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Board MeetingJune 15, 2020

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21 Municipal Drive Arnold, MO 63010

LOCATION+1 636 931 2700

PHONE NUMBERwww.comtrea.org

WEBSITE FACEBOOKhttps://www.facebook.com/COMTREA/

COMTREA BOARD OF DIRECTORS MEETING AGENDA Monday, June 15, 2020

1. Meeting Open 2. Approval of Agenda 3. Approval of May 11, 2020 Minutes 4. Financial Review

a. Financial Performance

5. Closed Session a. Real Estate

b. Legal

c. Personnel 6. Mission Statement

To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to

support the dedicated professionals who make caring for the individuals we serve their number

one priority.

7. June Program Highlight – COVID-19 Pandemic Timeline & COMTREA Response

8. CEO’s Report a. What are our clients saying?

b. Financial Focus Update

i. Growth Report

c. Federal/State Associations i. Update on Medicaid Expansion Campaign ii. State budget updates from MPCA and MO Coalition

d. Divisional Updates

i. Behavioral Health/Psychiatry Updates

ii. Primary Care Updates

iii. Oral Health Updates

e. HRSA

i. Extend the Scope Verification deadline is Approved - extension for adding Psychiatry to the Welcome Center

ii. PR Monthly Review – Budget

iii. Current % of Board Consumers

f. Monthly Grant Update

g. Volunteers

9. Annual Presentation Approval (Annually requires a vote) a. Approval of FY 2021 Budget

b. Approval of FY 2021 Strategic Plan

c. Annual Approval of 3 yr plan (2021-2023)

d. Annual Approval of Governance, Service & Special Project Manuals

10. Action Items (Anything that requires a vote) a. Leadership Council Reports (Month of May)

b. HRSA Budget Approval

c. Approval of Quarterly Risk Management Report

d. Approval of COMTREA Tax Budget Request to JCCMHFB

e. Approval of Policy Revision – OHS2 Hours of Operation

f. Approval of COMTREA Care Values

g. Credentialing & Privileging

h. QIQA Monthly Report (Primary Care and Human Resources)

11. Discussion Items (Informational; no action taken) a. Subcommittees of the Board

i. Building and Grounds

ii. Fundraising & Capital Campaign

1. Termination of EMD Consulting Services

iii. MHOH Committee

12. Board Member Information a. Annual Board Assessment & Self Assessment’s (Will be sent out later this month)

b. Board Recruitment 13. Old Business 14. Next Scheduled Board Meeting

a. Monday, July 13, 2020

15. Adjournment

MOTION:

“I, ______, move that the Board approve the, June 15, 2020 Meeting Agenda.”

APPROVAL OF AGENDA

BOARD MEETING MINUTES 1 | P a g e

Board Meeting Minutes

Meeting Date: May 11, 2020 Time: 7:30 am via Zoom Call in due to COVID Chairperson/President/Facilitator: Jerry Rogers, Chairperson

Attendees: Jerry Rogers (Board Chair); Jane Sullivan; Audrey Mitchell; Dennis Gannon;

Kathryn Ellis (Board Vice Chair); Kim Harvey-Manus; Beth McDaniel (Board Secretary); Dr.

Josh Isaacson; Cliff Lane; Sylvia Daniels Jenelle Behnen; Tammy Fulbright; John Lamping

(Board Treasurer) and Mark Mertens

Not in Attendance: Martha Maxwell; Kelly Steffens and Dr. Steven Crawford

Staff in Attendance: Susan M. Curfman, MA (President & CEO); Amy Rhodes (CFO); Katie

Harman (VP, HR); Katy Murray (VP Corporate Compliance/QM); Dr. Courtney Garland (Dir of

Oral Health); Cindy Vessell (VP of Community Services); Amy Phillips (VP, Adult BH);

Rachael Bersdale (Chief Behavioral Health Officer); Lisa Rothweiler (COO); Patty Vanek (VP,

Clinical Quality); Dr. Rohatgi (Chief Medical Officer); Tony Sokolic (VP, Youth BH) and Kim

Elbl (VP Capital Campaign and Fundraising)

Not in Attendance:

1. Meeting Open The May 11, 2020 Board Meeting was conducted via zoom call in due to the COVID

pandemic and gathering restrictions. The Meeting was called to order at 7:35 am by John

Lamping (due to Jerry Rogers and Kathy Ellis having call in issues) with a quorum of

members present via phone.

2. Approval of Agenda The May 11, 2020 Board Meeting agenda was reviewed and no revisions were requested.

Recommendations: "I, Josh Isaacson move that we approve the May 11, 2020 Agenda as

presented." Cliff Lane seconded the motion. The motion carried.

3. Approval of Board Minutes


a. Approval of April 13, 2020 Minutes The April 13, 2020, board meeting minutes were reviewed with no revisions requested.

Recommendations: “I, Kim Harvey-Manus, move that we approve April 13, 2020 Board

Meeting Minutes.” Beth McDaniel seconded the motion. The motion carried.

Sign the final approved board meeting minutes (Jerry Rogers, Chairman)

4. Mission Statement John Lamping asked everyone to join him in reading the mission statement together.

To lead in providing quality, comprehensive healthcare that is affordable and accessible, and

to support the dedicated professionals who make caring for the individuals we serve their

number one priority.

5. Financial Review a. Financial Performance

The financial report for March 2020 was provided with the following update from John

Lamping. Cash on Hand was $7M that is overstated with some of the restricted cash and the

PPP funds. The AR remains a little high. The month of March had 2 weeks of operating

normally. As far as expenses, overall it was fairly good in March. April will look a lot different

as restrictions of COVID impacted the operations of the business. Sue Curfman stated that

in the CEO update that went out last Friday shows the impact of COVID on the service lines.

Amy Rhodes stated that March was good until COVID took place.

Recommendations: “I, John Lamping, move that the Board approve the financial report for

the month of March 2020.” Mark Mertens seconded the motion. The motion carried.

b. COVID Funding Amy provided a high level report on the COVID funding received to date, the full list and

details was provided in the Board Packet and is below. One that is not on the list that is

$316,000 from HRSA. This is to be used to expand services for treating and testing with

COVID.

HRSA – Federal Funding related to FQHC services – These will be draw down funds as we utilize. $66,495 – COVID19BPHC-CV


First round of HRSA relief funds. Restricted to FQHC services. Budget submitted to support

2 staff salaries for 4 months of COVID operations and purchase of additional needs of PPE

and 25 laptop computers for telehealth purposes. HRSA wants to see funding to be used to

prevent, prepare and respond to COVID. One year to spend. Our budget will have it spent

June 30, 2020

$823,925 – COVID19BPHC-C3

Second round of HRSA relief funds. Restricted to FQHC services. Budget to be submitted by

May 8. HRSA wants to see funding to be used to prevent, prepare and respond to COVID

and post COVID recovery. One year to spend. Our budget will probably take it out one year.

Budget will consist of hiring at least 1 FTE as a Clinic Nurse Director to oversee all operations

of nursing, PPE and employee health. Additional budget request will be increased PPE for

dental operations, increased PPE for primary care, IT infrastructure needs to assure

improved telehealth (all disciplines) and to cover salaries related to HRSA and lost revenues

and potential waiving of fees and increased sliding fee patients.

Missouri Foundation for Health – Emergency Grant Received 4/3/2020

$150,000 – unrestricted

One time funds, No restrictions, final report must identify how we utilized the funds. Currently

being held as restricted until identified purchase or expense.

HHS Stimulus Payments – CARES Act Funding

$23,011.30 - restricted – Received 4/10/2020

One time funds. Restricted to be utilized for maintaining Medicare/Medicaid patients. This

can be used to cover “lost revenue” or anything to be used to continuing seeing

Medicare/Medicaid patients.

$45,551.68 – restricted – Received 4/24/2020

One time funds, Restricted to be utilized for maintaining Medicare/Medicaid patients. This

can be used to cover “lost revenue” or anything to be used to continuing seeing Medicare

patients.


SBA – Payroll Protection Program

$3,903,766 – restricted – Received 4/14/2020

Technically a loan that all or a portion can be forgiven if utilized for payroll purposes within

the guidelines yet to be released. Funding must be spent within 8 weeks of receiving (June 9,

2020). Still unclear if it is to be spent on a “cash basis” or “accrual basis”. This would make a

difference on payroll as June 9th is in the middle of a pay period. Portion can be used for

utilities, rent and interest on any mortgages/loans.

DMH – Emergency COVID-19 Grant $55,000 restricted

To be used for Direct Treatment Services and telehealth equipment. Will be added to DMH

contract. More clarification around restrictions and use coming.

TOTAL FUNDS RECEIVED OR WILL BE RECIEVED - $5,067,748.98

Other funds received – that were already due to COMTREA, however will show up as

additional Revenue. We had not recognized these dollars yet until we received.

2016 Medicaid Cost Report - $1,193,939 – received

2017 Medicaid Cost Report - $500,000 – received $300,000, with $200,000 to be received in

May.

6. CEO’s Report

a. Financial Focus Update i. Growth Report

Sue Curfman reported that the April growth report is starting to show the impact of COVID.

The priority for transitioning to telehealth was BH/Psych then PC and Dental has only been

emergency care and dropped the production drastically.

b. Federal/State Associations/Advocacy Update/Community Involvement i. Update on Medicaid Expansion Campaign

Sue Curfman reported that there are enough signatures this will be on the ballot in

November.

ii. State budget updates from MPCA and MO Coalition


Sue Curfman reported $7M cut to the budget due to the loss of revenues. At this point there

are no cuts for core funding for DMH and no funding cuts for FQHC.

c. Agency Response to COVID-19 Pandemic

i. Transition back to work timeline - Phased in approach

COMTREA has now transitioned from Response to Recovery phase. The response was a

quick transition to telehealth. Sue Curfman stated that there are a lot of funds for COVID and

those are for what the agency needs to continue with remote work. The transition will be in

three phases. Phase 1 will be essential staff in the office otherwise staff works remote. We

are waiting for laptops to come in. We anticipate doing the same approach through end of

June. There will be physicals and well child added in. Lisa Rothweiler added that the Valley

will open on May 18 and will do emergencies like Hickory. Staff will be back this week to

prepare the facility. Jerry Rogers asked if all three services will be provided – Lisa Rothweiler

stated that in early June Dr. Hampton will do the well child but some services will continue as

telehealth. The scheduling process is being evaluated with well patients in morning and sick

in the afternoon.

ii. Communication plan with staff

The Agency call from last week was sent to all board last week via email. The calls are

taking place every two weeks to keep staff informed.

iii. Short-term and long-term forecast

Sue Curfman stated that at this time it is hard to forecast anything.

d. Divisional/Department Updates

i. Behavioral Health/Psychiatry Updates

Sue Curfman stated they have been impacted the least.

ii. Primary Care Updates

Primary Care update includes that Dr. Hampton will officially retire and her last day will be the

end of July, this is making a sense of urgency on getting children in for services and


physicals. Jerry Rogers asked if Dr. Hayat will be replaced. Sue Curfman stated that his last

day was in April and he will not be replaced.

iii. Oral Health Updates

Oral Health was reported on by Sue Curfman, this area is the highest risk due to splash back.

There is a need for additional equipment, one issue is the guidance at state and federal level.

Some procedure updates came in over the weekend came in they will need to review and

May 18 there will be some limited procedures available. Jerry Rogers asked about new

equipment and is it costly.

Amy Rhodes stated that some of the funding will pay for 3 new servers, web cameras, and

lap tops. The dental equipment will be air purifiers and more PPE. Lisa Rothweiler stated

that many of these things are needed for Primary Care also.

e. FY 2021-2023 Strategic Plan, Goals-Objectives-Needs, pages 1-2. Sue Curfman stated that this plan has about 120 hours to create this. Sue Curfman went

over the goals of the plan. The full plan will be presented in June to the board.

f. HRSA i. NoA AWARD NO:1 H8ECS389330100

This HRSA NOA is for additional COVID funding.

ii. PR Monthly Review

The following HRSA requirements were reviewed for May and both were found to be in compliance.

1. Needs Assessment 2. Continuity of care and hospital admitting

iii. Current % of Board Consumers

Sue Curfman reported that the board consumers has fallen to 50% as of May and when

things resume to normal we will need to work on getting back in compliance.

g. Monthly Grant Update

Sue Curfman reviewed the grants as shown below:


e. Volunteers

The volunteer report for April was provided. The total ytd hours are 2437. The Adult and

C&Y hours were from the food distributions that they assisted with.

7. Action Items (Anything that requires a vote)

a. Leadership Council Reports (Month of April)


Recommendations: “I, Dennis Gannon, move that the Board approve the April Leadership

Council Report.” Audrey Mitchell seconded the motion. The motion carried.

b. HRSA Budgets i. $66,495 – COVID19BPHC-CV

Recommendations: “I, Mark Mertens move that the Board approve the HRSA Budget of

$66,495 as presented.” Cliff Lane seconded the motion. The motion carried.

ii. $823,925 – COVID19BPHC-C3

Recommendations: “I, Beth McDaniel move that the Board approve the HRSA Budget of

$823,925 as presented.” Mark Mertens seconded the motion. The motion carried.

c. FY 2020 Q3 Strategic Plan The FY 2020 Quarter 3 Strategic Plan updates were presented to the board. Sue Curfman

went over the summary and COVID has not slowed down the work as an agency. There are

96 action steps and 97% of these are accomplished.

Recommendations: “I, Kathy Ellis move that the Board approve the FY2020 Q3 Strategic

Plan updates as presented.” Mark Mertens seconded the motion. The motion carried.

d. 2020 External Stakeholder Survey Feedback The results of the 2020 External Stakeholder survey were provided on pages 60-77. There

was a total of 450 responses this is up from 120 responses from prior years, posting on

Facebook a lot of the community responded. Overall the feedback was good.

Mark Mertens asked if there was any major concerns that came up. Sue Curfman reviewed

some of the responses.

Recommendations: “I, Audrey Mitchell move that the Board approve the 2020 External

Stakeholder Survey Feedback as presented.” Kim Harvey-Manus seconded the motion. The

motion carried.

e. Policies

i. COVID-19 Employee- Temperature Screening Procedures

Katie Harman stated that this is a new temporary policy to plan for the return to work. This

will include high risk facilities of taking their temperatures. Jerry Rogers asked who will be


authorized to do the screenings. The RN/LPN and MA’s will be conducting the screenings.

Jerry Rogers if some will have to do a self-screen and Katie Harman confirmed.

Recommendations: “I, Mark Mertens move that the Board approve the COVID-19

Employee- Temperature Screening Procedures as presented.” Audrey Mitchell seconded the

motion. The motion carried.

ii. COVID-19 Mask guidelines

This is a temporary policy and will be required for those that cannot social distance.

Recommendations: “I, Mark Mertens move that the Board approve the COVID-19 Mask

guidelines as presented.” Cliff Lane seconded the motion. The motion carried.

iii. EH 2.5.1 Abuse/neglect and misuse of funds/property

Katie Harman stated that DMH requested that some information be added to the existing

policy, the policy was updated with the CSR information.

Recommendations: “I, Mark Mertens move that the Board approve the EH 2.5.1

abuse/neglect and misuse of funds/property policy as presented.” Audrey Mitchell seconded

the motion. The motion carried.

f. FY2021 Board Calendar

The Board Calendar for FY2021 was presented for review and approval.

Recommendations: “I, Mark Mertens move that the Board approve the FY2021 Board

Calendar as presented.” Dennis Gannon seconded the motion. The motion carried.

g. Credentialing & Privileging

Kathy Ellis went over the report for April 2020.

Recommendations: “I, Kathy Ellis move that the Board accept the April 2020 Credentialing

& Privileging Report as presented.” Mark Mertens seconded the motion. The motion carried.

h. QIQA Monthly Report Beth McDaniel stated that the meeting met via zoom call and BH and OH showed growth.

BH the CCBHO measures good growth and a few they are monitoring. Hemoglobin A1C

continues to be a focus. HCH also reported and seeing improvement. PCHH empanelment

is seeing growth also. Beth McDaniel stated that COVID is impacting everything. Jerry

Rogers stated that the QIQA numbers are through March.


Recommendations: “I, Beth McDaniel move that the Board accept the April 2020 QIQA

report as presented.” Mark Mertens seconded the motion. The motion carried.

8. Discussion Items (Informational; no action taken)

a. Subcommittees of the Board i. Building and Grounds

Lisa Rothweiler stated that there was a little set back at MHOH with the water lines running in

the house which flooded the home. The vendors came in to dry everything out, over the last

week it was determined that the bottom kitchen cabinets will have to be replaced and some

dry wall needs to be replaced. The HVAC were being checked Lisa Rothweiler doesn’t have

any information on this yet. There will be a conversation with R&K on reimbursement for the

damages. The parking lots are being worked on. Jerry Rogers stated that as bad as the

damage sounds it could have been a lot worse. There is concern that one of the Hot Water

tanks due to it.

The SAEP room is completed for CSTAR Youth group when they return. Working on

modifying the waiting rooms and common areas to adhere to the new policies.

ii. Fundraising & Capital Campaign

Kim Elbl stated that there will be some fundraisers, some were pushed back and

rescheduled. There will be some done via virtual, the TWT event will be a three day virtual

event, there will also be one virtually for the CAC. There is some guidelines needed for

events after July before they can be rescheduled or worked on more. More information will

be coming out.

iii. MHOH Committee

Mark Mertens stated that about $1.2M has been raised, about $800,000 is spent with some

outstanding invoices. There will be some left, estimated $200,000 for the second home.

There is a shortfall of $400-500,000 for building the second house at this time. Kim Elbl

stated that they are looking for sustainable funding for the first home she referred to the

Circle of Hope program that will be pushed out with a campaign. Lisa Rothweiler stated that

she is setting up some registries for furniture needed for the house. Mark Mertens stated that

the VOCA grants were declined due to the restrictions on who has to be accepted in to the

home.


10. Board Member Information No information at this time.

11. Board Highlight for May – Co-Worker Help Fund Sue Curfman stated that Katy Murray chairs this committee, this committee helps our staff

started in 2016, individuals can donate from their paycheck and we have done fundraisers.

Individuals can apply for the funding it’s confidential. With COVID there may be an increased

need and many of leadership have made donations to the fund. Katy Murray spoke on the

co-worker help fund and this is an internal program and is truly coworkers helping coworkers,

it is explained to every new staff member at orientation. Only $500 is given per a request and

a person can only receive twice a year. There may be more applications once the PPP runs

out. Jerry Rogers asked regarding payback, Katy Murray stated that the staff member

presents with a bill and a portion or the full bill is paid for. Jerry Rogers asked if a Board

Member wanted to participated could they do that. Amy Rhodes stated it would be a

donation to the Agency that would be earmarked for the CoWorker Help Fund. This can be

done via the COMTREA website.

12. Closed Session – Real Estate The board entered into closed session at for the purpose of discussing real estate at 8:37am.

The board returned to open session at 8:51am, during the closed session there was a

discussion regarding real estate and the board approved for leadership to continue

discussions at this time.

13. Old Business There was no old business at this time.

14. Next Scheduled Board Meeting a. Thursday, June 11th 7:30am Budget and Strategic Plan Presentation

b. Monday, June 15th, 2020 – Full Board Meeting

15. Adjournment There was no further business to discuss.


Recommendations: With there being no further business to discuss, Mark Mertens moved

for adjournment. Beth McDaniel seconded the motion. The motion carried.

Minutes approved

(Signature of Committee Chair) (Date)

MOTION:

“I, ______, move that the Board approve the May 11, 2020 Meeting Minutes.”

APPROVAL OFMEETING MINUTES

FINANCIAL REPORT

MOTION:

“As a member of the Finance Committee, I _________, move that the Board approve the financials for

the month of April 2020.”

CASH ON HAND $6,196,872ACCOUNT RECEIVABLES$4,958,550

April 2020 Notes to the Financial Statements FY20

• Month of April shows a profit $1,451,439 not including MHOH o YTD a profit $170,869 including the sale of Bridle Ridge and not including MHOH. o YTD profit $1,820,212 taking out the Sale of Bridle Ridge and not including

MHOH. • Medical Health has a profit $48,524 YTD because Medicaid Cost Report Settlement of

$250,243 allocated to medical. Patient Revenue had a 24% INCREASE over March Revenue. Medical continues to see patients primarily via telehealth.

• Oral Health a profit $594,068 YTD because Medicaid Cost Report Settlement of $868,421 allocated to dental. Patient Revenue actually posted as a loss due to prior month adjustments. Overall Patient revenue has taken approximately an 80% decrease since February.

• Behavioral Health continues posting increase in revenue, however as of 5/15/2020, DMH over allocation is $643,288. The majority of this plus will be written off as uncollected after the June cutoff date.

• Cash Flow does not seem to be an issue currently with the influx of Medicaid Cost Report funds and the PPP loan. Currently at 87.29 days. However with expenses down and these funds as one time funding, this will need to be closely monitored as operations begins to restart.

• AR – staff continue to work old AR, especially in dental with the decline in current billing. Dental AR has decreased by $309,000 and days in AR (dental only) went from 125 days to 115 days.

Expenses to Note:

• Professional fees over $7,967: o Legal fees $4,686

• Travel Expense under budget $8,913: o Freeze on trainings and reimbursed trainings from cancellations.

• Interest Expense over $3,589: o Line of Credit and Tuckpointing loan interest total $3,713

• Miscellaneous Expense over $3,943: o JCCMHFB Grant $9,800

CAC VOCA Revenue – VOCA has waived all match (allowing to use Federal Funds) for the term of the grant so May finance will be billing the 20% match from November – May (around $20,000) to the Children’s Division Grant as funds are available due to vacant staff in FY20. ASP VOCA – Also waived all match but there are no other funds to bill their 20% match. ASP had their fundraiser which covered the match portion.

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Community Treatment, Inc.

Income Statement - Actual vs. Budget

Summary of All Units

For the Ten Months Ending Thursday, April 30, 2020

TOTAL BUDGET

Actual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - CLIENT $62,934 $102,274 ($39,339) (38.46%) $777,093 $1,022,735 ($245,642) (24.02%) $1,227,282

REVENUES - INSURANCE 79,243 150,303 (71,060) (47.28%) 1,157,173 1,503,025 (345,852) (23.01%) 1,803,630

REVENUES - MC+ 98,161 428,405 (330,243) (77.09%) 2,973,936 4,284,045 (1,310,110) (30.58%) 5,140,854

REVENUES - DMH 950,509 895,417 55,093 6.15% 9,044,270 8,954,167 90,103 1.01% 10,745,000

REVENUES - DMH HOUSING 7,729 25,833 (18,104) (70.08%) 282,925 258,333 24,592 9.52% 310,000

REVENUES - ISP 5,500 0 5,500 0.00% 19,800 0 19,800 0.00% 0

REVENUES - MEDICAID 136,343 236,347 (100,003) (42.31%) 1,794,434 2,363,465 (569,031) (24.08%) 2,836,158

REVENUES - MEDICARE 59,564 31,902 27,662 86.71% 342,377 319,017 23,359 7.32% 382,821

Patient Revenue: 1,399,983 1,870,481 (470,495) (25.15%) 16,392,008 18,704,787 (2,312,781) (12.36%) 22,445,745

REVENUES - DPS - VOCA 23,036 34,292 (11,256) (32.82%) 261,924 342,917 (80,993) (23.62%) 411,500

REVENUES - DFS 169 9,458 (9,289) (98.21%) 109,025 94,583 14,442 15.27% 113,500

REVENUES - CHILDREN'S DIVISION 11,748 20,667 (8,919) (43.16%) 156,306 206,667 (50,361) (24.37%) 248,000

REVENUES - COURT SERVICES 5,343 7,083 (1,741) (24.58%) 84,736 70,833 13,902 19.63% 85,000

REVENUES - MIL TAX 241,667 241,667 0 0.00% 2,416,667 2,416,667 0 0.00% 2,900,000

REVENUES - SALES TAX 206,528 233,333 (26,805) (11.49%) 2,358,581 2,333,333 25,247 1.08% 2,800,000

REVENUES - GRANTS 179,781 191,500 (11,719) (6.12%) 2,111,184 1,915,000 196,184 10.24% 2,298,000

REVENUES - COVID19 FUNDING 218,563 0 218,563 0.00% 218,563 0 218,563 0.00% 0

REVENUES - SCHOOL SERVICES 3,288 2,083 1,204 57.81% 25,691 20,833 4,858 23.32% 25,000

REVENUES - DONATIONS / FUNDRAISING 1,381 21,667 (20,286) (93.63%) 180,386 216,667 (36,281) (16.75%) 260,000

REVENUES - UNITED WAY 8,975 7,050 1,925 27.30% 70,482 70,500 (18) (0.03%) 84,600

REVENUES - 340B 43,613 61,667 (18,054) (29.28%) 573,605 616,667 (43,062) (6.98%) 740,000

REVENUES - OTHER 1,375,666 22,958 1,352,708 5892.01% 1,540,235 229,194 1,311,040 572.02% 275,111

Total Revenue 3,719,741 2,723,906 995,837 36.56% 26,499,393 27,238,648 (739,259) (2.71%) 32,686,456

Operating Expenses:

Employee-Related Expenses:

PERSONNEL - COMP, SALARY 1,355,275 1,579,102 223,826 14.17% 14,362,916 15,791,017 1,428,101 9.04% 18,949,220

PERSONNEL - COMP, OVERTIME 8,817 8,867 49 0.56% 107,906 88,667 (19,239) (21.70%) 106,400

PERSONNEL - TAXES 104,647 121,384 16,737 13.79% 1,097,407 1,213,839 116,432 9.59% 1,456,607

PERSONNEL - BENEFITS 208,057 181,512 (26,545) (14.62%) 1,901,739 1,815,122 (86,617) (4.77%) 2,178,147

PERSONNEL - TRAINING & EDUC (2,645) 6,269 8,913 142.19% 42,469 62,686 20,217 32.25% 75,223

PROFESSIONAL FEES - PSYCH 53,650 29,167 (24,483) (83.94%) 424,588 291,667 (132,921) (45.57%) 350,000

Total Employee-Related Expenses 1,727,801 1,926,301 198,498 10.30% 17,937,025 19,262,998 1,325,973 6.88% 23,115,597

Other Operating Expenses:

PROFESSIONAL FEES 49,658 41,692 (7,967) (19.11%) 477,231 416,917 (60,314) (14.47%) 500,300

TRAVEL EXPENSE 173 3,850 3,677 95.52% 24,709 38,542 13,833 35.89% 46,242

MILEAGE 3,347 9,337 5,991 64.16% 77,539 93,375 15,836 16.96% 112,050

CLIENT TRANSPORTATION 0 17 17 100.00% 400 167 (233) (139.95%) 200

BUILDING EXPENSE 31,889 37,660 5,771 15.32% 374,886 376,600 1,714 0.46% 451,920

INSURANCE EXPENSE 27,358 26,796 (562) (2.10%) 275,427 267,959 (7,468) (2.79%) 321,551

COMMUNICATIONS 25,706 29,925 4,219 14.10% 326,431 299,251 (27,180) (9.08%) 359,101

OFFICE/PRINTING SUPPLIES 2,930 6,967 4,036 57.94% 87,707 69,667 (18,040) (25.89%) 83,600

PROGRAM SUPPLIES 6,548 41,128 34,580 84.08% 277,830 411,283 133,454 32.45% 493,540

CLEANING/MAINT SUPPLIES 543 2,693 2,151 79.85% 24,925 26,933 2,008 7.46% 32,320

POSTAGE/FREIGHT 3,167 3,331 164 4.93% 37,565 33,535 (4,029) (12.01%) 40,197

NON-CAPITAL EQUIPMENT 8,592 14,150 5,558 39.28% 108,473 141,498 33,025 23.34% 169,797

VEHICLE EXPENSE 8,168 17,133 8,965 52.33% 163,369 171,333 7,965 4.65% 205,600

REPAIRS & MAINTENANCE 18,919 42,417 23,498 55.40% 473,082 424,167 (48,915) (11.53%) 509,000

ADVERTISING/MARKETING 1,742 8,404 6,662 79.27% 58,797 84,038 25,240 30.03% 100,845

ADVERTISING, RECRUITING 0 3,667 3,667 100.00% 26,558 36,667 10,109 27.57% 44,000

FUNDRAISING EXPENSE 47 5,500 5,453 99.15% 46,548 55,000 8,452 15.37% 66,000

MEDICAL EXPENSE 91,383 101,042 9,658 9.56% 842,824 1,010,424 167,600 16.59% 1,212,507

340B MEDICAL EXPENSE 29,625 14,167 (15,459) (109.12%) 179,385 141,667 (37,719) (26.63%) 170,000

HOUSING EXPENSE 18,121 25,833 7,713 29.86% 226,641 258,333 31,693 12.27% 310,000

FOOD SERVICE 9,518 9,167 (351) (3.83%) 113,697 91,667 (22,031) (24.03%) 110,000

RECREATION FEES 1,428 1,171 (257) (21.97%) 14,565 11,708 (2,857) (24.40%) 14,050

WRAPAROUND SERVICES 0 542 542 100.00% 6,795 5,417 (1,378) (25.44%) 6,500

DEPRECIATION EXPENSE 91,414 107,853 16,439 15.24% 922,637 1,078,530 155,893 14.45% 1,294,547

INTEREST EXPENSE 7,489 3,900 (3,589) (92.02%) 63,975 39,000 (24,975) (64.04%) 46,800

CONTRACTED SERVICES 72,007 77,071 5,063 6.57% 980,091 770,706 (209,385) (27.17%) 924,847

MISCELLANEOUS EXPENSE 30,729 26,785 (3,943) (14.72%) 530,068 267,854 (262,213) (97.89%) 321,425

GAIN/LOSS ON SALE OF F/A 0 0 0 0.00% 1,649,343 0 (1,649,343) 0.00% 0

Total Other Operating Expenses 540,501 662,198 121,696 18.38% 8,391,498 6,622,238 (1,769,260) (26.72%) 7,946,939

Additional Expense Section:

Total Operating Expenses 2,268,302 2,588,499 320,194 12.37% 26,328,523 25,885,236 (443,288) (1.71%) 31,062,536

Income (Loss) 1,451,439 135,407 1,316,031 971.90% 170,870 1,353,412 (1,182,546) (87.37%) 1,623,920

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD

136.56% 89.70% 87.63% 1071.91% 97.29% 93.12% 101.71% 12.63%

GAIN/LOSS ON SALE OF BRIDLE RIDGE 0 0 0 0.00% 1,641,778 0 (1,641,778) 0.00%

Income (Loss) after sale of property 1,451,439 135,407 1,316,032 971.91% 1,812,648 1,353,412 459,236 33.93%

39.02% 4.97% 6.84% 4.97%

April YTD



Behavioral Health


TOTAL BUDGET


Revenue:

REVENUES - CLIENT $35,168 $31,458 $3,710 11.79% $372,648 $314,583 $58,065 18.46% $377,500

REVENUES - INSURANCE 72,436 30,000 42,436 141.45% 575,494 300,000 275,494 91.83% 360,000

REVENUES - MC+ 132,003 126,250 5,753 4.56% 1,102,005 1,262,500 (160,494) (12.71%) 1,515,000

REVENUES - DMH 950,509 895,417 55,093 6.15% 9,044,270 8,954,167 90,103 1.01% 10,745,000

REVENUES - DMH HOUSING 7,729 25,833 (18,104) (70.08%) 282,925 258,333 24,592 9.52% 310,000

REVENUES - ISP 5,500 0 5,500 0.00% 19,800 0 19,800 0.00% 0

REVENUES - MEDICAID 119,204 79,167 40,037 50.57% 975,565 791,667 183,898 23.23% 950,000

REVENUES - MEDICARE 46,792 18,750 28,042 149.56% 245,680 187,500 58,180 31.03% 225,000

Patient Revenue: 1,369,341 1,206,875 162,466 13.46% 12,618,387 12,068,750 549,638 4.55% 14,482,500

REVENUES - COURT SERVICES 2,488 2,083 405 19.43% 48,999 20,833 28,165 135.19% 25,000

REVENUES - MIL TAX 147,083 147,083 0 0.00% 1,470,834 1,470,833 0 0.00% 1,765,000

REVENUES - SALES TAX 161,250 161,250 0 (0.00%) 1,612,497 1,612,500 (3) (0.00%) 1,935,000

REVENUES - GRANTS 40,951 47,417 (6,466) (13.64%) 409,506 474,167 (64,661) (13.64%) 569,000

REVENUES - DONATIONS / FUNDRAISING 527 250 277 110.83% 6,227 2,500 3,727 149.10% 3,000

REVENUES - UNITED WAY 0 0 0 0.00% 264 0 264 0.00% 0

REVENUES - 340B 25,773 41,667 (15,893) (38.14%) 336,726 416,667 (79,941) (19.19%) 500,000

REVENUES - OTHER 245,543 5,625 239,918 4265.21% 283,757 56,250 227,507 404.46% 67,500

Total Revenue 1,992,956 1,612,250 380,707 23.61% 16,787,197 16,122,500 664,696 4.12% 19,347,000

Operating Expenses:


PERSONNEL - COMP, SALARY 730,111 802,494 72,383 9.02% 7,288,364 8,024,944 736,580 9.18% 9,629,933

PERSONNEL - COMP, OVERTIME 5,509 5,433 (76) (1.40%) 61,090 54,333 (6,757) (12.44%) 65,200

PERSONNEL - TAXES 56,153 61,806 5,653 9.15% 558,174 618,065 59,891 9.69% 741,678

PERSONNEL - BENEFITS 113,638 94,805 (18,833) (19.87%) 1,019,006 948,047 (70,959) (7.48%) 1,137,656

PERSONNEL - TRAINING & EDUC (2,446) 2,167 4,612 212.87% 10,717 21,667 10,950 50.54% 26,000

PROFESSIONAL FEES - PSYCH 53,650 29,167 (24,483) (83.94%) 424,588 291,667 (132,921) (45.57%) 350,000

Total Employee-Related Expenses 956,615 995,872 39,256 3.94% 9,361,939 9,958,723 596,784 5.99% 11,950,467


PROFESSIONAL FEES 32,315 32,500 185 0.57% 318,271 325,000 6,729 2.07% 390,000

TRAVEL EXPENSE 119 1,583 1,464 92.47% 7,719 15,876 8,157 51.38% 19,043

MILEAGE 1,461 4,875 3,414 70.03% 39,643 48,750 9,107 18.68% 58,500


INSURANCE EXPENSE 17,448 17,042 (407) (2.39%) 175,225 170,416 (4,809) (2.82%) 204,499

COMMUNICATIONS 4,684 11,375 6,691 58.82% 97,133 113,750 16,617 14.61% 136,500

OFFICE/PRINTING SUPPLIES 184 2,358 2,174 92.18% 16,883 23,583 6,700 28.41% 28,300


CLEANING/MAINT SUPPLIES 203 1,650 1,447 87.70% 8,393 16,500 8,107 49.13% 19,800

POSTAGE/FREIGHT 1,515 1,542 27 1.73% 16,621 15,644 (977) (6.25%) 18,727

NON-CAPITAL EQUIPMENT 40 3,467 3,427 98.85% 16,893 34,667 17,774 51.27% 41,600

VEHICLE EXPENSE 5,031 11,442 6,411 56.03% 99,261 114,417 15,156 13.25% 137,300

REPAIRS & MAINTENANCE 6,758 17,250 10,492 60.82% 159,371 172,500 13,129 7.61% 207,000

ADVERTISING/MARKETING 0 667 667 100.00% 3,967 6,667 2,700 40.50% 8,000

ADVERTISING, RECRUITING 0 2,083 2,083 100.00% 2,067 20,833 18,767 90.08% 25,000

FUNDRAISING EXPENSE 47 250 203 81.22% 5,439 2,500 (2,939) (117.56%) 3,000

MEDICAL EXPENSE 78,662 76,042 (2,621) (3.45%) 637,182 760,424 123,241 16.21% 912,507


HOUSING EXPENSE 18,121 25,833 7,713 29.86% 226,641 258,333 31,693 12.27% 310,000

FOOD SERVICE 6,552 5,583 (969) (17.35%) 58,302 55,833 (2,468) (4.42%) 67,000

RECREATION FEES 1,257 963 (294) (30.58%) 12,662 9,625 (3,037) (31.55%) 11,550

WRAPAROUND SERVICES 0 542 542 100.00% 3,620 5,417 1,797 33.18% 6,500

DEPRECIATION EXPENSE 31,279 34,712 3,433 9.89% 304,064 347,121 43,058 12.40% 416,546

INTEREST EXPENSE 3,404 2,417 (987) (40.85%) 31,529 24,167 (7,363) (30.47%) 29,000

CONTRACTED SERVICES 22,884 31,333 8,449 26.96% 281,079 313,333 32,254 10.29% 376,000

MISCELLANEOUS EXPENSE 0 267 267 100.00% 28,909 2,667 (26,243) (984.08%) 3,200

Total Other Operating Expenses 269,683 321,025 51,342 15.99% 2,915,149 3,210,522 295,374 9.20% 3,852,572


Total Operating Expenses 1,226,298 1,316,897 90,598 6.88% 12,277,088 13,169,245 892,158 6.77% 15,803,039

Income (Loss) 766,658 295,353 471,305 159.57% 4,510,109 2,953,255 1,556,854 52.72% 3,543,961


123.61% 96.06% 93.12% 259.57% 104.12% 94.01% 93.23% 152.72%

April YTD



Medical Health Services


TOTAL BUDGET


Revenue:

REVENUES - CLIENT $14,650 $13,475 $1,175 8.72% $131,307 $134,754 ($3,448) (2.56%) $161,705

REVENUES - INSURANCE 22,180 48,017 (25,837) (53.81%) 268,609 480,174 (211,565) (44.06%) 576,209

REVENUES - MC+ 7,055 30,878 (23,823) (77.15%) 161,639 308,776 (147,137) (47.65%) 370,531

REVENUES - MEDICAID 29,761 44,065 (14,304) (32.46%) 311,581 440,650 (129,069) (29.29%) 528,780

REVENUES - MEDICARE 12,772 13,152 (380) (2.89%) 96,696 131,517 (34,821) (26.48%) 157,821

Patient Revenue: 86,418 149,587 (63,168) (42.23%) 969,832 1,495,871 (526,040) (35.17%) 1,795,046

REVENUES - GRANTS 82,853 74,250 8,603 11.59% 922,357 742,500 179,857 24.22% 891,000


REVENUES - DONATIONS / FUNDRAISING 0 0 0 0.00% 3,600 0 3,600 0.00% 0

REVENUES - 340B 17,840 20,000 (2,160) (10.80%) 236,862 200,000 36,862 18.43% 240,000

REVENUES - OTHER 258,409 6,250 252,159 4034.54% 306,986 62,111 244,875 394.25% 74,611

Total Revenue 514,083 250,087 263,996 105.56% 2,508,200 2,500,482 7,717 0.31% 3,000,657

Operating Expenses:


PERSONNEL - COMP, SALARY 141,284 123,889 (17,395) (14.04%) 1,402,139 1,238,894 (163,245) (13.18%) 1,486,672

PERSONNEL - COMP, OVERTIME 320 517 197 38.14% 8,247 5,167 (3,080) (59.61%) 6,200

PERSONNEL - TAXES 11,003 9,517 (1,486) (15.61%) 104,068 95,171 (8,898) (9.35%) 114,205

PERSONNEL - BENEFITS 15,801 13,338 (2,463) (18.47%) 141,533 133,380 (8,153) (6.11%) 160,056

PERSONNEL - TRAINING & EDUC 0 583 583 100.00% 3,860 5,833 1,974 33.83% 7,000

Total Employee-Related Expenses 168,408 147,844 (20,563) (13.91%) 1,659,847 1,478,445 (181,402) (12.27%) 1,774,133


PROFESSIONAL FEES 5,081 1,250 (3,831) (306.51%) 13,126 12,500 (626) (5.01%) 15,000

TRAVEL EXPENSE 0 292 292 100.00% 620 2,917 2,296 78.73% 3,500

MILEAGE 359 833 474 56.91% 8,406 8,333 (73) (0.87%) 10,000

BUILDING EXPENSE 9,870 10,000 130 1.30% 101,101 100,000 (1,101) (1.10%) 120,000

INSURANCE EXPENSE 3,261 3,417 155 4.55% 32,613 34,167 1,553 4.55% 41,000

COMMUNICATIONS 2,736 2,625 (111) (4.22%) 29,822 26,250 (3,572) (13.61%) 31,500

OFFICE/PRINTING SUPPLIES 129 592 463 78.20% 4,427 5,917 1,490 25.18% 7,100

PROGRAM SUPPLIES 896 2,833 1,937 68.38% 28,564 28,333 (231) (0.82%) 34,000

CLEANING/MAINT SUPPLIES 5 167 162 97.19% 2,914 1,667 (1,247) (74.85%) 2,000

POSTAGE/FREIGHT 62 108 46 42.43% 1,000 1,083 83 7.67% 1,300


REPAIRS & MAINTENANCE 4,776 3,750 (1,026) (27.36%) 51,886 37,500 (14,386) (38.36%) 45,000

ADVERTISING/MARKETING 0 417 417 100.00% 3,782 4,167 384 9.23% 5,000

ADVERTISING, RECRUITING 0 1,250 1,250 100.00% 24,060 12,500 (11,560) (92.48%) 15,000

FUNDRAISING EXPENSE 0 0 0 0.00% 1,471 0 (1,471) 0.00% 0

MEDICAL EXPENSE 5,402 15,000 9,598 63.99% 128,572 150,000 21,428 14.29% 180,000


WRAPAROUND SERVICES 0 0 0 0.00% 3,175 0 (3,175) 0.00% 0


CONTRACTED SERVICES 6,827 17,601 10,773 61.21% 218,210 176,006 (42,204) (23.98%) 211,207

MISCELLANEOUS EXPENSE 833 2,519 1,685 66.92% 12,060 25,188 13,128 52.12% 30,225

Total Other Operating Expenses 55,813 80,154 24,339 30.37% 799,827 801,528 1,697 0.21% 961,832


Total Operating Expenses 224,221 227,998 3,775 1.66% 2,459,674 2,279,973 (179,705) (7.88%) 2,735,965

Income (Loss) 289,862 22,089 267,771 1212.18% 48,526 220,509 (171,988) (77.99%) 264,692


205.56% 113.91% 98.3% 1312.25% 100.31% 112.27% 107.9% 22.01%

April YTD



Oral Health Services


TOTAL BUDGET


Revenue:

REVENUES - CLIENT $13,116 $54,673 ($41,557) (76.01%) $258,263 $546,731 ($288,468) (52.76%) $656,077

REVENUES - INSURANCE (15,373) 72,285 (87,658) (121.27%) 313,071 722,851 (409,781) (56.69%) 867,422

REVENUES - MC+ (40,897) 271,277 (312,174) (115.08%) 1,710,291 2,712,769 (1,002,478) (36.95%) 3,255,323

REVENUES - MEDICAID (12,622) 113,115 (125,737) (111.16%) 507,289 1,131,149 (623,860) (55.15%) 1,357,378

Patient Revenue: (55,776) 511,350 (567,126) (110.91%) 2,788,914 5,113,500 (2,324,587) (45.46%) 6,136,200

REVENUES - GRANTS 52,592 64,167 (11,575) (18.04%) 738,749 641,667 97,083 15.13% 770,000

REVENUES - 340B 0 0 0 0.00% 16 0 16 0.00% 0

REVENUES - OTHER 868,421 1,500 866,921 57794.74% 868,421 15,000 853,421 5689.47% 18,000

Total Revenue 865,237 577,017 288,220 49.95% 4,396,100 5,770,167 (1,374,067) (23.81%) 6,924,200

Operating Expenses:



PERSONNEL - COMP, OVERTIME 194 1,250 1,056 84.46% 10,247 12,500 2,253 18.02% 15,000

PERSONNEL - TAXES 13,569 24,243 10,674 44.03% 181,979 242,428 60,449 24.93% 290,914

PERSONNEL - BENEFITS 29,219 38,413 9,194 23.94% 262,832 384,133 121,300 31.58% 460,959

PERSONNEL - TRAINING & EDUC 0 1,167 1,167 100.00% 3,779 11,667 7,888 67.61% 14,000



PROFESSIONAL FEES 1,211 4,167 2,956 70.94% 31,659 41,667 10,008 24.02% 50,000

TRAVEL EXPENSE 0 833 833 100.00% 3,008 8,333 5,326 63.91% 10,000

MILEAGE 518 1,167 648 55.57% 9,288 11,667 2,379 20.39% 14,000

BUILDING EXPENSE 2,430 3,333 904 27.11% 30,590 33,333 2,743 8.23% 40,000

INSURANCE EXPENSE 399 1,250 851 68.08% 4,852 12,500 7,648 61.18% 15,000

COMMUNICATIONS 1,854 3,750 1,896 50.57% 37,857 37,500 (357) (0.95%) 45,000

OFFICE/PRINTING SUPPLIES 36 1,000 964 96.36% 11,562 10,000 (1,562) (15.62%) 12,000


CLEANING/MAINT SUPPLIES 3 333 331 99.18% 1,717 3,333 1,616 48.48% 4,000

POSTAGE/FREIGHT 5 250 245 97.81% 2,576 2,500 (76) (3.04%) 3,000


VEHICLE EXPENSE 204 1,250 1,046 83.67% 9,339 12,500 3,161 25.29% 15,000

REPAIRS & MAINTENANCE 1,994 11,250 9,256 82.28% 74,950 112,500 37,550 33.38% 135,000

ADVERTISING/MARKETING 0 500 500 100.00% 4,128 5,000 872 17.44% 6,000

ADVERTISING, RECRUITING 0 208 208 100.00% 0 2,083 2,083 100.00% 2,500

MEDICAL EXPENSE 7,319 10,000 2,681 26.81% 77,070 100,000 22,930 22.93% 120,000


INTEREST EXPENSE 134 167 33 19.81% 2,082 1,667 (415) (24.91%) 2,000

CONTRACTED SERVICES 4,401 5,417 1,016 18.75% 51,623 54,167 2,543 4.70% 65,000

MISCELLANEOUS EXPENSE 833 1,000 167 16.67% 9,031 10,000 969 9.69% 12,000

Total Other Operating Expenses 62,255 122,075 59,820 49.00% 909,331 1,220,750 311,420 25.51% 1,464,900


Total Operating Expenses 280,558 504,047 223,488 44.34% 3,802,032 5,040,472 1,238,439 24.57% 6,048,566

Income (Loss) 584,679 72,970 511,708 701.26% 594,068 729,695 (135,628) (18.59%) 875,634


149.95% 57.15% 55.66% 801.26% 76.19% 75.73% 75.43% 81.41%

April YTD



Community Services


TOTAL BUDGET


Revenue:

REVENUES - CLIENT $0 $2,667 ($2,667) (100.00%) $14,875 $26,667 ($11,792) (44.22%) $32,000

Patient Revenue: 0 2,667 (2,667) (100.00%) 14,875 26,667 (11,792) (44.22%) 32,000

REVENUES - DPS - VOCA 23,036 34,292 (11,256) (32.82%) 261,924 342,917 (80,993) (23.62%) 411,500

REVENUES - DFS 169 9,458 (9,289) (98.21%) 109,025 94,583 14,442 15.27% 113,500

REVENUES - CHILDREN'S DIVISION 11,748 20,667 (8,919) (43.16%) 156,306 206,667 (50,361) (24.37%) 248,000

REVENUES - COURT SERVICES 2,855 5,000 (2,146) (42.91%) 35,737 50,000 (14,263) (28.53%) 60,000

REVENUES - MIL TAX 16,667 16,667 0 0.00% 166,667 166,667 0 0.00% 200,000

REVENUES - SALES TAX 63,250 63,250 0 (0.00%) 632,500 632,500 0 (0.00%) 759,000

REVENUES - GRANTS 3,386 5,667 (2,281) (40.25%) 40,573 56,667 (16,094) (28.40%) 68,000

REVENUES - SCHOOL SERVICES 3,288 2,083 1,204 57.81% 25,691 20,833 4,858 23.32% 25,000

REVENUES - DONATIONS / FUNDRAISING 854 21,333 (20,480) (96.00%) 165,359 213,333 (47,975) (22.49%) 256,000

REVENUES - UNITED WAY 8,975 7,050 1,925 27.30% 70,218 70,500 (282) (0.40%) 84,600

REVENUES - OTHER 0 3,333 (3,333) (100.00%) 9,680 33,333 (23,653) (70.96%) 40,000

Total Revenue 134,228 191,467 (57,240) (29.90%) 1,688,555 1,914,667 (226,112) (11.81%) 2,297,600

Operating Expenses:



PERSONNEL - COMP, OVERTIME 1,260 417 (843) (202.38%) 5,444 4,167 (1,278) (30.67%) 5,000

PERSONNEL - TAXES 7,697 9,355 1,658 17.72% 83,947 93,549 9,601 10.26% 112,258


PERSONNEL - TRAINING & EDUC 30 1,102 1,072 97.28% 1,275 11,019 9,744 88.43% 13,223



PROFESSIONAL FEES 0 25 25 100.00% 106 250 144 57.49% 300

TRAVEL EXPENSE 53 642 588 91.69% 2,209 6,417 4,208 65.58% 7,700

MILEAGE 884 1,796 912 50.79% 12,484 17,958 5,474 30.48% 21,550

CLIENT TRANSPORTATION 0 17 17 100.00% 0 167 167 100.00% 200


INSURANCE EXPENSE 1,900 2,004 105 5.22% 19,237 20,043 806 4.02% 24,052

COMMUNICATIONS 1,583 2,175 592 27.20% 17,260 21,751 4,491 20.65% 26,101

OFFICE/PRINTING SUPPLIES 3 517 514 99.47% 2,540 5,167 2,627 50.85% 6,200

PROGRAM SUPPLIES 133 1,345 1,212 90.13% 5,716 13,450 7,734 57.50% 16,140

CLEANING/MAINT SUPPLIES 38 210 172 82.07% 2,155 2,100 (55) (2.63%) 2,520

POSTAGE/FREIGHT 240 348 108 30.94% 3,658 3,475 (183) (5.26%) 4,170


VEHICLE EXPENSE 114 258 144 55.80% 4,497 2,583 (1,914) (74.09%) 3,100

REPAIRS & MAINTENANCE 531 2,667 2,135 80.07% 22,698 26,667 3,969 14.88% 32,000

ADVERTISING/MARKETING 0 154 154 100.00% 167 1,538 1,371 89.16% 1,845

FUNDRAISING EXPENSE 0 5,250 5,250 100.00% 39,609 52,500 12,891 24.56% 63,000

FOOD SERVICE 639 667 28 4.20% 4,163 6,667 2,504 37.56% 8,000

RECREATION FEES 171 208 37 17.85% 1,793 2,083 290 13.92% 2,500

DEPRECIATION EXPENSE 4,222 4,391 169 3.85% 42,706 43,908 1,202 2.74% 53,002

INTEREST EXPENSE 238 0 (238) 0.00% 2,040 0 (2,040) 0.00% 0

CONTRACTED SERVICES 731 1,053 322 30.56% 8,946 10,533 1,587 15.07% 12,640

MISCELLANEOUS EXPENSE 0 250 250 100.00% 4,936 2,500 (2,436) (97.45%) 3,000

Total Other Operating Expenses 14,488 30,154 15,664 51.95% 252,824 301,522 48,697 16.15% 362,137


Total Operating Expenses 137,523 176,908 39,383 22.26% 1,551,690 1,769,053 217,361 12.29% 2,123,174

Income (Loss) (3,295) 14,559 (17,857) (122.63%) 136,865 145,614 (8,751) (6.01%) 174,426


70.11% 83.84% 77.74% (22.63%) 88.19% 88.51% 87.71% 93.99%

April YTD



Bridle Ridge Acres


TOTAL BUDGET


Revenue:

Operating Expenses:



BUILDING EXPENSE $0 $0 $0 0.00% $1,284 $0 ($1,284) 0.00% $0

INSURANCE EXPENSE 210 0 (210) 0.00% 2,104 0 (2,104) 0.00% 0

COMMUNICATIONS 0 0 0 0.00% 338 0 (338) 0.00% 0

NON-CAPITAL EQUIPMENT 0 0 0 0.00% 492 0 (492) 0.00% 0

REPAIRS & MAINTENANCE 0 0 0 0.00% 73,281 0 (73,281) 0.00% 0

DEPRECIATION EXPENSE 0 0 0 0.00% 8,089 0 (8,089) 0.00% 0

INTEREST EXPENSE 0 0 0 0.00% 10,066 0 (10,066) 0.00% 0

Total Other Operating Expenses 210 0 (210) 0.00% 95,654 0 (95,654) 0.00% 0


Total Operating Expenses 210 0 (210) 0.00% 95,654 0 (95,654) 0.00% 0

Income (Loss) (210) 0 (210) 0.00% (95,654) 0 (95,654) 0.00% 0


0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

April YTD



Administration


TOTAL BUDGET


Revenue:

REVENUES - MIL TAX $77,917 $77,917 $0 0.00% $779,167 $779,167 $0 0.00% $935,000

REVENUES - SALES TAX (17,971) 8,833 (26,805) (303.45%) 113,584 88,333 25,251 28.59% 106,000


REVENUES - DONATIONS / FUNDRAISING 0 83 (83) (100.00%) 5,199 833 4,366 523.95% 1,000

REVENUES - OTHER 3,293 6,250 (2,957) (47.32%) 71,391 62,500 8,891 14.23% 75,000

Total Revenue 213,239 93,083 120,155 129.08% 1,119,341 930,833 188,508 20.25% 1,117,000

Operating Expenses:


PERSONNEL - COMP, SALARY 210,637 213,950 3,313 1.55% 2,185,431 2,139,498 (45,933) (2.15%) 2,567,398

PERSONNEL - COMP, OVERTIME 1,534 1,250 (284) (22.73%) 22,878 12,500 (10,378) (83.02%) 15,000

PERSONNEL - TAXES 16,225 16,463 238 1.45% 169,238 164,628 (4,611) (2.80%) 197,553


PERSONNEL - TRAINING & EDUC (229) 1,250 1,479 118.32% 22,839 12,500 (10,339) (82.71%) 15,000

Total Employee-Related Expenses 261,440 253,858 (7,582) (2.99%) 2,723,671 2,538,579 (185,093) (7.29%) 3,046,294


PROFESSIONAL FEES 11,051 3,750 (7,301) (194.71%) 114,068 37,500 (76,568) (204.18%) 45,000

TRAVEL EXPENSE 0 500 500 100.00% 11,153 5,000 (6,153) (123.06%) 6,000

MILEAGE 125 667 542 81.30% 7,718 6,667 (1,051) (15.77%) 8,000

CLIENT TRANSPORTATION 0 0 0 0.00% 400 0 (400) 0.00% 0

BUILDING EXPENSE 2,450 2,167 (283) (13.06%) 35,412 21,667 (13,745) (63.44%) 26,000

INSURANCE EXPENSE 4,139 3,083 (1,056) (34.25%) 41,395 30,833 (10,562) (34.25%) 37,000

COMMUNICATIONS 14,850 10,000 (4,850) (48.50%) 144,021 100,000 (44,021) (44.02%) 120,000

OFFICE/PRINTING SUPPLIES 2,578 2,500 (78) (3.11%) 52,295 25,000 (27,295) (109.18%) 30,000

PROGRAM SUPPLIES 464 917 453 49.43% 18,748 9,167 (9,582) (104.53%) 11,000

CLEANING/MAINT SUPPLIES 295 333 39 11.61% 9,745 3,333 (6,412) (192.35%) 4,000

POSTAGE/FREIGHT 1,344 1,083 (261) (24.05%) 13,710 10,833 (2,877) (26.55%) 13,000

NON-CAPITAL EQUIPMENT 8,552 4,167 (4,385) (105.25%) 52,043 41,667 (10,376) (24.90%) 50,000

VEHICLE EXPENSE 2,819 4,183 1,365 32.62% 50,272 41,833 (8,439) (20.17%) 50,200

REPAIRS & MAINTENANCE 4,860 7,500 2,640 35.20% 90,896 75,000 (15,896) (21.19%) 90,000

ADVERTISING/MARKETING 1,742 6,667 4,925 73.87% 46,754 66,667 19,913 29.87% 80,000

ADVERTISING, RECRUITING 0 125 125 100.00% 431 1,250 819 65.49% 1,500

FUNDRAISING EXPENSE 0 0 0 0.00% 29 0 (29) 0.00% 0

FOOD SERVICE 2,327 2,917 589 20.21% 51,233 29,167 (22,066) (75.66%) 35,000

RECREATION FEES 0 0 0 0.00% 110 0 (110) 0.00% 0


INTEREST EXPENSE 3,714 1,317 (2,397) (182.06%) 18,259 13,167 (5,092) (38.67%) 15,800

CONTRACTED SERVICES 37,163 21,667 (15,496) (71.52%) 420,233 216,667 (203,566) (93.95%) 260,000

MISCELLANEOUS EXPENSE 29,062 22,750 (6,312) (27.74%) 475,132 227,500 (247,632) (108.85%) 273,000

GAIN/LOSS ON SALE OF F/A 0 0 0 0.00% 1,649,343 0 (1,649,343) 0.00% 0

Total Other Operating Expenses 138,052 108,793 (29,258) (26.89%) 3,418,713 1,087,918 (2,330,794) (214.24%) 1,305,500


Total Operating Expenses 399,492 362,651 (36,840) (10.16%) 6,142,384 3,626,497 (2,515,887) (69.38%) 4,351,794

Income (Loss) (186,253) (269,568) 83,315 (30.91%) (5,023,043) (2,695,664) (2,327,379) 86.34% (3,234,794)


229.08% 102.99% 110.16% (69.09%) 120.25% 107.29% 169.38% (186.34%)

April YTD


Income Statement - Year to Year Comparison

Summary of All Units


Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - CLIENT $62,934 $111,153 ($48,219) $777,093 $875,325 ($98,232)

REVENUES - INSURANCE 79,243 132,095 (52,852) 1,157,173 1,172,344 (15,170)

REVENUES - MC+ 98,161 408,000 (309,838) 2,973,936 3,713,393 (739,457)

REVENUES - DMH 950,509 1,030,406 (79,896) 9,044,270 8,544,387 499,882

REVENUES - DMH HOUSING 7,729 48,639 (40,910) 282,925 264,118 18,807

REVENUES - ISP 5,500 0 5,500 19,800 0 19,800

REVENUES - MEDICAID 136,343 218,667 (82,324) 1,794,434 2,131,755 (337,321)

REVENUES - MEDICARE 59,564 22,380 37,184 342,377 227,503 114,874

Patient Revenue: 1,399,983 1,971,340 (571,356) 16,392,008 16,928,825 (536,818)

REVENUES - DPS - VOCA 23,036 33,694 (10,658) 261,924 325,147 (63,223)

REVENUES - DFS 169 8,239 (8,070) 109,025 86,426 22,599

REVENUES - CHILDREN'S DIVISION 11,748 17,813 (6,066) 156,306 185,771 (29,465)

REVENUES - COURT SERVICES 5,343 6,766 (1,423) 84,736 83,902 834

REVENUES - MIL TAX 241,667 241,667 0 2,416,667 2,416,667 0

REVENUES - SALES TAX 206,528 183,362 23,166 2,358,581 2,269,416 89,165

REVENUES - GRANTS 179,781 194,737 (14,955) 2,111,184 2,028,731 82,453

REVENUES - COVID19 FUNDING 218,563 0 218,563 218,563 0 218,563

REVENUES - SCHOOL SERVICES 3,288 5,191 (1,903) 25,691 21,013 4,678

REVENUES - DONATIONS / FUNDRAISING 1,381 30,724 (29,343) 180,386 191,048 (10,662)

REVENUES - UNITED WAY 8,975 5,749 3,226 70,482 67,059 3,423

REVENUES - 340B 43,613 32,741 10,872 573,605 550,227 23,378

REVENUES - OTHER 1,375,666 21,962 1,353,704 1,540,235 279,183 1,261,051

Total Revenue 3,719,741 2,753,985 965,758 26,499,393 25,433,415 1,065,975

Operating Expenses:


PERSONNEL - COMP, SALARY 1,355,275 1,350,734 (4,541) 14,362,916 14,466,667 103,751

PERSONNEL - COMP, OVERTIME 8,817 11,448 2,630 107,906 102,194 (5,712)

PERSONNEL - TAXES 104,647 106,668 2,021 1,097,407 1,083,106 (14,301)

PERSONNEL - BENEFITS 208,057 176,423 (31,634) 1,901,739 1,753,653 (148,086)

PERSONNEL - TRAINING & EDUC (2,645) 5,324 7,968 42,469 57,397 14,927

PROFESSIONAL FEES - PSYCH 53,650 26,425 (27,225) 424,588 267,591 (156,997)

Total Employee-Related Expenses 1,727,801 1,677,022 (50,781) 17,937,025 17,730,608 (206,418)


PROFESSIONAL FEES 49,658 51,763 2,105 477,231 476,691 (540)

TRAVEL EXPENSE 173 9,189 9,017 24,709 41,202 16,493

MILEAGE 3,347 10,146 6,799 77,539 88,888 11,348

CLIENT TRANSPORTATION 0 0 0 400 200 (200)

BUILDING EXPENSE 31,889 36,495 4,607 374,886 390,803 15,917

INSURANCE EXPENSE 27,358 27,358 0 275,427 275,040 (387)

COMMUNICATIONS 25,706 53,610 27,904 326,431 362,427 35,995

OFFICE/PRINTING SUPPLIES 2,930 10,401 7,471 87,707 91,854 4,147

PROGRAM SUPPLIES 6,548 44,604 38,056 277,830 459,683 181,854

CLEANING/MAINT SUPPLIES 543 2,853 2,310 24,925 27,013 2,088

POSTAGE/FREIGHT 3,167 4,485 1,318 37,565 38,937 1,372

NON-CAPITAL EQUIPMENT 8,592 9,972 1,380 108,473 131,874 23,401

VEHICLE EXPENSE 8,168 18,224 10,056 163,369 204,444 41,076

REPAIRS & MAINTENANCE 18,919 44,497 25,578 473,082 507,480 34,398

ADVERTISING/MARKETING 1,742 9,521 7,779 58,797 93,452 34,655

ADVERTISING, RECRUITING 0 480 480 26,558 2,183 (24,375)

FUNDRAISING EXPENSE 47 6,876 6,829 46,548 56,323 9,775

MEDICAL EXPENSE 91,383 118,657 27,274 842,824 1,021,619 178,795

340B MEDICAL EXPENSE 29,625 18,126 (11,499) 179,385 134,890 (44,495)

HOUSING EXPENSE 18,121 23,446 5,325 226,641 255,637 28,996

FOOD SERVICE 9,518 9,082 (436) 113,697 97,162 (16,536)

RECREATION FEES 1,428 1,146 (282) 14,565 11,543 (3,023)

WRAPAROUND SERVICES 0 407 407 6,795 4,878 (1,917)

DEPRECIATION EXPENSE 91,414 106,767 15,353 922,637 1,153,101 230,465

INTEREST EXPENSE 7,489 16,493 9,004 63,975 86,023 22,048

CONTRACTED SERVICES 72,007 83,117 11,110 980,091 871,796 (108,295)

MISCELLANEOUS EXPENSE 30,729 41,784 11,055 530,068 416,063 (114,005)

GAIN/LOSS ON SALE OF F/A 0 0 0 1,649,343 628 #########

Total Other Operating Expenses 540,501 759,499 218,999 8,391,498 7,301,834 #########


Total Operating Expenses 2,268,302 2,436,521 168,218 26,328,523 25,032,442 #########

Income (Loss) 1,451,439 317,464 1,133,976 170,870 400,973 (230,104)

Gain/Loss on Sale of Bridle Ridge 1,641,778

Income (Loss) taking out sale of Property 1,451,439 317,464 1,133,975 1,812,648 400,973 1,411,675

6.84% 1.58%

April YTD

CLOSED SESSION

BOARD ONLY

MOTION:

“I, ______, move that the Board approve the, June 15, 2020 Closed Meeting Agenda.”

APPROVAL OF CLOSED MEETING AGENDA

MOTION:

“I, ______, move that the Board approve the May 11, 2020 Closed Meeting Minutes.”

Closed Session scheduled for the purpose of discussing:Real Estate

LegalPersonnel

APPROVAL OFCLOSED MEETING

MINUTES

OUR MISSION

To lead in providing quality,

comprehensive healthcare that is

affordable and accessible, and to

support the dedicated

professionals who make caring

for the individuals we serve their

number one priority.

PROGRAM HIGHLIGHT

COVID-19 PandemicTIMELINE & COMTREA RESPONSE

COVID-19 Pandemic

TIMELINE & COMTREA RESPONSE

Timeline of Major Events

Date Event

12/31/19 Officials in Wuhan, China discover dozens of cases of pneumonia of unknown cause

1/07/20 They identify the illness as viral disease caused by a new coronavirus.

1/11/20 First individual to die from the new coronavirus is a 61 y.o. man who visited the Wuhan market.

1/20/20 Coronavirus spreads to other countries (Japan, South Korea & Thailand.

1/21/20 First case confirmed in the U.S. is reported in Washington State

1/23/20 China places Wuhan, a city of 11 million people, under quarantine orders.

1/30/20 WHO declares a global health emergency and thousands of cases emerge from China.

1/31/20 Trump restricts travel from China and death toll rises to 213 with 9,800 people infected worldwide.

2/05/20 Diamond Princess cruise ship is quarantined with 3,600 passengers, several deaths & 705 infections.

2/23/20 Italy faces outbreak of COVID-19 with 150 cases and schools and other public places are closed.

2/24/20 Trump administration asks for $1.25 billion from Congress to help fight COVID-19.

2/28/20 First American COVID-19 death and the U.S. announces travel restrictions the next day.

2/29/20 The number of global confirmed cases of COVID-19 rises to almost 87,000.

3/11/20 WHO declared COVID-19 a pandemic and President Trump temporarily banned all travel from Europe.

COVID-19 Pandemic


COVID-19 COMTREA Response

DATE EVENT

3/10/20 Implementation of COVID Taskforce with a daily huddle and primary responsibility for leading the COMTREA response.

3/11/20 Established our Patient COVID-19 Health Questionnaire, received COVID-19 test kits from Qwest, Infection Control guidelines (initial publication) written and distributed to staff, and PPE rationing.

3/12/20 All employer sponsored travel is canceled and all staff job role functions reviewed with designation of Essential on-site or Work from home, partial or full job role.

3/16/20 Internal preparation to switch from in-person/in-clinic visits to telehealth

3/17/20 Dental limited to emergency services only and Psychiatry transitioned to telehealth.

3/18/20 There are 0 cases of COVID-19 positive in Jefferson County.

3/23/20 Shelter in place issued for St. Louis City and St. Louis County and COMTREA Distribution Center opened up with essential food items, gas cards and other necessities provided to COMTREA clients. This was funded through internal & external monetary donations.

3/24/20 Stay at home issued for Jefferson County and “non-essential” staff in a national pandemic are furloughed.

3/25/20 COMTREA Crisis Hotline for crisis calls and individuals needing someone to talk with expanded for individuals served and our county.

COVID-19 Pandemic


COVID-19 COMTREA Response

DATE EVENT

3/26/20 Primary Care transitioned to telehealth with emergent cases and well child visits sent in office after clearance from health care screening and roll-out of Remote Desktop by IT to all remote workers using a non-COMTREA laptop.

4/06/20 Drive-through COVID-19 testing opened up with later expansion to Hickory Plaza

4/08/20 COMTREA received approval for the Payroll Protection Program in which we applied for $3.9 million. This meant that all employees (except for those PRN staff), will return to payroll effective Monday, April 13.

4/09/20 Zoom Roundtable held with over 285 COMTREA staff participating with a 30-minute update and 30 min. Q&A. These Roundtables have continued every two weeks and remain a vital communication link for staff.

5/01/20 Shift for COMTREA from Response to Recovery and phase I with reliance on work from home and telehealth extended through end of May.

6/04/20 COMTREA Safety Plan published and shared with all staff and Board Members on 6/08/20.

6/08/20 Continue with Phase II re-opening

CEO REPORT

The impact of the Comtrea School Liaison program is beyond beneficial for our schools. With one counselor in most elementary schools per 400+ students, there is no

way that one person can help every student in need. The option of having our school liaison adds support for

students in difficult times, which may have gone unnoticed. For example, if it were not for the

communication our school liaison had with one student, I may not have known of another situation that needed my

attention. I am so thankful for this program.

Thank you for ongoing support in ourFox C-6 school district.

Leslie VolmertLone Dell Elementary

School Counselor

GROWTH REPORT BH/PSYCH– MAY 2020CEO REPORT

ADULTScheduled Actual PTO-

TRAINING-

LEAVE Month Totals

Full time Hours per week

# 20 min

Actual Units MTD May-20 Total

MONTH END PERFORMANCE

Scheduled Patient Hours of Work Hours units 85% # A # B # C

Visit Units

% of Goal

PTO ADJ

ADJ GOA

LACTUAL

% GOA

L405 344 10 0 194 214 62% 0.00 0.00 344 214 62%

405 344 22 2 129 177 51% 0.00 0.00 344 177 51%203 172 8 0 80 96 56% 0.00 0.00 172 96 56%

0 0 0 0 0 0#DIV/0

! 0.00 0.00 0 0#DIV/

0!405 344 14 0 182 210 61% 3.00 6.89 337 210 62%

216 184 3 1 71 79 43% 24.00 22.03 162 79 49%405 344 19 0 189 227 66% 0.00 0.00 344 227 66%

113 96 5 0 49 59 61% 0.00 0.00 96 59 61%

302 257 9 0 71 89 35% 22.50115.6

7 141 89 63%Equivalent of 3 work days/week 0 0 0 0

#DIV/0!

2,454 2,086 90 3 965 1,151 55% 49.50144.5

9 1942 1151 59%

CHILD/YOUTHScheduled Actual PTO-

TRAINING-

LEAVE Month Totals



# 20 min

Actual Units MTD May-20 Total


Visit Units

% of Goal

PTO ADJ

ADJ GOA

LACTUAL

% GOA

LDr. Lisa Delaney 143 121 0 0 59 59 49% 8.00 13.87 108 59 55%Dr. Lucas (Genoa) 138 117 9 0 49 67 57% 0.00 0.00 117 67 57%Dr. Wade Mahoney 224 191 14 0 36 64 34% 0.00 0.00 191 64 34%

505 429 23 0 144 190 44% 8.00 13.87 415 190 46%

Total Visit Types -Child/Youth & Adult 113 3 1,109 1,341

GROWTH REPORT PRIMARY CARE– MAY 2020CEO REPORT

PTO-TRAINI

NG-LEAVE Month Totals

Work Weeks/MonthScheduled

Actual



# 20 min

Actual

Units MTD May-20 Total


Visit Units

% of Goal

TOTALS

PTO ADJ

ADJ GOA

LACTUAL

% GOA

L

383 325 0 4 163 171 53% 16.00 34.68 290 171 59%

281 238 0 0 93 93 39% 24.00 52.02 186 93 50%

204 173 0 4 54 62 36% 0.00 0.00 173 62 36%

306 260 0 4 88 96 37% 0.00 0.00 260 96 37%

348 296 0 3 171 177 60% 8.00 15.78 280 177 63%

306 260 0 10 94 114 44% 6.00 10.40 250 114 46%

0 0 0 0#DIV/0

! 0.00 0.00 0 0#DIV/

0!

TOTALS 1,8271,55

3 0 25 663 713 46% 54.00112.8

8 1440 713 50%

0 3,125 62,985 66,110

0 4,625 93,218 97,843

GROWTH REPORT ORAL HEALTH – MAY 2020CEO REPORT

Scheduled Patient Hours of Work Hours

DAILY GOAL

S# days MTD 20

PTO-TRAINI

NG-LEAVE Month Totals

Full time Hours per week Actual

THRU 5/31 MONTH END FORECAST


8-HrDay

ACT MTD

PROJ VISITS

GOAL%

GOALPROJ REV

PTO ADJ

ADJ GOA

LACTUAL

% GOA

L6.2 0 0 124 0% 0 5.00 3.88 120 0 0%6.2 0 0 124 0% 0 90.00 69.75 54 0 0%

12.4 4949

248 20% 8,281 72.50112.3

8 136 49 36%

12.4 8989

248 36%15,04

1 64.50 99.98 148 89 60%

12.4 4646

248 19% 7,774 107.50166.6

3 81 46 57%

12.4 9595

248 38%16,05

5 64.50 99.98 148 95 64%

12.4 112112

248 45%18,92

8 54.50 84.48 164 112 68%

12.4 4646

248 19% 7,774 99.50154.2

3 94 46 49%

9.3 2828

186 15% 4,732 105.50122.6

4 63 28 44%

0.0 00

0#DIV/0

! 0 0.00 0.00 0 0#DIV/0!

2.5 00

50 0% 0 0.00 0.00 50 0 0%

0.0 00

0#DIV/0

! 0 0.00 0.00 0 0#DIV/0!

TOTALS 98.6 465465

1,972 24%78,58

5 663.50913.9

2 1,058 465 44%

ORAL HEALTH - DENTISTS

GROWTH REPORT ORAL HEALTH – MAY 2020CEO REPORT

ORAL HEALTH HYGIENISTS

ORAL HEALTH HYGIENISTS

DAILY GOAL

S# days MTD 20

PTO-TRAINING-LEAV

E Month Totals

Full time Hours per week Actual

THRU 5/31 MONTH END FORECAST


8-HrDay

ACT MTD

PROJ VISIT

S GOAL%

GOALPROJ REV

PTO ADJ

ADJ GOA

LACTUAL

% GOAL

3.3 77

68 11% 1,213 92.8338.2

9 29 7 24%

3.3 2021

68 30% 3,465 120.0049.5

0 18 20110%

3.3 1515

68 23% 2,598 120.0049.5

0 18 15 83%

3.3 66

68 9% 1,039 60.0024.7

5 43 6 14%

6.6 1616

135 12% 2,772 120.0099.0

0 36 16 44%

6.6 22

135 2% 346 90.0074.2

5 61 2 3%

6.6 3334

135 25% 5,716 100.0082.5

0 53 33 63%

6.6 1515

135 11% 2,598 120.0099.0

0 36 15 41%

0.00

0#DIV/

0! 0 0.00 0.00 0 0#DIV

/0!

TOTALS 39.6 114117

812 14%19,74

8 822.83516.79 295 114 39%

FEDERAL AND STATE ASSOCIATIONS

ADVOCACY AND COMMUNITY INVOLVEMENT

CEO REPORT

PRIMARY CARE ORAL HEALTH

DIVISIONAL/DEPARTMENTUPDATES

BH/PSYCHIATRY

CEO REPORT

HRSA PR Monthly Review

CEO REPORT

The request for an extension for adding Psychiatry to the Welcome Center was approved

HRSA SCOPE VERIFICATION EXTENSION

Submission Tracking No: SCPV026459Health Center Name: Community Treatment, Inc.Grant Number: H80CS24105Approved New Deadline: 09/01/2020

BUDGET FISCAL Amy Rhodes

June YES NO NA

a. Annual Budgeting for Scope of Project 1b. Revenue Sources 1c. Allocation of Federal and Non-Federal Funds

1

d. Other Lines of Business 1TOTAL 4 0 0

% 100%

BOARD MEMBERS USING FQHC SERVICES

HRSA REQUIRES 51%OF THE BOARD

TO BE CONSUMERS

Of Board Members are using FQHC Services

5 3% Board Members NOTutilizing FQHC Services

47%

CEO REPORT

JUNE 2020

CURRENTLY OUT OF

COMPLIANCE

MONTHLY GRANT UPDATE

CEO REPORT

Funding EntityProgram Recipient Description

Amt Requested on Pending Grants Status

St. Francois County United Way

CAC $5,000 Awaiting Review

Note this list only includes those grants that are still pending or had been applied for / awarded or declined during the current month

VOLUNTEERS

CEO REPORT

(FY: 2020-2021)

Location July Aug Sept Oct Nov Dec Jan Feb Mar Apr May TOTAL HOURS

A Safe Place 0 9 19 8 9 14 6 8 6 0 2 81

CAC 0 8 10 2 6 2 0 0 0 0 0 28

Employees 12 6 0 19 11 11 0 0 5 0 0 64

Board Members 84 58 99 120 71 60 68 73 37 29 51 750

Adult and C&Y Div. 48 40 71 140 32 26 95 37 3 53 0 545

Tails with Tales 55 108 88 113 153 65 80 77 62 8 10 819

Job Shadowing 0 7 25 58 48 11 11 53 0 0 0 213

TOTAL Hours: 199 236 312 460 330 189 260 248 113 90 63 2500

ANNUAL PRESENTATION APPROVALS

REQUIRES A VOTE

MOTION:

“I, ______, move that the Board approve the FY 2021 Budget as

presented to the Board.”

ANNUAL PRESENTATIONAPPROVALFY 2021 BUDGET

Presented to the Board On Thursday, June 11, 2020

Refer to Budget Packet for Full Details

MOTION:

“I, ______, move that the Board approve the FY 2021 Strategic Plan

as presented to the Board.”

ANNUAL PRESENTATIONAPPROVAL

FY 2021 STRATEGIC PLAN


• Improve Access to CareGoal 1• Foster a Workforce Able to Address

Current and Emergent NeedsGoal 2• Achieve Health Equity and

Enhance Population HealthGoal 3• Optimize COMTREA Operations

and Strengthen ProgramGoal 4


3 YEAR STRATEGIC PLAN (2021-2023)Presented to the Board

On Thursday, June 11, 2020Goal #1 Improve Access to Care

Goal #2 Foster a Workforce Able to Address Current and Emergent Needs


3 YEAR STRATEGIC PLAN (2021-2023)Presented to the Board

On Thursday, June 11, 2020Goal #3 Achieve Health Equity and Enhance Population Health

Goal #4 Optimize COMTREA Operations and Strengthen Program Management

MOTION:

“I, ______, move that the Board approve the 2021 – 2023 Strategic

Plan as presented to the Board.”


3 YEAR STRATEGIC PLAN (2021-2023)


MOTION:“I, ______, move that the Board approve the following Governance Manuals



GOVERNANCE MANUALSLink to all manuals provided June 8, 2020 via email for prior review

List of manuals must be read in the motion.

G1 Admin Mgt Legal Requirements

G2 Continuous Quality Improvement

G2 Appendix Performance and Quality Improvement Operations Plan

G3 Governance

G4 Human ResourcesG4 Employee Handbook

G4 HR Credentialing and Privileging Policy/Procedures -Appendix 4.6G5 Quality of Service EnvironmentG5 Health And Safety Manual Appendix G6 Financial Risk Mgt Manual w Appendices

G7 Training and Supervision ManualG8 Intake Assessment-Service Planning ManualG9 Service Delivery ManualG10 Behavior Management ManualG11 Behavioral Health Medical Manual

G11 Primary Care Medical Manual

G11 Oral Health Services Medical Manual

G11 Keaton Center ALF Medical Operations ManualG14 Fundraising and Development

G15 Information Technology ManualG17 Volunteer Program Manual

MOTION:“I, ______, move that the Board approve the following Service Manuals



SERVICE MANUALSLink to all manuals provided June 8, 2020 via email for prior review


S2 Mental Health Manual -Children and Youth Svc S3 Adult Community Based Rehabilitation Services

S3 CPR-Jr Psychosocial Psychiatric Rehab Services Manual S4 Safe Access-Exchange Program

S5 Adult CPS Clinic-Based Treatment ServicesS5 Youth TCM Manual Case Management Services S6 Adult Outpatient Sub Use Svc/Drug CourtS6 CSTAR Adolescent Substance Abuse Services ManualS9 Healthcare Home Manual

S11 Intern Training ManualS12 A Safe Place ManualS24 PSR Adult Day TxS25 Specialized Services Drop in Center Addendum to S24 S26 Keaton ALF Manual Group Living Services S30 Social Advocacy Services CAC S31 Housing Department Manual Addendum to S3S32 Indiv Placement and Spt–Supported Employment Ops Manual (EC Svc SM)S38 Supportive Parents Manual S38 In School Services Manual Prevention and Support ServicesTails with Tales Policy Procedure Manual

MOTION:“I, ______, move that the Board approve the following Special Project Manuals



SPECIAL PROJECT MANUALSLink to all manuals provided June 8, 2020 via email for prior review


ACTION ITEMS

REQUIRES A VOTE

MOTION:

“I, ______, move that the Board approve the May 2020 Leadership

Reports to the Board.”

APPROVALLeadership Council Reports

Emailed to Board

BUDGET JUSTIFICATION COMMUNITY TREATMENT, INC GRANT AWARD NUMBER: H8ECS38933 BUDGET PERIOD: 05/01/2020 – 04/30/2021

Budget Justification Federal Non-Federal

REVENUE –Consistent with information presented in the SF-424A

FEDERAL COVID-19 FUNDING 319,699 0

TOTAL REVENUE 319,699 0

EXPENSES: PERSONNEL

ADMINISTRATION 0 0

MEDICAL STAFF – for conducting COVID-19 screening, testing and vaccination & patient care follow-up 101,200 0

DENTAL STAFF 0 0

BEHAVIORAL HEALTH STAFF 0 0

ENABLING STAFF 0 0

OTHER STAFF 0 0

TOTAL PERSONNEL 101,200 0

FRINGE BENEFITS

FICA @ 7.65% 7,742 0

Medical/Dental @ $540/month/employee 19,440 0

Retirement (4% annual wages) – 2 employees 4,048 0

Unemployment & Workers Compensation @ 2.47% first $13,000/employee 963 0

Life & Disability @ $22/month/employee 792 0

TOTAL FRINGE 32,985 0

SUPPLIES

Laptop computer (1200 x 3) 3,600 0

Mobile phone/internet access 1,000 0

Infection Control cleaning supplies (average $25/month x 12 months) 300 0

Personal Protective Equipment (PPE) disposable average $75/month x 12 months) 900 0

Touchless Thermometers (2 @ $75/ea) 150 0

Phlebotomy supplies related to testing/vaccination ($400/month x 12) 5,000 0

Vaccination supplies when available (est. $10/vaccination x 500) 5,000 0

Tables/Chairs – sets to utilize in mobile setting/drive thru tent 1,000 0

Lighting/Heating & Cooling supplies for mobile tent 4,000 0

Portable Generator x1 2,500 0

Portable Handwashing Station 3,000 0

Portable Water Supply ($85/month x 12 months) 1,020 0

Abbott Testing kits for flu/strep/COVID19 (1000 test @ average 26.67/kit) 26,670 0

Budget Justification Federal Non-Federal

Small Refrigerator for immunization supplies 300 0

Fuel Costs for vehicle ($200/month x 12 months) 2,400 0

Signage/graphics – Directional signs, information signs, van graphics 3,200 0

TOTAL SUPPLIES 60,040 0

EQUIPMENT

Enclosed Drive-Thru Screening Tent 10,000 0

Abbott ID Now portable testing instrument (2 @ $6,000/each) 12,000 0

Ford Transit Vehicle modified for transport of medical supplies, portable equipment and staff to temporary sites and other in-scope sites 85,000 0

TOTAL EQUIPMENT 107,000 0

CONTRACTUAL

Laboratory Services (COVID related testing costs for clinic testing) 5,000 0

Pharmacy Services (prescription assistance for treatment of uninsured) 13,474 0

TOTAL CONTRACTUAL 18,474 0

OTHER – Note: Federal funding does not support grant-writing, construction, fundraising, or lobbying costs.

0 0

0 0

0 0

TOTAL OTHER 0 0 TOTAL DIRECT CHARES (Sum of all TOTAL Expenses rows above) 319,699 0 INDIRECT CHARGES – Include approved indirect cost rate. 0 0

TOTALS (Total of TOTAL DIRECT CHARGES and INDIRECT CHARGES above) 319,699 0

Federally-Supported Personnel Justification Table

Name Position Title Base Salary

Adjusted Annual Salary

FTE to Support COVID-19 Activities

Federal Amount Requested

TBH LPN 40,000 40,000 1.0 40,000 TBH MA 30,000 30,000 1.0 30,000 TBH Patient Care

Coordinator 31,200 31,200 1.0 31,200

TOTAL FEDERAL

FUNDS REQUESTED

101,200

MOTION:

“I, ______, move that the Board approve the HRSA Budget of $319,699 as

presented.”

APPROVALHRSA Budget Approval

HRSA BUDGET $319,699

GRANT AWARD NUMBER:

H8ECS38933319$823,925

MOTION:“I, ______, move that the Board approve the

Quarterly Risk Management Report as presented.”

APPROVALQuarterly Risk Management Report

COMTREA Fiscal Year 2020RM Risk Management JUNE-AUG SEPT-NOV DEC-FEB MAR-MAY

Measure, Key Performance Indicator Target 1stQ 2ndQ 3rdQ 4thQ AnnualIncident Reports

Clinic # of incident reports Freq 15 17 10 3 45Clinic Incident reports filed within 24 hrs of event 90% 100% 99% 100% 100% 99%

Education/TrainingRM Dept RM education session -Malpractice, Code of Conduct,

Risk Reduction - All Providers - required 1/yr 0 0 1 0 1RM Dept

RM education sessions - Other - All Providers - required 3/yr 0 0 0? ?RM Dept RM education sessions - Risk Manager - required 1/yr 0 1 0 3 3RM Dept Internal informational emails (quarterly) - sent by RM 4/yr

1 1 1 1 4SREs/SIs

Clinic # of Serious reportable events/serious incidents Freq 1 1 0 0 2RM Dept Determination of preventability completed by RM within 30

days of SRE90%

100% 100% NA NARM Dept # of SREs not billed because of preventability analysis Freq

NA NA NA NADisclosures

Clinic # of disclosures Freq 0 0 0 0 0RM Dept # of disclosures relating to SREs/SIs Freq 0 0 0 0 0

Root-Cause Analyses (RCAs)RM Dept # of RCAs completed per qtr Freq 1 1 0 0 0CM Claims Management

Measure, Key Performance IndicatorPotentially Compensable Events (PCEs)

Clinic # of PCEs (by reported date) Freq 1 1 0 0 0Clinic # of PCEs sent for quality review Freq 1 1 0 0 0Clinic % of PCEs sent for quality review w/i 72 hrs 90% 100% 100% 0%RM Dept PCE preliminary investigation completed w/i 7 d 90% 100% 100% 0%RM Dept PCEs reported to third-party administrator in qtr Freq 0 0 0 0 0

Claims/Suits/Observations (PCEs) TargetCM Dept # of new claims (notice to RM) Freq 0 0 0 0 0CM Dept # of new suits (notice to RM) Freq 0 0 0 0 0CM Dept # of new claims/suits that should have had prior notice Freq 0 0 0 0

0CM Dept % of prior notice claims/suits 80% NA NACM Dept Cases closed Freq 0 0 0 0 0CM Dept Closed w/o payment Freq 0 0 0 0 0CM Dept Closed w/payment Freq 0 0 0 0 0CM Dept Total paid indemnity (closed claims/suits in qtr) $ tbd TBD CM Dept Total paid expenses (closed claims/suits in qtr) $ tbd TBD CM Dept Total expense reserves (open cases) $ tbd TBD CM Dept Total indemnity reserves (open cases) $ tbd TBD CM Dept Total open cases Freq 1 1 1 1 1CM Dept Open suits Freq 1 1 1 1 1CM Dept Open claims Freq 0 0 0 0 0CM Dept Average indemnity reserve (all open cases) $ $ -CM Dept Average expense reserve (all open cases) $ $ -

Dashboard Key - PerformanceImproved/exceeded expectations TAcceptable/needs improvement T-10Not meeting target, action needed >T-10

APPROVALMIL Tax and Sales Tax Request to JCCMFB

FISCAL YEAR 2021

ADULT SERVICES MIL TAX SALES TAXPROGRAM 2021 BUDGET REQUEST REQUEST

Psychiatry 4,853,169 820,000 325,000

IncludesPhysician ServicesAPN Services

Keaton Center

Includes

Assisted Living Facility 691,362 620,000

Adult Behavioral Health 6,540,433 685,000

IncludesPSRCommunity SupportCounselingHealthCare Home

Adult Substance Use 2,512,666 131,093

IncludesCounselingDay TreatmentCourt Services

MOTION:

“I, ______, move that the Board approve the COMTREA MIL Tax and Sales Tax Request to

JCCMFB as presented.”

APPROVALMIL Tax and Sales Tax Request to JCCMFB

FISCAL YEAR 2021CHILDREN'S SERVICES 2021 BUDGET MIL TAX SALES TAX

PROGRAMChildren Behavioral Health Services 2,163,092 860,950

Includes:Community SupportCounseling

Children Substance Use 629,746 430,000

Includes:CounselingDay Treatment

School Liaison Services 737,673 672,000

COMMUNITY SERVICES (MENTAL HEALTH SERVICES ONLY)PROGRAM

A Safe Place 655,120 200,000 27,200 CAC - request for Jefferson County Location 695,013 27,200 Tails with Tales 105,364 19,550 Reserved for outside RFP 250,000 223,907 26,093 R7 Diversion Program 51,000

ADMINISTRATION

COMTREA administration of funds/board 120,000 120,000 Cost associated with division of boards/administration 100,000 100,000

TOTAL COSTS / REQUESTS 20,053,637 2,900,000 2,438,993

Approximately 5,500 clients at $2,658/per patient

Policy for Review and Approval

Name of Policy: G11 Medical Manual Oral Health Services OHS2 Policy: Hours of Operation

Policy Change : (New, Revised or Delete) Revised

Summarize why the policy is being changed: Extended Hours removed. Fox Dental Lunch closing added with 12:30 – 1:30. Emergency phone procedures replace emergency phone service.

New Policy: Purpose To establish hours of operation for COMTREA dental. Roles and Responsibilities COMTREA is responsible for determining the hours of operation for all clinics including fixed sites, school based, and mobile access clinic. Policy It is the policy of COMTREA to provide dental care during normal operating hours of the clinics. After hours emergency dental coverage will also be provided for all fixed, school base, and mobile access locations.

A. During normal operating hours of COMTREA, at least one dentist will be working to provide routine and emergent dental care.

1. Normal operating hours are Monday thru Thursday 8:00 AM to 6:00 PM. B. Opening and Closing Procedures

1. The clinic doors will be opened by 7:30AM each morning to allow check-in time for 8:00AM appointments.

2. The clinic will be closed from 12:00-1:00PM for lunch (12:30-1:30 at Fox). 3. The clinic must be locked each evening at close.

C. After Hours 1. When Patient’s call COMTREA phone number they will be greeted with an

automated message and can choose a prompt forwards to the emergency phone if they need after hours care. Patients can also find our emergency number via the COMTREA website.

2. The dentist on call will call back all patients with a dental emergency, and proceed as follows:

a. Determine if the patient is a COMTREA patient.

b. If the patient is not a COMTREA patient, the dentist should refer the patient to the emergency room, or advise them of the next time COMTREA is open.

c. If the patient is a COMTREA patient, the dentist will triage the emergency on the phone, and determine the treatment needed.

3. After hours treatment will include: a. Answering questions. b. Prescribing or renewing prescriptions for pain medications or antibiotics. c. Advising the patient of the next available emergency appointment. d. Referring the patient to the emergency room.

4. Accessibility for Mobile Access Clinic (MAP) a. The mobile access clinic (MAP) is a mobile unit that rotates between

locations on a set schedule. Before change in locations patients will be notified when the location is being changed to ensure patients are aware of location to access services.

b. The mobile access clinic (MAP) maintains the same hours of operation listed above as well as after hour coverage.

c. The mobile access clinic (MAP) is accessible via stairs (two doors, one for entry and one for exit) as well as a handicap/ramp lift.

d. Upon closing of MAP (mobile access clinic) clinical/operational staff will be responsible for ensuring all medication is locked in a cabinet, all money/prescription pads are locked in the safe, and all computers are shut down/lock to prevent access to PHI.

Old Policy: Purpose To establish hours of operation for COMTREA dental. Roles and Responsibilities The COMTREA is responsible for determining the hours of operation for all clinics including fixed sites, school based, and mobile access clinic. Policy It is the policy of COMTREA to provide dental care during normal operating hours of the clinics. After hours emergency dental coverage will also be provided for all fixed, school base, and mobile access locations.

A. During normal operating hours of COMTREA, at least one dentist will be working to provide routine and emergent dental care.

1. Normal operating hours are Monday thru Thursday 8:00 AM to 6:00 PM. 2. Extended Hours will be offered on select days and locations. Extended hours will be

from 6:00 PM -8:30 PM during the week day and Saturday Hours will be from 7:30 AM -12:00 PM. B. Opening and Closing Procedures

1. The clinic doors will be opened by 7:30AM each morning to allow check-in time for 8:00AM appointments. 2. The clinic will be closed from 12:00-1:00PM for lunch. 3. The clinic must be locked each evening at close.

C. After Hours 1. All patients will be given COMTREA’s phone number. 2. After hours, COMTREA’s phones will be answered by an answering service which will take information from patients with emergencies. 3. The answering service will contact the dentist on call and give the dentist the name and phone number of the patient. 4. The dentist on call will call back all patients with a dental emergency, and proceed as follows:

a. Determine if the patient is a COMTREA patient. b. If the patient is not a COMTREA patient, the dentist should refer the patient to the emergency room, or advise them of the next time COMTREA is open. c. If the patient is a COMTREA patient, the dentist will triage the emergency on the phone, and determine the treatment needed.

5. After hours treatment will include: a. Answering questions. b. Prescribing or renewing prescriptions for pain medications or antibiotics. c. Advising the patient of the next available emergency appointment. d. Referring the patient to the emergency room.

6. Accessibility for Mobile Access Clinic (MAP) a. The mobile access clinic (MAP) is a mobile unit that rotates between

locations on a set schedule. Before change in locations patients will be notified when the location is being changed to ensure patients are aware of location to access services.

b. The mobile access clinic (MAP) maintains the same hours of operation listed above as well as after hour coverage.

c. The mobile access clinic (MAP) is accessible via stairs (two doors, one for entry and one for exit) as well as a handicap/ramp lift.

d. upon closing of MAP (mobile access clinic) clinical/operational staff will be responsible for ensuring all medication is locked in a cabinet, all money/prescription pads are locked in the safe, and all computers are shut down/lock to prevent access to PHI.

Date Policy Approved By:

Leadership 6/8/2020 Trauma Informed - NA Board

FMPRS2019-56 Approved 1/7/20

MOTION:

“I, ______, move that the Board approve the REVISED OHS2

Hours of Operation as presented to the Board.”

POLICY REVISION APPROVALOHS2 HOURS OF OPERATION

MOTION:

“I, ______, move that the Board approve the new COMTREA CARE VALUES as

presented to the Board.”

APPROVALCOMTREA CARE VALUES

CARE Values:

Compassionate: COMTREA values those who show empathy, who encourage others, communicate professionally, and who show genuine concern to all.

Adaptable: COMTREA values employees who are flexible and able to embrace organizational changes with a positive attitude and outlook.

Respectful: COMTREA expects employees, at all levels, to act with integrity, listen, and seek to understand and utilize the golden rule-Treat others as you would want to be treated.

Engaged: We value employees who are dedicated to their work and their teams, are accountable and responsible, and are committed to COMTREA’s mission.

Culture Statement:

COMTREA’s culture is driven by compassion, adaptability, respect and engagement while living its mission through service to our community. COMTREA promotes growth for our future leaders with respect and integrity of our coworkers and the community we serve. A flexible work environment is provided to employees to promote a work/life balance.

MOTION:

“I, ______, move that the Board accept the May 2020 Credentialing & Privileging Report

as presented.”

APPROVALCREDENTIALING & PRIVILEGING

Name Title Division StatusMedical Assistant Behavioral Health Full time

New Staff Requiring Privileging

Current Staff Re-Privileged Name Title Division Status

Therapist Behavioral Health Full timeCBHO Behavioral Health Full timeCounselor - ADA Behavioral Health Full timeCounselor - Treatment Court Behavioral Health Full timeCounselor - ADA Behavioral Health Full timeManager - PSR-CMHL Behavioral Health Full timeIntensive In-home Specialist Behavioral Health Full timeCommunity Health Worker Primary Care Full timeCase Manager-Therapist Behavioral Health Full timeCSS Behavioral Health Full timeMedical Assistant Primary Care Full timeLPN Primary Care Part timeDentist Oral Health Full timeCounselor - ADA Behavioral Health Full timeCase Manager-Therapist Behavioral Health Full timeResident Assistant Behavioral Health Full timeDirector - A Safe Place Behavioral Health Full timeCase Manager-Therapist Behavioral Health Full time

QIQA REPORT- Human ResourcesThe QIQA Committee met via zoom this past month due to continued social distancing with COVID 19.

April-20Annual Turnover Rate 25.04%

Voluntary Rate 21.97%

Involuntary Rate 3.07%

Total # of Separations 5# Providers* 1# of EE with 5+ yrs of Service 2# of EE between 1 and 4.9 years of Service 0# of EE with < 1 yr of Service 3

# of Open Positions 37Average Days to Fill: Non-Providers 321

# Days to fill provider positions* 210# of Active EE 389

Turnover seems to be higher in employees working for us morethan 5 years and less than 1 year. We are working on some“loyalty” reward options, as well as have already implemented NHsurveys, training and feedback

Top two reasons why staff have left were pay and negative workenvironment

Employees continue to stay working at COMTREA due to themission, coworkers and flexibility

QIQA REPORT- Primary CareThe QIQA Committee met via zoom this past month due to continued social distancing with COVID 19.

CHRONIC DISEASE COLLABORATIVE CLINICAL MEASURES

QIQA REPORTCHRONIC DISEASE COLLABORATIVE CLINICAL MEASURES

ASTHMA MEASURES USE OF APPROPRIATE MEDICATIONS FOR ASTHMA Sometimes difficult to meet due to low denominators

Missing one will give a bad percentage Chart audit has been done in the past that showed missed measure due to oversight in

documentation – education was provided

MAPPING CONCERNS - DIABETES FOOT/EYE EXAMS

MAPPING CONCERNS - HYPERTENSION SELF MANAGEMENT GOAL

Chart audits are being completed Hypertension Protocols being reviewed with providers to make sure we are following current

evidence based practice

MAPPING CONCERNS - HYPERTENSION SELF MANAGEMENT GOAL

QIQA REPORTHRSA DIABETIC FOCUS MEASURES

UDS Diabetes: Hemoglobin A1c Poor Control (Diabetic Patients with HbA1c >9%) or No Test During Year. The Health Center provides the total number of diabetic patients and the baseline diabetes measure. Then, the health center provides an updated measure in percentages on a quarterly basis.

Total number of diabetic patients as of:

Date: 8/1/2019

Baseline diabetes measure

Date: 8/1/2019

Report 1 measure

Date:11/1/2019

Report 2 measure

Date:2/1/2020

Report 3measure

Date:5/1/2020

Report 4 measure

Date:8/1/2020

590 patients 35.8% 33.8% 595 Patients

31.4%589 Patients

36.7%564 Patients

By August, 2020, COMTREA will decrease the percentage of 90 selected empaneled patients with a Hemoglobin A1c >9 or untested from 100% to 33%.

For quarter ending 4/30/2020 - The third reported quarter went from 100% to 65%, this reflects a 35% overall decrease in those individuals who are untested or having a Hemoglobin A1c > 9. This is a positive trend. The improvement of this measure reflects the additional care management efforts.

By August, 2020, COMTREA will increase the percentage of diabetic patients who have been referred to the dietitian from 5.4% to 15%.

For quarter ending 4/30/2020 - The third reported quarter went from 12.4% to 20.4%, another 8 % increase in the amount of dietitian related referrals for diabetic individuals served since the last reporting period.

By August, 2020, COMTREA will increase the percentage of diabetic patients who were assessed for depression and had a follow-up plan documented, from 83% to 90%.

For quarter ending 4/30/2020 - The third reported period reflected a substantial decrease form 69% to 52% when compared to the first second and first quarters. This reflects an opposite desired trend. This is evident of mapping needs from the newly implemented EHR, AVATAR data into DRVS. During the current virtual visit replacement of the majority of services due to COVID-19, depression screenings remain a crucial assessment.

MOTION:

“I, ______, move that the Board approve the May QIQA Report


APPROVALQIQA MONTHLY REPORT

As board members, I encourage you to utilize COMTREA services.

This shows confidence in our providers, as well as being a HRSA requirement

INFORMATIONAL

DISCUSSION ONLY

MONTHLY SUBCOMMITTEE REPORTS

TO THE BOARD

Building and

Grounds

Fundraising and Capital Campaign

MHOH Committee

BOARD MEMBERINFORMATION

• ANNUAL BOARD ASSESSMENT AND SELF ASSESSMENTS

• BOARD RECRUITMENT

(Will be sent out later this month)

OLD BUSINESS

NEXT SCHEDULEDBOARD MEETING

Monday, July 13, 2020

JCCMHFB Quarterly Meeting directly after

COMTREA Board Meeting today.

MOTION:

“With no further business to discuss, I, ______, move that the Board

adjourn.”

ADJOURNMENT

board meeting - comtrea.org june... · mark mertens stated that about $1.2m has been raised, about...

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