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HomeMy WebLinkAboutRes2016-054Sponsored by: Hunt CITY OF SEWARD, ALASKA RESOLUTION 2016-054 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, APPROVING THE 2017 GRANT YEAR BUDGET FOR THE SEWARD COMMUNITY HEALTH CENTER AS REQUIRED BY THE CO - APPLICANT AGREEMENT'BETWEEN THE CITY OF SEWARD AND THE SEWARD COMMUNITY HEALTH CENTER WHEREAS, the Seward City Council enacted Ordinance 2010-008 on December 13, 2010, establishing the powers and duties of the Governing Board of Directors ("Governing Board") charged with oversight of the Seward Community Health Center, as amended by Ordinance 2013- 013 on December 16, 2013; and WHEREAS, the City of Seward ("City") and the Seward Community Health Center ("CHC") are co -applicants as a federally qualified health center in accordance with Section 330 of the Public Health Service Act (42 U.S.C. §254b); and WHEREAS, the City and the CHC entered into a Co -Applicant Agreement dated February 20, 2014, wherein the parties agreed that the CHC budget would be submitted to the City Council after approval by the Governing Board and providing that "the City Council may not unilaterally revise a budget approved by the Governing Board or approve an alternate budget for the Health Center without review and final approval by the Governing Board, with subsequent follow-up by the City Council"; and WHEREAS, the Governing Board of the CHC approved the 2015 Seward Community Health Center Section 330 (Year 3) grant budget at a board meeting held on August 27, 2015, and the Coordinating Committee ("Committee") of the CHC met to review the grant budget, and both the Governing Board and the Committee recommend approval by the Seward City Council. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA that: Section 1. The Seward City Council hereby approves the 2017 budget of the Seward Community Health Center ("CHC"), representing the Year 3 grant budget for Section 330 funding through the Health Resources and Services Administration. Section 2. The CHC is requesting a financial contribution from the City of Seward in the amount of $400,000 for the 2017 grant year which will be subject to approval by the Seward City Council during its upcoming budget deliberations. Section 3. This resolution shall take effect immediately upon its adoption. CITY OF SEWARD, ALASKA RESOLUTION 2016-054 PASSED AND APPROVED by the City Council of the City of Seward, Alaska, this 6h day of September, 2016. THE CITY OF SEWARD, ALASKA can Bardarson, Mayor AYES: Casagranda, Keil, Squires, McClure, Altermatt, Bardarson NOES: None ABSENT: Butts ABSTAIN: None ATTEST: Brenda J. B ou, CMC Acting Cito�,db °r.. ®� of: 'Sew (Cit*600kqo■■•■o0 6% M C ue Z � O o � SEA o s. e � 4 ■ � •s•�— N C 0 o e. J0000 02 1110 OF ea�e8901joy90 Meeting Date: September 6, 2016 'To: City Council Through: Jim I-Iunt, City Manager From: Kristin Erchinger, Finance Director Agenda Item: City Council Co -Applicant Approval of Section 330 Seward Community Health Center 2017 Budget BACKGROUND & JUSTIFICATION: The Seward City Council authorized the creation of the Seward Community 1--lealth Center (SCHC) and governing Board when it enacted Ordinance 2010-008 in December 2010, subsequently amended by Ordinance 201.3-013 on December 16, 2013. The City of Seward and SCHC are co -applicants for Section 330 federal funding to operate a federally qualified health center in Seward; together, the entities comprise the Health Center. The parties entered into a Co -Applicant Agreement (Agreement) on February 20, 2014 approved by City Council Resolution 2014-018. This Agreement requires that the SCHC budget be approved first by the governing Board and then by the City Council, and includes the following language: § 3.2.4 "The Governing Board shall approve the annual operating and capital budget in accordance with Section 330 requirements and City policies, The overall plan and budget shall be prepared under the Governing Board's direction by the Health Center's management team and the Finance Committee (rfthe Governing Board " § 3.2 5 "The Governing Board shall submit an annual budgetfi)r the health center to the City Council for approval, as a co -applicant requirement of Section 330. The Board shall submit the budget no later than October I (?f each yearjbr, the, following year. if the Board unreasonably fails to approve an annual budget, the City may still submit the annual funding request tinder Section 330 of the Federal Public Health Service Act. No budget shall become e ctivcr without City Council approval. § 4.2.4 "The City Council shall be responsible for adopting the Health Centers, annual operating and capital budgets as finally approved by the Governing Board; the City Council may not unilaterally revise a budget approved b)� the Governing Board or approve an alternate budget for the, Health Center without review and final approval by the Governing Board with subsequent.161low-up by the Council in accordance with Seward City Code 2.40.030(a). In accordance with Section 5 of the Agreement, the parties also agree to participate in a Coordinating Committee comprised of one member each of the Governing Board, the City Council, the Health Center executive director, and the City Manager or his designee. This group met to review the proposed 2016 Seward Community Health Center budget and has recommended its approval. The budget must be submitted to MRSA no later than September 19, 2016. Further, Health Resources and Services Administration (HRSA) issued Policy Information Notice 2013-01 on March 18, 2014, requiring that health centers prepare and submit grant applications that contain a total budget for the health center scope of services for 12 months, and the budget must include a separate budget breakdown for the Section 330 funding proposed for the application period, showing costs supported by the grant and costs supported by other sources of non-I-IRSA funding (i.e. patient revenue, City grant funding, other funding). INTENT: Fulfill the City's obligation as co -applicant Section 330 grantee, to approve the 2016 Seward Community Health Center grant budget. CONSISTENCY CHECKLIST: Yes No N/A 1. Comprehensive Plan (document source here): "L.ffivive, .4�ctive, accessible, �f X 16rdable healthcare ", p. 12. af Strategic Plan (document source here): "Maintain and enhance medical 2. services",, X 3. Other (list): Co -Applicant Agreement dated 2120114; MRSAMRSAPIN 2013- X 01, p_5 -ti. FISCAL NOTE: The SCHC anticipates HRSA federal funding for the period 2/l/16-1/31/17 totaling $1,204,453 including a base allocation of approximately $709,681 and expanded services allocation of $341,462. These amounts are subject to change by IIRSA, depending on patient visits. The SCFIC requests $500,000 from the City to support its 2016 operations during its first year operating with a full staff of three full-time providers. As the clinic achieves its goal of increasing patient visits, it is expected that patient revenues will comprise a larger portion of clinic funding, necessitating less operating subsidy From the City. The clinic is estimating patient revenues of $1,217,805 in 2016. Approved by Finance Department: 4 � ", < — ATTORNEY REVIEW: Yes — No—X RECOMMENDATION: Resolution 2015 - 054 City Council approve the Section 330 Co -Applicant Seward Community Health Center 2016 Budget. SEWARD COMMUNITY HEALTH CENTER City of Seward City Council August 26, 2016 Action Item Topic: Seward Community Health Center 2017 330 Grant Budget Recommended By: SCHC Board of Directors Action Requested: The Board of Directors is recommending that the Seward City Council approve the 330 Grant Budget for grant year 2017 for submission to HRSA Discussion: Every three years 330 grantees are required to submit a rigorous set of application materials through a funding announcement called a Service Area Competition (SAC). and three of this three-year project period cycle, we are required to submit an annual Budget Period Progress Report or BPR. One major part of this multi-part BPR is our proposed 330 grant budget for the th upcoming budget period. Our BPR is due to be submitted no later than September 19. Our Co-Applicant Agreement requires that the City Council approve the annual federal grant budget after it has been approved and recommended by the SCHC Board of Directors. The Board unanimously approved the grant budget at its regular monthly meeting held on Thursday Augusts 25, 2016, and is, therefore, recommending approval of the grant budget by the City Council. Please remember that there are some unique requirements for submitting federal 330 grant budgets that make them different than how we do our annual fiscal year budgets (which come through the Board process in November and December of each year). 330 grant budgets must achieve a $0 bottom line. And we have to budget our federal dollars to a very specific number contained in one of the boxes on our most recent Notice of Grant Award (NGA). But even with these budget requirements, we do our best to make the budget calculations and estimates as realistic and relevant as possible so that much of what we prepare can also be used when preparing the fiscal year budget in a few months. \[2017 GRANT BUDGET HIGHLIGHTS AND ASSUMPTIONS FOLLOW\] Page 1 of 3 2017 330 Grant Budget Highlights and Key Assumptions SUMMARY: Following the required federal grant budget format, there are two sections/columns to the grant budget which when combined make up the total budget: HRSA (Federal) 330 grant revenue $1,147,754, and Other (Non-Federal) revenue of $1,921,174 The budget includes a breakdown of sources for Revenues & Expenses. Revenues \[$3,068,928\] o HRSA 330 Budget $1,147,754 1 o City of Seward contribution $400,000 o Patient Revenue $1,361,174 o Other/In-kind revenue $160,000 ($100k for 340B and $60,000 in-kind rent) Expenses \[$3,068,928\] Note: HRSA grant budgets require that expenses equal revenues o HRSA 330 funds used entirely for salaries and wages $1,147,754 o Non-Federal Expenses (includes some salaries/benefits & other operating costs) $1,921,174 Salary & Benefits $1,329,485 Other Operating Costs $591,689 KEY ASSUMPTIONS: Patient volume totals 6,679 billable provider encounters. This begins with our targeted projection of unduplicated patients for 2017 which is the same as that which is contained in our SAC application or 3,036 patients. The number of patients assumption is then multiplied byan average of 2.2 encounters per patient per year for a total of 6,679 encounters. Patient revenue/payer mix is based on estimated billable encounters per payor from our actual billing history and net income (gross charges less discounts and allowances) per visit as follows: 60% of encounters are Private Insurance @ $204.82 per encounter (up from 52%) 14% are Medicaid @ $289.74 per encounter (up from 11%) 18% are Medicare @ $194.52 per encounter (down from 20%) 8% are Self-pay @ $44.15 per encounter (down from 17%) The Staffing Profile includes 2 physicians and 2 s are being increased from current level and include: o 3.75 providers (2 physicians & 2 physician assistants) o 6.50 clinical support staff (RN, medical and nursing assistants) o 1.0 RN quality manager (new) o 3.0 front desk staff (registration & medical records) o 1.0 RN health educator/case manager o 2.0 outreach & enrollment (1 social worker/1 coordinator) o 1.0 billing specialist 1 SCHC requested and received $500,000 from the City for 2016 and a $400,000/$100,000 two-tier allocation in 2017 Page 2 of 3 o 3.15 admin staff (Executive Director, Finance Director, Executive Asst., Medical Director) Usual and customary non-personnel expenses include: o Billing/RCM services ($72,142 or 6% of net patient revenue) o Electronic Health Records System and IT Support fees ($29,900) o CHC CFO/fiscal management oversight services ($18,000 Providence Seward) o Independent Auditor ($15,000) o Legal Services ($3,000) o CHC technical consultation ($38,000 Suzanne, 340B, APCA, others) o Utilities & Services from Providence ($90,982) o Liability insurance packages ($20,257) o Medical, pharmaceutical and office supplies ($100,358 detailed analysis of recent history done for this budget) o Community Outreach and Enrollment ($8.800) o Minor equipment ($29,449 this is where we adjusted expenses to get bottom line to zero) o Board travel and education ($14,000 4 director trips @ $3,500/trip) o Provider and staff travel and training ($35,000) Page 3 of 3 Seward Community Health Center, Inc.Year 1 2017 Budget DraftHRSAOtherTOTAL WORKING BUDGET - NOT FOR SUBMISSIONFederalNon-Federal Volume: # of Patients 3,036 Patient Encounters6,679 Revenue: Federal BPHC 330 Grant1,147,754 1,147,754 Applicant - State / Local- 400,000 400,000 Other Federal Funding- Other- 160,000 160,000 Program Income (Patient Revenue)- 1,361,174 1,361,174 TOTAL REVENUE1,147,754 1,921,174 3,068,928 Expense: Personnel - Refer to Form 2 Staffing Profile Administration / Management211,735 128,824 340,559 Facility and Non-Clinical Support Staff152,264 - 152,264 Physicians - 420,000 420,000 NP, PA, and CNMs240,000 - 240,000 Medical378,968 - 378,968 Dental- - - Enabling Services164,787 - 164,787 Other Programs and Services- - - Total Salary Expense1,147,754 548,824 1,696,578 Fringe Benefits: Health Insurance 32.84% 557,174- 557,174 1.06% 18,00018,000 Housing Allowance Medicare/SS 6.71% 113,766113,766 0.97% 16,39716,397 AK SUI Retirement 3.00% 50,897- 50,897 1.44% 24,427- 24,427 Workers' Compensation Total Fringe Benefits 46.01% 780,661- 780,661 Subtotal Personnel and Fringe1,147,754 1,329,485 2,477,239 Travel: Providers and Staff- 24,500 24,500 Board- 14,000 14,000 Other- - Subtotal Travel- 38,500 38,500 Supplies: Pharmacy / Medications$ 6.56 43,805- 43,805 $ 6.70 44,74544,745 Medical Supplies Office- 11,808 11,808 Minor Equipment (<$5,000)- 29,449 29,449 Subtotal supplies- 129,807 129,807 Seward Community Health Center, Inc.Year 1 2017 Budget DraftHRSAOtherTOTAL WORKING BUDGET - NOT FOR SUBMISSIONFederalNon-Federal Contractual: Patient Care: Patient Related/Contractual- 4,740 4,740 Non-Patient Care: Accounting- 18,000 18,000 Audit 15,00015,000 Billing & Coding72,142 72,142 Legal- 3,000 3,000 Services - Electronic (HIT)29,900 29,900 Technical Assistance / Consulting- 38,000 38,000 Subtotal Contractual- 180,782 180,782 Other: Bank Fees- 6,000 6,000 Communications- 27,960 27,960 Dues & Subscriptions- 10,000 10,000 Equipment Maintenance- 3,000 3,000 Facility Janitorial Contract/PSMC10,560 10,560 Insurance - Malpractice Gap Coverage- 15,664 15,664 Insurance - Property1,018 1,018 Insurance - D&O3,575 3,575 Outreach & Enrollment8,800 8,800 O&E Supplies1,800 1,800 O&E Advertising/Promotion5,000 5,000 O&E Postage2,000 2,000 Patient Transportation1,200 1,200 Postage / Freight- 1,500 1,500 Rent: Clinic - 60,000 60,000 Repairs & Maintenance- 40,616 40,616 Training- 10,500 10,500 Utilities- 39,806 39,806 Community Health Education- 2,400 2,400 Subtotal Other- 242,599 242,599 3,068,928 TOTAL EXPENSE1,147,754 1,921,174 Must = 0 for balanced budget 0- 0