%

715.5 · Workman's Compensation 7,245.70 7,426.73 -181.03 -2.44%

715.6 · HSA 4,400.00 4,400.00 0.00 0.0%

Page 3 of 6

4:18 PM

11/05/18

Accrual Basis




715 · Personnel Expenses - Other 2,795.93 1,070.28 1,725.65 161.23%

Total 715 · Personnel Expenses 439,056.05 417,037.05 22,019.00 5.28%

722 · Pharmacy Consultant

722.1 · Consulting Fees 1,330.00 1,330.00 0.00 0.0%

722.2 · Travel 424.20 424.20 0.00 0.0%

Total 722 · Pharmacy Consultant 1,754.20 1,754.20 0.00 0.0%

725 · Postage 2,002.71 1,747.99 254.72 14.57%

734 · Recruiting 1,875.98 0.00 1,875.98 100.0%

735 · Repair & Maintenance

735.1 · Building & Building Eqmt 8,095.87 11,805.74 -3,709.87 -31.42%

735.2 · Cleaning

Wages 8,388.36 11,565.24 -3,176.88 -27.47%

735.2 · Cleaning - Other 818.06 372.20 445.86 119.79%

Total 735.2 · Cleaning 9,206.42 11,937.44 -2,731.02 -22.88%

735.3 · Equipment-Medical 0.00 3,101.38 -3,101.38 -100.0%

735.4 · XRAY 0.00 772.50 -772.50 -100.0%

735 · Repair & Maintenance - Other 2,271.10 519.75 1,751.35 336.96%

Total 735 · Repair & Maintenance 19,573.39 28,136.81 -8,563.42 -30.44%

750 · Supplies

723 · Pharmacy & Medications 20,742.04 28,920.31 -8,178.27 -28.28%

750.1 · Lab 8,789.13 14,993.04 -6,203.91 -41.38%

750.2 · Medical 6,820.88 10,097.46 -3,276.58 -32.45%

750.3 · Office 7,248.04 7,965.67 -717.63 -9.01%

750.4 · General Supplies 201.68 1,044.83 -843.15 -80.7%

750 · Supplies - Other 0.00 753.58 -753.58 -100.0%

Total 750 · Supplies 43,801.77 63,774.89 -19,973.12 -31.32%

765 · Telephones

765.1 · Centurytel 4,644.90 5,672.10 -1,027.20 -18.11%

Total 765 · Telephones 4,644.90 5,672.10 -1,027.20 -18.11%

775 · Utilities

775.1 · Cable 376.42 450.50 -74.08 -16.44%

775.2 · Electric 9,285.84 9,092.56 193.28 2.13%

775.3 · EMS Utilities Reimbursement -13,817.55 -11,250.00 -2,567.55 -22.82%

775.4 · Gas 6,431.19 12,659.94 -6,228.75 -49.2%

775.5 · Water & Sewer 640.00 640.00 0.00 0.0%

Total 775 · Utilities 2,915.90 11,593.00 -8,677.10 -74.85%

777 · Waste Management

777.1 · Bio-Hazard Materials 2,561.27 9,485.24 -6,923.97 -73.0%

777.2 · Trash Disposal 1,890.00 1,827.19 62.81 3.44%

Total 777 · Waste Management 4,451.27 11,312.43 -6,861.16 -60.65%

999 · Suspense

RMHMO 0.00 0.00 0.00 0.0%

BCBS 0.00 0.00 0.00 0.0%

MEDICAID 15.00 0.00 15.00 100.0%

Page 4 of 6

4:18 PM

11/05/18

Accrual Basis




DENTAL 0.00 -65.20 65.20 100.0%

AR

NOT CLEARED 0.00 0.00 0.00 0.0%

AR - Other 0.00 0.00 0.00 0.0%

Total AR 0.00 0.00 0.00 0.0%

MEDICARE 0.00 0.00 0.00 0.0%

AETNA 0.00 0.00 0.00 0.0%

999 · Suspense - Other -645.21 0.00 -645.21 -100.0%

Total 999 · Suspense -630.21 -65.20 -565.01 -866.58%

Total Expense 848,094.84 761,274.18 86,820.66 11.41%

Net Ordinary Income -473,628.05 -361,207.48 -112,420.57 -31.12%

Other Income/Expense

Other Income

HF Proceeds 0.00 0.00 0.00 0.0%

890 · Donation Income

890.1 · Endowment 443.63 0.00 443.63 100.0%

890 · Donation Income - Other 9,392.53 3,270.00 6,122.53 187.23%

Total 890 · Donation Income 9,836.16 3,270.00 6,566.16 200.8%

895 · Grant Income 1,099.00 312.00 787.00 252.24%

896 · Interest Earned

11932 76.47 76.28 0.19 0.25%

896.2 · Colorado Trust 2,662.84 1,533.80 1,129.04 73.61%

Total 896 · Interest Earned 2,739.31 1,610.08 1,129.23 70.14%

900 · Health Service District Revenue

901 · 1% Motor Vehicle Sales Tax

901.1 · Treasurer Fee -26.64 -8.87 -17.77 -200.34%

901 · 1% Motor Vehicle Sales Tax - Other 949.35 266.79 682.56 255.84%

Total 901 · 1% Motor Vehicle Sales Tax 922.71 257.92 664.79 257.75%

902 · 1% Sales Tax

902.1 · Hinsdale County 108,000.00 78,456.14 29,543.86 37.66%

Total 902 · 1% Sales Tax 108,000.00 78,456.14 29,543.86 37.66%

904 · Property Tax

904.1 · Earned Interest/Property Tax 856.80 791.89 64.91 8.2%

904 · Property Tax - Other 234,000.00 320,332.96 -86,332.96 -26.95%

Total 904 · Property Tax 234,856.80 321,124.85 -86,268.05 -26.86%

905. · Specific Ownership Tax 18,000.00 15,387.52 2,612.48 16.98%

Total 900 · Health Service District Revenue 361,779.51 415,226.43 -53,446.92 -12.87%

Total Other Income 375,453.98 420,418.51 -44,964.53 -10.7%

Other Expense

950 · Health Services District Expens

951 · 5% Treasurer's Fee/Property Tax 14,612.38 16,056.27 -1,443.89 -8.99%

952 · Board of Director's Expenses 196.73 412.04 -215.31 -52.26%

955 · Election Expense 0.00 20.00 -20.00 -100.0%

956 · Legal Fees 7,762.75 23,229.64 -15,466.89 -66.58%

Page 5 of 6

4:18 PM

11/05/18

Accrual Basis




960 · Public Officials Liability Insu 1,443.76 1,542.92 -99.16 -6.43%

950 · Health Services District Expens - Other 0.00 128.50 -128.50 -100.0%

Total 950 · Health Services District Expens 24,015.62 41,389.37 -17,373.75 -41.98%

Total Other Expense 24,015.62 41,389.37 -17,373.75 -41.98%

Net Other Income 351,438.36 379,029.14 -27,590.78 -7.28%

Net Income -122,189.69 17,821.66 -140,011.35 -785.63%

Less Depreciation -19,707.01 17821.66 -37,528.67

Page 6 of 6

4:23 PM

11/05/18

Accrual Basis


Profit & Loss Prev Year Comparison September 2018

Sep 18 Sep 17 $ Change % Change


Income

421 · Medicare Incentive Payment 0.00 122.51 -122.51 -100.0%


850.1 · Space Rental 635.00 900.00 -265.00 -29.44%

Total 850 · Rental Income 635.00 900.00 -265.00 -29.44%

Dental Income


ADJUSTMENTS

Reserve -849.18 146.42 -995.60 -679.96%

ADJUSTMENTS - Other -1,696.62 -3,101.18 1,404.56 45.29%

Total ADJUSTMENTS -2,545.80 -2,954.76 408.96 13.84%





Incentive Payments

RMHMO 0.00 2,542.00 -2,542.00 -100.0%

Medicaid 461.75 0.00 461.75 100.0%

Total Incentive Payments 461.75 2,542.00 -2,080.25 -81.84%


400.94 · Refunds 0.00 150.00 -150.00 -100.0%

Reserve Adjmt 2,134.09 -6,977.82 9,111.91 130.58%

400.92 · Refunds-Allowances -13,103.36 -285.42 -12,817.94 -4,490.91%

400.9 · Patient Fee Writeoffs - Other 18.00 -13,950.32 13,968.32 100.13%


400 · Patient Services Revenue - Other 36,815.75 57,187.35 -20,371.60 -35.62%

Total 400 · Patient Services Revenue 26,326.23 38,665.79 -12,339.56 -31.91%

420 · Medicare Audit-Cost Report 5,000.00 0.00 5,000.00 100.0%

Total Income 45,194.83 49,861.14 -4,666.31 -9.36%

Expense


Billing 0.00 502.02 -502.02 -100.0%

Depreciation 372.90 0.00 372.90 100.0%

Accounting 275.00 0.00 275.00 100.0%

Dental Wages 5,341.78 510.00 4,831.78 947.41%

Dental Office Supplies 0.00 7.25 -7.25 -100.0%

Dental Lab 1,505.00 1,027.80 477.20 46.43%

Dental Insurance Cost 777.00 794.20 -17.20 -2.17%


Travel 252.32 539.54 -287.22 -53.23%

Dental Professional Pay - Other 1,045.00 1,505.00 -460.00 -30.57%

Total Dental Professional Pay 1,297.32 2,044.54 -747.22 -36.55%

Dental Supplies 1,165.20 938.15 227.05 24.2%

Page 1 of 4

4:23 PM

11/05/18

Accrual Basis




649 · Dental Expense - Other 124.07 145.76 -21.69 -14.88%


605 · Accounting

605.4 · Billing Fees -Prac Part & Tina 263.61 2,400.81 -2,137.20 -89.02%

605.01 · LFHSD 210.00 292.50 -82.50 -28.21%

605.02 · LCAMC 275.00 0.00 275.00 100.0%

Total 605 · Accounting 748.61 2,693.31 -1,944.70 -72.21%

610 · Advertising

610.02 · LCAMC 10.00 1,332.50 -1,322.50 -99.25%

Total 610 · Advertising 10.00 1,332.50 -1,322.50 -99.25%

620 · Bank Charges 282.20 0.00 282.20 100.0%

625 · Bank Credit Card Fees 394.42 458.17 -63.75 -13.91%

628 · Cash Over Short -0.01 0.00 -0.01 -100.0%

639 · Computer

639.5 · Maintenance Contract 540.00 90.00 450.00 500.0%

639.1 · Software 0.00 125.00 -125.00 -100.0%

639.2 · Services 900.00 2,050.00 -1,150.00 -56.1%

639.4 · On Line Internet 198.00 99.00 99.00 100.0%

Total 639 · Computer 1,638.00 2,364.00 -726.00 -30.71%


640.2 · PA Contract Labor 0.00 750.00 -750.00 -100.0%

640 · Contract Labor - Other 0.00 450.00 -450.00 -100.0%

Total 640 · Contract Labor 0.00 1,200.00 -1,200.00 -100.0%

641 · Courier 300.00 300.00 0.00 0.0%

650 · Depreciation

Xray Eqmt 537.35 0.00 537.35 100.0%

Medical Eqmt 2,666.53 0.00 2,666.53 100.0%

Office Eqmt 2,318.16 0.00 2,318.16 100.0%

Bldgs 18,551.18 0.00 18,551.18 100.0%

Total 650 · Depreciation 24,073.22 0.00 24,073.22 100.0%

655 · Dues & Subscriptions 14.99 225.00 -210.01 -93.34%


660.4 · Staff Meetings 72.45 580.92 -508.47 -87.53%

660.3 · Meals 20.00 0.00 20.00 100.0%

660.1 · Tuition & Fees 1,260.00 938.00 322.00 34.33%

660.2 · Travel & Lodging 819.63 557.54 262.09 47.01%

Total 660 · Education,Staff 2,172.08 2,076.46 95.62 4.61%

670 · Insurance

670.2 · Health Employee 4,311.60 10,263.00 -5,951.40 -57.99%

670.5 · Malpractice 1,753.00 0.00 1,753.00 100.0%

Total 670 · Insurance 6,064.60 10,263.00 -4,198.40 -40.91%

690 · Licenses & Fees 1,965.16 1,483.00 482.16 32.51%



Page 2 of 4

4:23 PM

11/05/18

Accrual Basis




Payment 1,000.00 0.00 1,000.00 100.0%

715.1 · Loan Repayment - Other -1,000.00 0.00 -1,000.00 -100.0%

Total 715.1 · Loan Repayment 0.00 0.00 0.00 0.0%

715.3 · Taxes/Payroll - 8.5% 4,435.06 3,465.68 969.38 27.97%

715.4 · Wages 45,819.62 37,814.41 8,005.21 21.17%

715.6 · HSA 500.00 650.00 -150.00 -23.08%

715 · Personnel Expenses - Other 1,043.58 535.14 508.44 95.01%



722.1 · Consulting Fees 0.00 190.00 -190.00 -100.0%

722.2 · Travel 0.00 60.60 -60.60 -100.0%

Total 722 · Pharmacy Consultant 0.00 250.60 -250.60 -100.0%

725 · Postage 277.85 285.65 -7.80 -2.73%


735.1 · Building & Building Eqmt 479.71 184.00 295.71 160.71%

735.2 · Cleaning

Wages 679.54 1,276.19 -596.65 -46.75%

735.2 · Cleaning - Other 230.00 200.00 30.00 15.0%

Total 735.2 · Cleaning 909.54 1,476.19 -566.65 -38.39%

735.3 · Equipment-Medical 0.00 153.75 -153.75 -100.0%

735 · Repair & Maintenance - Other 42.40 0.00 42.40 100.0%

Total 735 · Repair & Maintenance 1,431.65 1,813.94 -382.29 -21.08%

750 · Supplies

723 · Pharmacy & Medications 3,742.88 4,142.07 -399.19 -9.64%

750.1 · Lab 1,676.91 1,336.86 340.05 25.44%

750.2 · Medical 713.73 1,275.91 -562.18 -44.06%

750.3 · Office 1,001.32 1,812.59 -811.27 -44.76%

Total 750 · Supplies 7,134.84 8,567.43 -1,432.59 -16.72%

765 · Telephones

765.1 · Centurytel 518.93 506.93 12.00 2.37%

Total 765 · Telephones 518.93 506.93 12.00 2.37%

775 · Utilities

775.1 · Cable 0.00 100.48 -100.48 -100.0%

775.2 · Electric 1,178.11 1,194.93 -16.82 -1.41%

775.3 · EMS Utilities Reimbursement -3,839.85 0.00 -3,839.85 -100.0%

775.4 · Gas 718.05 1,349.02 -630.97 -46.77%

775.5 · Water & Sewer 160.00 160.00 0.00 0.0%

Total 775 · Utilities -1,783.69 2,804.43 -4,588.12 -163.6%


777.1 · Bio-Hazard Materials -3,959.07 970.66 -4,929.73 -507.87%

777.2 · Trash Disposal 225.00 340.00 -115.00 -33.82%

Total 777 · Waste Management -3,734.07 1,310.66 -5,044.73 -384.9%

999 · Suspense

MEDICAID 0.00 0.00 0.00 0.0%

Page 3 of 4

4:23 PM

11/05/18

Accrual Basis




DENTAL 0.00 0.00 0.00 0.0%

Total 999 · Suspense 0.00 0.00 0.00 0.0%

Total Expense 104,165.31 86,370.03 17,795.28 20.6%

Net Ordinary Income -58,970.48 -36,508.89 -22,461.59 -61.52%


Other Income

890 · Donation Income 2,916.69 150.00 2,766.69 1,844.46%


11932 8.66 8.64 0.02 0.23%

896.2 · Colorado Trust 335.29 236.90 98.39 41.53%

Total 896 · Interest Earned 343.95 245.54 98.41 40.08%



901.1 · Treasurer Fee 0.00 -6.94 6.94 100.0%

901 · 1% Motor Vehicle Sales Tax - Other 149.83 208.26 -58.43 -28.06%

Total 901 · 1% Motor Vehicle Sales Tax 149.83 201.32 -51.49 -25.58%

902 · 1% Sales Tax

902.1 · Hinsdale County 12,000.00 32,524.57 -20,524.57 -63.11%

Total 902 · 1% Sales Tax 12,000.00 32,524.57 -20,524.57 -63.11%

904 · Property Tax

904.1 · Earned Interest/Property Tax 259.65 351.17 -91.52 -26.06%

904 · Property Tax - Other 26,000.00 8,986.90 17,013.10 189.31%

Total 904 · Property Tax 26,259.65 9,338.07 16,921.58 181.21%

905. · Specific Ownership Tax 2,000.00 2,291.36 -291.36 -12.72%

Total 900 · Health Service District Revenue 40,409.48 44,355.32 -3,945.84 -8.9%

Total Other Income 43,670.12 44,750.86 -1,080.74 -2.42%

Other Expense


951 · 5% Treasurer's Fee/Property Tax 369.98 466.91 -96.93 -20.76%

952 · Board of Director's Expenses 0.00 64.20 -64.20 -100.0%

956 · Legal Fees 0.00 14,020.57 -14,020.57 -100.0%

Total 950 · Health Services District Expens 369.98 14,551.68 -14,181.70 -97.46%

Total Other Expense 369.98 14,551.68 -14,181.70 -97.46%

Net Other Income 43,300.14 30,199.18 13,100.96 43.38%

Net Income -15,670.34 -6,309.71 -9,360.63 -148.35%

Less Depreciation 8,402.88 -6309.71 15,085.49

Page 4 of 4

4:33 PM

11/05/18

Accrual Basis


Balance Sheet Prev Year Comparison As of September 30, 2018

Sep 30, 18 Sep 30, 17 $ Change % Change

ASSETS

Current Assets

Checking/Savings

100 · Bank / Cash Assets

109 · Petty Cash{49} 320.00 320.00 0.00 0.0%

110 · Operating Lake City 1511 104,746.99 75,441.50 29,305.49 38.85%

110.2 · Operating Dental 53,057.81 37,548.30 15,509.51 41.31%

113 · Tabor 11932 40,786.25 40,684.42 101.83 0.25%

115 · Colorado Trust - Capital 181,884.02 203,561.64 -21,677.62 -10.65%

Total 100 · Bank / Cash Assets 380,795.07 357,555.86 23,239.21 6.5%

Total Checking/Savings 380,795.07 357,555.86 23,239.21 6.5%

Accounts Receivable

121.7 · Healthchoice Pmts not Posted -206.63 -206.63 0.00 0.0%

121.5 · BCBS PAYMENTS -1,069.91 -1,074.38 4.47 0.42%

121.4 · MEDICAID PMTS -3,954.79 -3,250.07 -704.72 -21.68%

121.3 · Practice Partner-RMHMO -800.29 -72.52 -727.77 -1,003.54%

121.1 · Practice Partner-Medicare Pmts -23.80 0.00 -23.80 -100.0%

120 · Accounts Receivable

125 · Allowance for Doubtful Accounts -35,615.75 -87,583.21 51,967.46 59.34%

120.6 · Dental AR

Dental Pmts not Posted -864.40 -547.70 -316.70 -57.82%

TINA

REFUNDS 384.00 0.00 384.00 100.0%

TINA - Other 77,692.94 58,069.67 19,623.27 33.79%

Total TINA 78,076.94 58,069.67 20,007.27 34.45%

Allow for Bad debts -23,307.88 -17,190.20 -6,117.68 -35.59%

120.6 · Dental AR - Other 1,255.00 400.00 855.00 213.75%

Total 120.6 · Dental AR 55,159.66 40,731.77 14,427.89 35.42%

121 · Practice Partner

Pmts Ajmt -329.40 -329.40 0.00 0.0%

121 · Practice Partner - Other 101,759.29 250,237.74 -148,478.45 -59.34%

Total 121 · Practice Partner 101,429.89 249,908.34 -148,478.45 -59.41%

Total 120 · Accounts Receivable 120,973.80 203,056.90 -82,083.10 -40.42%

Total Accounts Receivable 114,918.38 198,453.30 -83,534.92 -42.09%

Other Current Assets

146 · Prepaid Deposit 4,014.21 14,682.54 -10,668.33 -72.66%

127 · Receivable-Medicar Cost Report 10,000.00 344.00 9,656.00 2,806.98%

140 · Inventory

Dental Supplies 7,666.16 8,666.32 -1,000.16 -11.54%

Medical & Lab Supplies 28,542.37 32,558.12 -4,015.75 -12.33%

Pharmacy 14,870.30 15,430.87 -560.57 -3.63%

Total 140 · Inventory 51,078.83 56,655.31 -5,576.48 -9.84%

Total Other Current Assets 65,093.04 71,681.85 -6,588.81 -9.19%

Total Current Assets 560,806.49 627,691.01 -66,884.52 -10.66%

Page 1 of 2

4:33 PM

11/05/18

Accrual Basis


Balance Sheet Prev Year Comparison As of September 30, 2018

Sep 30, 18 Sep 30, 17 $ Change % Change

Fixed Assets

163 · Dental Equipment 113,085.56 113,085.56 0.00 0.0%

152 · Land 121,500.00 121,500.00 0.00 0.0%

159 · Medical Equip 390,711.46 377,651.70 13,059.76 3.46%

160 · Furniture & Equipment

Computer Equip 272,562.60 272,562.60 0.00 0.0%

160 · Furniture & Equipment - Other 178,813.43 178,353.49 459.94 0.26%

Total 160 · Furniture & Equipment 451,376.03 450,916.09 459.94 0.1%

161 · Building & Improvements

New Building Project 2,506,079.78 2,506,079.78 0.00 0.0%

LAB 16,268.38 15,368.28 900.10 5.86%

161 · Building & Improvements - Other 446,295.15 446,295.15 0.00 0.0%

Total 161 · Building & Improvements 2,968,643.31 2,967,743.21 900.10 0.03%

162 · Xray Equipment 226,886.79 226,886.79 0.00 0.0%

171 · Accumulated Depreciation -1,763,505.49 -1,490,373.00 -273,132.49 -18.33%

Total Fixed Assets 2,508,697.66 2,767,410.35 -258,712.69 -9.35%

TOTAL ASSETS 3,069,504.15 3,395,101.36 -325,597.21 -9.59%

LIABILITIES & EQUITY

Liabilities

Current Liabilities

Other Current Liabilities

234 · Deferred Specific Own Tax Rev -2,593.34 0.00 -2,593.34 -100.0%

233 · Deferred Property Tax Rev 57,380.24 0.00 57,380.24 100.0%

232 · Deferred Sales Tax Rev -18,497.47 0.00 -18,497.47 -100.0%

Medicaid Interim Claim Pmts 23,248.17 1,000.00 22,248.17 2,224.82%

2100 · Payroll Liabilities

HSA 100.00 100.00 0.00 0.0%

2100 · Payroll Liabilities - Other -940.50 2,743.50 -3,684.00 -134.28%

Total 2100 · Payroll Liabilities -840.50 2,843.50 -3,684.00 -129.56%

222 · CO WH Payable 1,889.00 1,380.00 509.00 36.88%

223 · CO UTA Payable 567.72 489.49 78.23 15.98%

Total Other Current Liabilities 61,153.82 5,712.99 55,440.83 970.44%

Total Current Liabilities 61,153.82 5,712.99 55,440.83 970.44%

Total Liabilities 61,153.82 5,712.99 55,440.83 970.44%

Equity

320 · Opening Balance Equity 3,371,566.71 3,371,566.71 0.00 0.0%

321 · Retained Earnings -241,026.69 0.00 -241,026.69 -100.0%

Net Income -122,189.69 17,821.66 -140,011.35 -785.63%

Total Equity 3,008,350.33 3,389,388.37 -381,038.04 -11.24%

TOTAL LIABILITIES & EQUITY 3,069,504.15 3,395,101.36 -325,597.21 -9.59%

Page 2 of 2

9:01 AM

11/08/18

Accrual Basis


Profit & Loss Budget vs. Actual January through September 2018 TOTAL

Jan - Sep 18 Budget $ Over Budget % of Budget


Income

421 · Medicare Incentive Payment 25,075.78 18,749.97 6,325.81 133.74%


850.1 · Space Rental 2,270.18 2,999.97 -729.79 75.67%

Total 850 · Rental Income 2,270.18 2,999.97 -729.79 75.67%

Dental Income


ADJUSTMENTS

Refunds 0.00 -75.01 75.01 0.0%

Reserve -3,791.51

ADJUSTMENTS - Other -18,315.99 -20,197.53 1,881.54 90.68%

Total ADJUSTMENTS -22,107.50 -20,272.54 -1,834.96 109.05%



Dental Inc - Insurance Incentiv 0.00 75.01 -75.01 0.0%



Incentive Payments

RMHMO 498.50

Medicaid 1,295.75

Incentive Payments - Other 279.00 5,249.97 -4,970.97 5.31%

Total Incentive Payments 2,073.25 5,249.97 -3,176.72 39.49%

400.1 · Services 880.00 375.02 504.98 234.65%


Reserve Adjmt 32,503.99

400.92 · Refunds-Allowances -35,029.10

400.9 · Patient Fee Writeoffs - Other -122,573.87 -139,077.00 16,503.13 88.13%


400 · Patient Services Revenue - Other 360,218.66 404,752.00 -44,533.34 89.0%

Total 400 · Patient Services Revenue 238,072.93 271,299.99 -33,227.06 87.75%

408. · Medical Records Copy Fee 22.00 93.74 -71.74 23.47%

420 · Medicare Audit-Cost Report 10,344.00 30,000.01 -19,656.01 34.48%

Total Income 374,466.79 411,696.12 -37,229.33 90.96%

Expense

642 · Donations 125.00

629 · Charitable Contributions 0.00 562.50 -562.50 0.0%


Dues and Subscriptions 0.00 374.99 -374.99 0.0%

Workmans Comp 0.00 374.99 -374.99 0.0%

Licenses and Fees 391.00 374.99 16.01 104.27%

Tuition and Fees 295.00 75.01 219.99 393.28%

Dental Memberships 0.00 1,305.00 -1,305.00 0.0%

Service Agreements 600.67 74.97 525.70 801.21%

Page 1 of 6

9:01 AM

11/08/18

Accrual Basis




Billing 0.00 4,125.01 -4,125.01 0.0%

Advertising 0.00 337.50 -337.50 0.0%

Depreciation 7,567.02 5,885.64 1,681.38 128.57%

Dental Payroll Taxes 0.00 2,544.03 -2,544.03 0.0%

Accounting 2,200.00 900.00 1,300.00 244.44%

Repairs & Maint 44.85 975.01 -930.16 4.6%

Dental Wages 40,286.48 29,925.00 10,361.48 134.63%

Dental Office Supplies 0.00 262.49 -262.49 0.0%

Dental Lab 4,689.40 4,125.01 564.39 113.68%

Dental Insurance Cost 777.00 750.01 26.99 103.6%


Travel 2,504.08 4,068.00 -1,563.92 61.56%

Dental Professional Pay - Other 10,650.00 9,810.00 840.00 108.56%

Total Dental Professional Pay 13,154.08 13,878.00 -723.92 94.78%

Dental Supplies 6,687.95 6,000.03 687.92 111.47%

649 · Dental Expense - Other 714.37 825.02 -110.65 86.59%


605 · Accounting

605.4 · Billing Fees -Prac Part & Tina 7,713.48 4,500.00 3,213.48 171.41%

605.01 · LFHSD 1,965.00 2,025.00 -60.00 97.04%

605.02 · LCAMC 4,809.71 6,750.00 -1,940.29 71.26%

Total 605 · Accounting 14,488.19 13,275.00 1,213.19 109.14%

610 · Advertising

610.01 · LFHSD 200.60 750.01 -549.41 26.75%

610.02 · LCAMC 4,529.77 5,625.00 -1,095.23 80.53%

610 · Advertising - Other 349.90

Total 610 · Advertising 5,080.27 6,375.01 -1,294.74 79.69%

612 · Audit, LFHSD 4,450.00 3,150.00 1,300.00 141.27%

620 · Bank Charges 1,115.07 525.01 590.06 212.39%

625 · Bank Credit Card Fees 2,184.58 2,624.99 -440.41 83.22%

627 · Books & Magazines 69.29 18.76 50.53 369.35%

628 · Cash Over Short -0.81 3.74 -4.55 -21.66%

630 · Collection Agency Fees 140.33

639 · Computer

639.5 · Maintenance Contract 15,986.48 9,000.00 6,986.48 177.63%

639.1 · Software 477.00 2,250.00 -1,773.00 21.2%

639.2 · Services 17,982.19 2,475.00 15,507.19 726.55%

639.3 · Hardware/Office Machines 800.61 900.00 -99.39 88.96%

639.4 · On Line Internet 891.00 900.00 -9.00 99.0%

Total 639 · Computer 36,137.28 15,525.00 20,612.28 232.77%


640.3 · Contract Services-Medicl Cnty 3,600.00

640 · Contract Labor - Other 3,558.84 21,600.00 -18,041.16 16.48%

Total 640 · Contract Labor 7,158.84 21,600.00 -14,441.16 33.14%

Page 2 of 6

9:01 AM

11/08/18

Accrual Basis




641 · Courier 2,283.16 2,624.99 -341.83 86.98%

650 · Depreciation

Xray Eqmt 1,804.50 1,756.35 48.15 102.74%

Medical Eqmt 16,691.67 14,392.44 2,299.23 115.98%

Office Eqmt 20,765.95 17,298.18 3,467.77 120.05%

Bldgs 55,653.54 55,653.57 -0.03 100.0%

Total 650 · Depreciation 94,915.66 89,100.54 5,815.12 106.53%

655 · Dues & Subscriptions

655.2 · Memberships 3,427.00

655.3 · Subscriptions 667.37

655 · Dues & Subscriptions - Other 1,292.53 3,862.53 -2,570.00 33.46%

Total 655 · Dues & Subscriptions 5,386.90 3,862.53 1,524.37 139.47%

656 · Entertainment/Meals 373.98 1,499.99 -1,126.01 24.93%


660.4 · Staff Meetings 619.10 975.01 -355.91 63.5%

660.3 · Meals 245.72 262.49 -16.77 93.61%

660.1 · Tuition & Fees 7,887.06 2,624.99 5,262.07 300.46%

660.2 · Travel & Lodging 6,345.20 2,100.01 4,245.19 302.15%

745 · Seminars & Meetings, Business

745.3 · Travel & Lodging 0.00 3,600.00 -3,600.00 0.0%

745 · Seminars & Meetings, Business - Other 0.00 300.01 -300.01 0.0%

Total 745 · Seminars & Meetings, Business 0.00 3,900.01 -3,900.01 0.0%

660 · Education,Staff - Other 0.00 225.00 -225.00 0.0%

Total 660 · Education,Staff 15,097.08 10,087.51 5,009.57 149.66%

670 · Insurance

670.1 · Building Liability 3,693.79 2,775.01 918.78 133.11%

670.2 · Health Employee 36,895.90 38,700.00 -1,804.10 95.34%

670.3 · General Liability 3,570.32 2,700.00 870.32 132.23%

670.5 · Malpractice 12,699.00 9,375.03 3,323.97 135.46%

Total 670 · Insurance 56,859.01 53,550.04 3,308.97 106.18%

677 · Interest Expense 0.00 112.50 -112.50 0.0%

680 · Lab - Hospital Processing 452.50

681 · Radiologist Interpretation 0.00 1,499.99 -1,499.99 0.0%

690 · Licenses & Fees 4,924.73 5,700.01 -775.28 86.4%



Payment 6,753.50

Wage 16,000.00

715.1 · Loan Repayment - Other -4,000.00

Total 715.1 · Loan Repayment 18,753.50

715.2 · Moving 2,323.21

715.3 · Taxes/Payroll - 8.5% 34,481.60 31,896.00 2,585.60 108.11%

715.4 · Wages 369,056.11 363,411.00 5,645.11 101.55%

715.5 · Workman's Compensation 7,245.70 5,249.97 1,995.73 138.01%

Page 3 of 6

9:01 AM

11/08/18

Accrual Basis




715.6 · HSA 4,400.00 4,199.99 200.01 104.76%

715 · Personnel Expenses - Other 2,795.93



722.1 · Consulting Fees 1,330.00 1,800.00 -470.00 73.89%

722.2 · Travel 424.20 562.50 -138.30 75.41%

Total 722 · Pharmacy Consultant 1,754.20 2,362.50 -608.30 74.25%

725 · Postage 2,002.71 2,250.00 -247.29 89.01%

734 · Recruiting 1,875.98 1,125.00 750.98 166.75%


735.1 · Building & Building Eqmt 8,095.87 5,250.01 2,845.86 154.21%

735.2 · Cleaning

Wages 8,388.36 11,845.53 -3,457.17 70.82%

735.2 · Cleaning - Other 818.06 337.50 480.56 242.39%

Total 735.2 · Cleaning 9,206.42 12,183.03 -2,976.61 75.57%

735.3 · Equipment-Medical 0.00 3,749.99 -3,749.99 0.0%

735.4 · XRAY 0.00 1,125.00 -1,125.00 0.0%

735 · Repair & Maintenance - Other 2,271.10 750.01 1,521.09 302.81%

Total 735 · Repair & Maintenance 19,573.39 23,058.04 -3,484.65 84.89%

750 · Supplies

723 · Pharmacy & Medications 20,742.04 26,212.50 -5,470.46 79.13%

750.1 · Lab 8,789.13 14,099.99 -5,310.86 62.33%

750.2 · Medical

Change in Inventory 0.00 -2,250.00 2,250.00 0.0%

750.2 · Medical - Other 6,820.88 9,750.01 -2,929.13 69.96%

Total 750.2 · Medical 6,820.88 7,500.01 -679.13 90.95%

750.3 · Office 7,248.04 7,650.00 -401.96 94.75%

750.4 · General Supplies 201.68 900.00 -698.32 22.41%

Total 750 · Supplies 43,801.77 56,362.50 -12,560.73 77.71%

765 · Telephones

765.1 · Centurytel 4,644.90 5,625.00 -980.10 82.58%

Total 765 · Telephones 4,644.90 5,625.00 -980.10 82.58%

775 · Utilities

775.1 · Cable 376.42 374.99 1.43 100.38%

775.2 · Electric 9,285.84 10,875.01 -1,589.17 85.39%

775.3 · EMS Utilities Reimbursement -13,817.55 -11,720.25 -2,097.30 117.9%

775.4 · Gas 6,431.19 14,250.01 -7,818.82 45.13%

775.5 · Water & Sewer 640.00 720.00 -80.00 88.89%

Total 775 · Utilities 2,915.90 14,499.76 -11,583.86 20.11%


777.1 · Bio-Hazard Materials 2,561.27 8,249.99 -5,688.72 31.05%

777.2 · Trash Disposal 1,890.00 2,025.00 -135.00 93.33%

Total 777 · Waste Management 4,451.27 10,274.99 -5,823.72 43.32%

999 · Suspense

Page 4 of 6

9:01 AM

11/08/18

Accrual Basis




RMHMO 0.00

BCBS 0.00

MEDICAID 15.00

DENTAL 0.00

AETNA 0.00

999 · Suspense - Other -645.21

Total 999 · Suspense -630.21

Total Expense 848,094.84 825,125.56 22,969.28 102.78%

Net Ordinary Income -473,628.05 -413,429.44 -60,198.61 114.56%


Other Income

HF Proceeds 0.00

890 · Donation Income

890.1 · Endowment 443.63

890 · Donation Income - Other 9,392.53 2,624.99 6,767.54 357.81%

Total 890 · Donation Income 9,836.16 2,624.99 7,211.17 374.71%

895 · Grant Income 1,099.00 262.49 836.51 418.68%


11932 76.47 56.25 20.22 135.95%

896.2 · Colorado Trust 2,662.84 750.01 1,912.83 355.04%

Total 896 · Interest Earned 2,739.31 806.26 1,933.05 339.76%



901.1 · Treasurer Fee -26.64 -9.00 -17.64 296.0%

901 · 1% Motor Vehicle Sales Tax - Other 949.35 374.99 574.36 253.17%

Total 901 · 1% Motor Vehicle Sales Tax 922.71 365.99 556.72 252.11%

902 · 1% Sales Tax

902.1 · Hinsdale County 108,000.00 110,250.00 -2,250.00 97.96%

Total 902 · 1% Sales Tax 108,000.00 110,250.00 -2,250.00 97.96%

904 · Property Tax

904.1 · Earned Interest/Property Tax 856.80 900.00 -43.20 95.2%

904 · Property Tax - Other 234,000.00 233,985.74 14.26 100.01%

Total 904 · Property Tax 234,856.80 234,885.74 -28.94 99.99%

905. · Specific Ownership Tax 18,000.00 17,625.01 374.99 102.13%

Total 900 · Health Service District Revenue 361,779.51 363,126.74 -1,347.23 99.63%

Total Other Income 375,453.98 366,820.48 8,633.50 102.35%

Other Expense


958 · Dues & Memberships 0.00 225.00 -225.00 0.0%

951 · 5% Treasurer's Fee/Property Tax 14,612.38 11,694.74 2,917.64 124.95%

952 · Board of Director's Expenses 196.73 450.00 -253.27 43.72%

953 · Board of Directors Training 0.00 750.01 -750.01 0.0%

955 · Election Expense 0.00 15.03 -15.03 0.0%

956 · Legal Fees 7,762.75 3,749.99 4,012.76 207.01%

Page 5 of 6

9:01 AM

11/08/18

Accrual Basis




960 · Public Officials Liability Insu 1,443.76 1,162.49 281.27 124.2%

966 · Public Health/Community Service

Advertising 0.00 750.01 -750.01 0.0%

966 · Public Health/Community Service - Other 0.00 75.01 -75.01 0.0%

Total 966 · Public Health/Community Service 0.00 825.02 -825.02 0.0%

970 · Seminars & Meetings 0.00 750.01 -750.01 0.0%

Total 950 · Health Services District Expens 24,015.62 19,622.29 4,393.33 122.39%

Total Other Expense 24,015.62 19,622.29 4,393.33 122.39%

Net Other Income 351,438.36 347,198.19 4,240.17 101.22%

Net Income -122,189.69 -66,231.25 -55,958.44 184.49%

Less Depreciation -19,707.01 28,754.93 -48,461.94

Page 6 of 6

NOTE OCT 2018

As Filed Corrected INDEX ACTUAL

Income

Dental Income

Adjustments (30,617) (26,930) (22,108)

Patient Income 133,000 145,000 120,789

Dental Incentive 100 100

Total Dental Income 102,483 118,170 A 98,681

Patient Income

Adjustments (185,436) (164,000) B (144,346)

Incentvie

Patient Service Income 560,000 475,000 C 395,069

Total Clinic Income 374,564 311,000 250,723

Other Income 4,617

Services 500

Overpayment

Medical Records Copy Fees 125 25 22

Medicare Incentive 10,000 30,337 D 30,337

Rental Income 3,000 3,700 2,715

Medicare Cost Report 40,000 25,000 E 15,344

Total Other 58,242 59,062 48,418

Total Income 535,289 488,232 397,822

Expenses

Dental Expenses

Billing 5,500

Advertising 450

Accounting 1,200 3,025 2,475

Dental Payroll Taxes 4,626 3,392

Utilities

Repairs and Maint 1,300 250 45

Dental Wages (Dentist) 39,900 51,632 F 43,906

Dental Telephone

Dental Office Supplies 350

2018 Budget

LAKE FORK HEALTH SERVICES DISTRICT

CORRECTED BUDGET

2018

Page 1 of 5

NOTE OCT 2018


2018 Budget


CORRECTED BUDGET

2018

Software

Dental Lab 5,500 5,500 5,132

Dental Insurance 1,000 777 777

Dental Contract Labor

Dental Travel 5,424 3,104 2,704

Dental Professional Pay(Hygiene) 13,080 13,080 11,978

Dental Supplies 8,000 7,500 6,717

Dental Dues and Subscriptions 500

Denta Work Comp 500

Dental License Fees 500 500 391

Dental Tuition and Fees 100 295 295

Dental Memberships 1,740

Service Agreements 500 601 601

Dental other 1,100 1,000 714

Total Dental Expense 91,270 90,656 75,735

Acounting

LCAMC 9,000 6,000 5,085

LFHSD 2,700 2,700 2,183

Billing Fees 26,000 7,825 G 7,823

Advertising

LFHSD 1,000 300 201

LCAMC 7,500 5,500 5,100

Audit- LFHSD 4,200 4,450 4,450

Bank Charges 700 1,500 1,155

Bank Card Fees 3,500 2,200 2,179

Books and Magazines 25 75 69

Cash Over Short 5 (1)

Computer

Maintenance Contracts 5,000 17,500 H 17,240

Software 3,000 500 477

Services 3,300 24,057 I 20,057

Hardware 1,200 900 801

Internet 1,200 1,188 990

Contract Labor 7,159 7,159

Courier 3,500 3,500 2,658

Dues and Subscriptions 5,150 6,000 6,000

Entertainment/Meals 2,000 400 374

Staff Training 12,450 19,250 17,217

Insurance

Page 2 of 5

NOTE OCT 2018


2018 Budget


CORRECTED BUDGET

2018

Employee Health 51,600 50,830 38,830

Malpractice 12,300 13,068 13,083

Property and Liability 7,300 8,487 7,752

Lab - 453 453

Radiologist Interpretation 2,000

Legal 1,000

Licenses and fees 7,600 6,000 5,601

Personnel Expense

Payroll Tax 37,635 42,529 38,390

Wages 426,577 496,000 J 436,863

Workman's Comp 7,500 7,246 7,246

H S A 5,600 5,600 4,900

Other (Contract & Other) 37,800 4,025 K 4,025

Pharmacy Consultant 3,150 3,150 2,005

Postage 3,000 2,500 2,085

Recruiting 15,000 1,876 L 1,876

Repair and Maintenance

Building 7,000 9,500 M 9,072

Cleaning 15,530 11,500 9,564

Equipment 5,000 3,500 3,030

X-ray 1,500

other 1,000 2,500 2,271

Supplies

Pharmacy 43,750 27,500 N 24,649

Lab 18,800 11,000 9,768

Medical 10,000 7,500 6,055

Office 10,200 9,500 8,945

General 1,200 250 202

Other

Telephone 7,500 7,500 5,167

Travel

Utilities

Cable 500 500 468

Electric 14,500 12,500 10,356

Propane 19,000 12,000 7,501

Water Sewer 960 960 640

EMS Reimbursement (15,627) (17,500) (13,818)

Waste Management

Bio Waste 11,000 4,800 3,385

Sanitation 2,700 2,600 2,145

Other (653) (653)

Page 3 of 5

NOTE OCT 2018


2018 Budget


CORRECTED BUDGET

2018

Gifts

Donations 750 750

Interest Expense 150 150

Total Clinic Expense 864,904 859,125 753,073

Net Operating Income (420,885) (461,549) (430,986)

Other Income and Expense

Donation Income 3,500 10,000 9,837

Grant Income 350 2,100 1,099

Interest Income 1,075 3,739 2,739

Health District Income

1% Motor Vehicle 488 1,000 976

Sales Tax 145,000 147,000 120,000

Property Tax 313,181 313,181 O 260,914

Specific Ownership Tax 23,500 23,500 20,000

Total Other Income 487,094 500,520 415,565

District Expense

Dues and Memberships 300

5% Treasurer's Fee 15,593 15,593 14,699

BOD Expense's 600 200 197

BOD Training 1,000

BOD Minutes -

Legal Fees 5,000 8,000 P 7,763

Public Officials Liability Ins 1,550 1,550 1,444

Fund Raising Exp -

BOD Election Fees 10,000 Q

Advertising 1,100 1,100

BOD Seminars 1,000 1,000

Other (3)

Total Other Expense 36,143 27,443 24,100

Page 4 of 5

NOTE OCT 2018


2018 Budget


CORRECTED BUDGET

2018

Net Income 30,066 11,528 (39,521)

Less Depreciation

Net Income PER FINL STMT 30,066 11,528 (39,521)

FUND BALANCE TOTAL 292,948

Total Net Revenue 1,022,383 988,752 813,387

Total Expenses 992,317 977,224 852,908

Net Income (Loss) 30,066 11,528 (39,521)

Total Expenses 992,317 977,224 852,908

Less:Depreciation - - -

Total Expenditures 992,317 977,224 852,908

Capital Expenditures 10,000 10,000 10,000

Contingency Expenditures 15,000 15,000 15,000

Total Appropriated Expenditures 1,017,317 1,002,224 877,908

Page 5 of 5

2017 2019

Dental Pt Count 796 710

Medical Pt Count 4292 4250

2019

2017 As Filed Budget

Income

Dental Income

Adjustments (32,182) (30,617) (33,755)

Patient Income 147,335 133,000 145,000

Dental Incentive 139 100

Total Dental Income 115,292 102,483 111,245

Patient Income

Adjustments (256,610) (185,436) (165,000)

Insurance Incentvie 1,100

Patient Service Income 583,193 560,000 553,000

Total Clinic Income 326,583 374,564 389,100

Other Income 7,542 4,617

Services 480 500 500

Overpayment (1,282) -

Medical Records Copy Fees 82 125 50

Medicare Incentive 15,075 10,000 5,000

Rental Income 4,325 3,000 4,200

Medicare Cost Report 36,805 40,000 40,800

Total Other 63,027 58,242 50,550

Total Income 504,902 535,289 550,895

2018ACTUAL

2019


BUDGET

Page 1 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Expenses

Dental Expenses

Billing 6,068 5,500

Advertising 718 450 500

Accounting 1,255 1,200 3,300

Dental Payroll Taxes 4,626 3,494

Repairs and Maint 126 1,300 400

Dental Wages (Dentist) 49,285 39,900 41,100

Dental Office Supplies 138 350 250

Dental Lab 5,957 5,500 5,500

Dental Insurance 794 1,000 1,000

Dental Travel 4,645 5,424 3,024

Dental Professional Pay(Hygiene) 16,005 13,080 13,080

Dental Supplies 6,622 8,000 8,000

Dental Dues and Subscriptions 500 600

Denta Work Comp 500

Dental License Fees 51 500 400

Dental Tuition and Fees (69) 100 15

Dental Memberships 2,926 1,740 2,200

Service Agreements 500 600

Dental other 1,282 1,100 3,100

Total Dental Expense 95,804 91,270 86,563

Page 2 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Acounting

LCAMC 9,564 9,000 5,000

LFHSD 2,714 2,700 2,600

Billing Fees 19,262 26,000 -

Advertising 2,800

LFHSD 30 1,000

LCAMC 11,781 7,500

Audit- LFHSD 4,250 4,200 4,500

Bank Charges 206 700 4,500

Bank Card Fees 4,547 3,500

Books and Magazines 25 70

Cash Over Short 1 5 15

Computer

Maintenance Contracts 27,440 5,000 18,000

Software 2,685 3,000 3,000

Services 9,857 3,300 27,500

Hardware 1,327 1,200 1,000

Internet 1,089 1,200 900

Courier 3,542 3,500 2,900

Dues and Subscriptions 5,414 5,150 8,000

Page 3 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Staff Appreciation 2,000 700

Staff Training 10,825 12,450 14,000

Insurance

Employee Health 51,347 51,600 59,466

Malpractice 15,165 12,300 11,200

Property and Liability 7,930 7,300 9,600

Lab - 500

Radiologist Interpretation 2,000 2,000

Licenses and fees 8,155 7,600 6,500

Personnel Expense

Payroll Tax 44,252 37,635 45,323

Wages 491,718 426,577 522,441

Workman's Comp 14,486 7,500 7,500

H S A 6,450 5,600 7,200

Other (Contract & Other) 13,325 37,800 -

Pharmacy Consultant 2,506 3,150 2,800

Postage 2,307 3,000 2,200

Recruiting 15,000 900

Repair and Maintenance -

Building 15,168 7,000 11,809

Cleaning 16,022 15,530 10,770

Equipment 3,251 5,000 6,500

X-ray 773 1,500 2,500

other 1,620 1,000 1,600

Supplies

Page 4 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Pharmacy 34,533 43,750 23,000

Lab 19,607 18,800 18,000

Medical 9,285 10,000 7,300

Office 10,387 10,200 11,700

General 1,045 1,200

Other 754

Telephone 7,204 7,500 6,500

Utilities

Cable 588 500 600

Electric 13,218 14,500 14,500

Propane 17,615 19,000 16,200

Water Sewer 982 960 960

EMS Reimbursement (19,028) (15,627) (16,566)

Waste Management -

Bio Waste 12,397 11,000 8,500

Sanitation 2,732 2,700 2,750

Other (4,551) -

Gifts 50 -

Donations 700 750 700

Interest Expense 150

Total Clinic Expense 916,526 864,904 900,438

Net Operating Income (507,428) (420,885) (436,106)

Page 5 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Other Income and Expense

Donation Income 4,741 3,500 5,200

Grant Income 312 350 -

Interest Income 2,295 1,075 3,400

1% Motor Vehicle 476 488 600

Sales Tax 147,077 145,000 144,000

Property Tax 333,706 313,181 313,000

Specific Ownership Tax 23,429 23,500 23,000

Total Other Income 512,035 487,094 489,200

District Expense

Dues and Memberships 300

5% Treasurer's Fee 16,685 15,593 15,700

BOD Expense's 753 600 800

BOD Training 1,000 500

Legal Fees 27,825 5,000 5,000

Public Officials Liability Ins 1,543 1,550 1,500

BOD Election Fees 20 10,000

Advertising 1,100

BOD Seminars 1,000 590

Other 129 1,500

Total Other Expense 46,955 36,143 25,590

Page 6 of 7

2017 2019



2019


2018ACTUAL

2019


BUDGET

Net Income (42,348) 30,066 27,504

-

Net Income PER FINL STMT (212,998) 30,066 27,504

FUND BALANCE TOTAL 298,747 295,848

Total Net Revenue 1,022,383 1,040,095

Total Expenses 992,317 1,012,591

Net Income (Loss) 30,066 27,504

Total Expenses 992,317 1,012,591

Total Expenditures 831,317 1,012,591

Capital Expenditures 10,000 10,000

Contingency Expenditures 15,000 20,000

Total Appropriated Expenditures 856,317 1,042,591

Page 7 of 7

October 2018 Business Manager Report

Review A/R log to identify that old claims are being resubmitted.

Send monthly bank statements to CPA for reconciliation. Assist CPA with questions.

Send website update information to Dan Wampler.

Prepare and review AP documents for Cindy. Amex.

Send provider on call schedule to Jerry Gray.

Monitor cross check exceptions as well as unsigned/unsaved notes.

Prepare information for the October regular board meeting and post agendas.

Attend October regular board meeting and provide reports.

Assist with time clock as needed. Review timeclock records and submit to Cindy for payroll.

Work with additional insurance companies on Dr. Carr/Ashley’s credentialing.

Request and record volunteer board hours.

Prepare agenda and attend October staff meeting and quality improvement meetings. Record

minutes.

Assist with evaluations.

Work on QI information including creating patient wait time surveys.

Communicate with ins company ref to employee ins changes.

Submit report for RMHP RAE program.

Continue work on 2019 budget.

Continue to monitor and update licenses, certifications, and insurance.

Submit charts for review for PA.

Coordinate staff training outside of office.

Approve schedules and enter into EMR.

Submit ad info to newspaper, including Gunnison Shopper.

Communicate with Purdue University ref to Jennifer.

Arrange for meeting with Gunnison physicians.

Ask Dan to remove “outside” provider option in EMR.

Work with Heights in ref to patient notes, billing questions.

Submit ACO reimbursement form.

Work with Richard in regards to EMS garage door.

Communicate with Laura ref to HRSA student loan repayment.

Communicate with Dan ref to patient wait time calculations.

Coordinate meeting for picture with endowment supporters.

Continue to assist Ashley with setup.

CPR reminder and attend class.

Coordinate fire inspection with Bill Hagendorf.

Communicate with Dan ref to fall risk screening.

Contact attorney in ref to payroll question. Relay answer to Cindy.

Communicate with Jerry Gray in ref to EMS flu vaccines.

Work with WHS to set 2019 health fair date. Friday, May 10, 2019.

Coordinate fire fighters physical schedule.

Communicate with SDA ref to GL renewal.

All other tasks as assigned.

To be added to Employee Guidelines, Leave Management, Section V

Extended Medical Leave Policy- “Lake Fork Health Service District does not offer FMLA leave assistance. According to the state law of Colorado, if a business employs less than 50 people, that business is not required to offer FMLA. When extended leave is requested, the medical director, dental director, and/or executive director will take all facts into consideration and will not discriminate against anyone, including those who may fall into a protected class. Routine follow up must occur according to schedule and the employee will be released back to work at the provider’s discretion. Employee understands that paid time is only available up to the maximum amount allowed per PTO policy, including time that may be gifted from another employee. Additional time above and beyond that allowed by PTO policy will be without pay.


STATISTICS SUMMARY

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2017 2018

MEDICAL PATIENT COUNTS

CARR 0 1 6 45 2 65 134 91 32

MINES

DOWNS 155 110 83 69 112 152 158 162 143

HUISMAN, MORGAN(JUL, AUG, SEP) 103 145 116 126 124 181 98 131 108

TOTAL 258 256 205 240 238 398 390 384 283 3,484 2,643

LOCAL 265 189 238 119

VISITOR 127 201 146 159

PHYSICALS 6 5 6 5

TOTAL 398 390 384 283

DENTAL PATIENT COUNTS

BRUCE 27 24 57 0 49 68 23 46 41

LORI 14 19 14 16 7 21 20 18

BONNIE 11 13 13 13 12 15 18 12 14

TOTAL 52 56 84 29 68 104 61 76 55 0 0 0 607 585

ACCOUNTS RECEIVABLE

MEDICAL

DAYS IN AR 178 176 101 87 75 65 55 59

AR BALANCE 188,336 176,217 99,372 81,216 99,515 107,800 102,297 96,279

NET WRITE-OFFS FOR MONTH 10,454 8,877 8,979 11,864 8,687 22,297 24,544 18,446 13,085 127,233

DENTAL

DAYS IN AR 241 162 157 148 156 133 142 167

AR BALANCE 57,138 64,271 55,909 65,867 75,135 71,813 75,324 77,569

SEP YTD2018


STATISTICS SUMMARY

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2017 2018

SEP YTD2018

NET WRITE-OFFS FOR MONTH 2,660 921 4,430 582 4,362 4,517 (233) 2,521 1,697 21,457

MONTHLY REVENUE

MEDICAL

REVENUE 32,133 32,773 25,268 29,342 31,532 59,964 61,163 51,475 36,816 481,678 360,466

PATIENT COUNT 258 256 205 240 238 398 390 384 283 3,484 2,643

AVG PER PATIENT 125 128 123 122 132 151 157 134 130 138 136

DENTAL

REVENUE 7,867 8,899 18,840 3,977 18,207 21,718 9,607 17,321 15,779 107,710 122,215

PATIENT COUNT 52 56 84 29 68 104 61 76 55 607 585

AVG PER PATIENT 151 159 224 137 268 209 157 228 287 177 209

Documents

LAKE FORK HEALTH SERVICE DISTRICT BOARD OF DIRECTORS ...lcamc.net/images/board/11_15_2018_Board_Meeting_Packet.pdf · Treasurer: Scott Beedy Board Member: Jerry Johnson III. Workshop