performance evaluation profile - hcc network
TRANSCRIPT
Perfo
rman
ce E
valua
tion P
rofile
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al M
issou
ri 2
014
- 201
6
2
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|2
Metho
dolog
yTheanalysisandresults
containe
dinthisrepo
rtarebasedon
twoprim
arydata
sourcesc
overingthe2014
2016
perio
d.•
Auditedfin
ancia
lstatemen
tsof
health
center
corporations
repo
rted
byfiscalyear.
•Un
iform
Data
System
(UDS
)informationas
selfrepo
rted
byhe
alth
centerse
ach
calend
aryear.
Thecomparativ
edata
setsinclu
deaggregated
data
from
auditedfin
ancia
lstatemen
tsandUD
Srepo
rtsfrom
CapitalLink’sp
roprietary
financia
land
operationaldatabase.
Thespecificn
umbe
rofh
ealth
centersinclude
dineach
comparativ
edata
setislisted
below.
Data
CLHigh
Performers
2016
Miss
ouriFQ
HCs
2016
FinancialA
udits
113
27UD
SDa
ta136
28
Perc
entil
es
Statistica
lmeasuresu
sedto
describ
ethefin
ancia
lratiosa
ndtren
dsinclu
dethe50th
percen
tile(m
edian),75thpe
rcen
tile,and25th
percen
tile.By
defin
ition
,halfthe
values
inaseta
regreaterthanthemed
ianandhalfareless.The
refore,the
med
ianis
notskewed
bylargeor
smallvalue
soutsid
ethetypicalrange
ascanhapp
enwith
averagefigures.The
75th
percen
tileisavaluethat
iseq
ualtoor
greaterthan75
percen
tofo
thersinthedata
set.The25th
percen
tileisavaluethat
iseq
ualtoor
greaterthan25
percen
tofo
thers.
RunDa
te:1/5/201811:43:07
AM
Conte
ntsNo
tableFind
ings
3Med
icaidRe
imbu
rsem
entD
ashb
oard
4Pe
erCo
mparison
Dashbo
ard
5FinancialD
ashb
oard
6Prod
uctiv
ityDa
shbo
ard
7Ope
ratio
nsandUtilizatio
nDa
shbo
ard
8PayerM
ixDa
shbo
ard
9Pe
rform
ance
Detail:FinancialH
ealth
Perfo
rman
cean
dLiq
uidityMeasures
10
Other
Perfo
rman
ceMeasures
11Fina
ncialG
rowth
Rates
11Pe
rform
ance
Detail:Prod
uctiv
ityProd
uctivity:V
isits
12Prod
uctivity:P
atients
13Pe
rform
ance
Detail:Ope
ratio
nsandUtilizatio
nRe
venu
ean
dCo
stperP
atient
14Re
venu
ean
dCo
stperV
isit
15Staffin
g16
Qua
lityof
Care
16Service
Mix
17Utilizatio
nGrow
thRa
te18
Perfo
rmance
Detail:FinancialM
etrics
Billing
andCo
llections
19
3
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|3
Notab
le Fin
dings
Thisrepo
rthighlightsk
eyfin
ancia
land
operationalperform
ance
measureso
verthe
2014
2016
perio
dforH
ealth
Care
Collabo
rativ
eof
RuralM
issou
ri(HCC
).Co
mparativ
epe
rform
ance
data
forM
issou
riFede
rally
QualifiedHe
alth
Centers(MOFQ
HCs)and2016
high
perfo
rmingFQ
HCs(CL
High
Perfo
rmers)arealso
inclu
dedto
providecontextfor
theresults.CL H
ighPe
rform
ersa
reacoho
rtof
centersw
ithtoprankings
inbo
thUD
Squ
ality
measuresa
ndkeyfin
ancia
lmetrics.Thefollowingno
tablefin
dingsp
rovide
abriefreviewof
keype
rform
ance
tren
ds.
Fina
ncialH
ealth
Aftertwoyearso
fpositive
butlow
operatingmargins,H
C)repo
rted
adram
aticincrease
in2016.A
t16.3%
theop
eratingmarginexceed
edtheCL
High
Perfo
rmer
FQHC
med
ianandwas
morethan
four
times
theMOFQ
HCmed
ianmargin.Th
eim
provem
entcoincided
with
thede
cline
inthe
center’sratio
ofpe
rson
nel related
expe
nseas
ape
rcen
tage
ofop
erating
revenu
e.At
63%,thatratiowas
6.6po
intsbe
lowtheMOFQ
HCmed
ian.It
shou
ldbe
notedho
wever,thatthe
ratio
sfor
HCCas
arelativ
elyne
wFQ
HCmay
nota
lwaysc
ompare
directlyto
thoseof
othe
rFQHC
s.As
aresultof
thelargeop
eratingprofitin2016,H
CC’scash
balances
(as
measuredby
days
cash
onhand
)increased
58%.H
owever,at1
9days
cash
in2016,w
asstillwellbelow
therecommen
dedminim
umand30%
oftheMOFQ
HCmed
ian.Cash
wou
ldhave
increasedmorebu
tfor
the
dram
aticslo
wdo
wninthecollectionrate
ofpatie
ntaccoun
tsreceivable.
Presum
ably,the
2016
rate
of174days
inne
tpatient
receivables
refle
cted
thecenter’seffortstobu
ildits
internalbilling
andcollection
processesa
ndno
tthe
accumulationof
uncollectibleaccoun
ts.
Provider
Prod
uctivity
HCC’sv
astly
improved
operatingmarginin2016
was
surprisinggiventhat
thecenter’smed
icalprodu
ctivity
ratesp
lummeted
.Physic
ian
prod
uctiv
itydrop
ped60%,toalevelhalfo
fthe
MOFQ
HCmed
ian,and
mid
levelprodu
ctivity
fell14%to
alevelonly39%of
theMOFQ
HCmed
ian.Itmustb
eno
tedthat
thedrop
inmed
icalprodu
ctivity
coincid
edwith
a50%de
cline
inHC
C’sratioof
nonprovider
med
icalstaffpe
rmed
icalprovide
r.
Dentalprod
uctivity
increased54%in2016
which
was
impressiv
e,bu
tstill
wellbelow
theMOFQ
HCmed
ian.
Operatio
ns&Utilizatio
nHC
Crepo
rted
strong
grow
thinbo
thpatie
ntandvisit
numbe
rsin2016.B
oth
measuresincreased
atamuchfaster
pace
than
theMOFQ
HCmed
iancenter,
butp
resumablythiswas
from
arelativ
elylowbase.A
saresultof
the
increase
inpatie
nts,HC
C’sp
erpatie
ntop
eratingexpe
nsede
cline
d6%
in2016.H
owever, at$
854thecenter’spe
rpatient
costsw
erestill16.7%above
theMOFQ
HCmed
ian.Fortun
ately,HC
C’s3
30grantreven
uepe
runinsured
patie
ntwas
237%
ofits
perp
atient
costof
care
which
provided
asubstantial
subsidyto
thecenter’sop
erations.Toits
cred
it,HC
C’sa
dministrativ
e,facilities,and
patie
ntsupp
ortF
TEsa
sape
rcen
toftotalFTEs
ratio
decline
d14
pointsin2016
toaleveljustfou
rpointsa
bove
theMOFQ
HCmed
ianand
twopo
intsabovetheCL
High
Perfo
rmer
FQHC
med
ian.
PayerM
ixHC
C’su
ninsured
percen
tage
in2016
increasedon
epe
rcen
tage
pointtoa
leveltwopo
intsbe
lowtheMOFQ
HCmed
ian.Thecenter’sMed
icaid
percen
tage
increasedby
four
pointsbu
ttoalevelstilleight
pointsbe
low
theMOFQ
HCmed
ian.HC
C’sc
ollectionrate
from
Med
icaidincreasedby
12po
intsin2016,suggestingitwas
improvingits
billing
andcollections
proced
ures
forthisimpo
rtantp
ayer.H
CCalso
repo
rted
asig
nificantly
higher
percen
tage
ofpatie
ntsw
ithprivateinsurancethan
themed
ianMOFQ
HC.
Thecenter’sMed
icare
percen
tage
drop
pedin2016
butitscollection
percen
tage
remaine
dvery
high
andun
changedfro
m2015.
4
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|4
Medic
aid R
eimbu
rseme
nt Missou
rihe
alth
centersm
ustcon
sider
Med
icaidreim
bursem
ent,which
isun
ique
from
othe
rstatesinthat
thestatereim
burses
health
centersb
ased
onafixed
amou
ntform
ulafora
llowablecosts.Inagivenyear,the
statewillpay97%of
grossM
edica
idchargesa
ndthen
anadjustmen
tism
ade
basedon
thehe
alth
center’sMed
icaidcharge
ratio
times
theallowablecostsrep
ortedon
thecostrepo
rt.Fee
sche
duleincreasesthate
xceeda
center’scoststructuredu
ringtheyear
canresultinavaria
ncebe
tweeninitialpaym
entsbasedon
actualchargesv
ersusa
llowablecosts,resulting
ina
significantliabilityforthe
health
center. The
seun
expe
cted
liabilitiesc
reateaprob
lem
forsom
ehe
alth
centersw
hodo
noth
avethecash
resourcesto
repaytheliabilitywhe
nitcomes
due,sometim
eson
eor
twoyearsa
fterthatp
articular
year
end,de
pend
ingon
thestate’stim
ing.Ad
ditio
nally,this
overpaym
entinflatesthe
cash
balanceaffectingliquidity
measures.Un
likemoststates,prod
uctivity
levelsandcostcontainm
enth
avealesser
impact
ontotalM
edica
idreim
bursem
entthantheMed
icaidcharge
ratio
andallowablecostside
ntified
inMissou
ri’sa
nnualcostrep
ort.Thefollowing
findingsp
rovide
abriefo
verviewof
Med
icaidreim
bursem
enttrend
sfor
Health
Care
Collabo
rativeof
RuralM
issou
ri.Co
mparativ
edata
for M
issou
riFQ
HCsa
ndCL
High
Perfo
rmer
FQHC
sare
also
inclu
dedto
providecontextfor
theresults.
Key M
etric
s20
1420
1520
16CL
Hig
h Pe
rform
ers
Medi
an 20
16
Miss
ouri
FQHC
sMe
dian
2016
AllowableCo
sts
$194
,133
$523
,601
$1,200
,332
$8,568
,231
$5,820
,647
ActualMed
icaidCo
st$3
12,946
$1,029
,578
$1,585
,678
$7,494
,133
$5,619
,635
Med
icaidRe
imbu
rsem
ent
$188
,309
$507
,893
$1,164
,322
$8,311
,184
$5,439
,420
5
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|5
Peer
Com
paris
onPa
tient
Served
2016
Revenu
es20
16
2016
Health
Care
Collabo
rativ
eof
RuralM
issou
ri
CLHigh
Perfo
rmersm
edian
Missou
riFQ
HCsm
edian
Arrayof
Services
2016
(%of
TotalV
isits)
FullTimeEq
uivalent
Employees2
016
TotalV
isits20
16
Key M
etric
sHe
alth
Cent
er
2016
CL H
igh
Perfo
rmer
sMe
dian
2016
Mi
ssou
ri FQ
HCs
Medi
an 20
16
Med
icalV
isitsas
aPe
rcen
tage
ofTotalV
isits
61%
74%
52%
DentalVisitsa
saPe
rcen
tage
ofTotal
Visits
36%
11%
31%
Men
talH
ealth
Visitsa
saPe
rcen
tage
ofTotalV
isits
4%5%
5%
EnablingVisitsa
saPe
rcen
tage
ofTotalV
isits
3%2%
Other
Professio
nalV
isitsas
aPe
rcen
tage
ofTotalV
isits
1%
Key M
etric
sHe
alth
Cent
er
2016
CL H
igh
Perfo
rmer
sMe
dian
2016
Mi
ssou
ri FQ
HCs
Medi
an 20
16
TotalReven
ue$5
,006
,620
$15,83
1,12
1$1
3,22
3,74
6TotalPatie
nts
4,90
716
,423
15,840
TotalV
isits
12,235
60,796
50,918
TotalFTEs
4912
811
4
6
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|6
Days
Cash
OnHa
ndFin
ancia
l Das
hboa
rdOpe
ratin
gMargin
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri20
14 -
2016
CapitalLinkBe
nchm
ark
Bottom
Line
Margin
Person
nelR
elated
Expe
nseas
a%of
Ope
ratin
gRe
venu
eDa
ysinNet
Patie
ntRe
ceivab
les
Key F
inan
cial M
etric
sTa
rget
2014
2015
2016
CL H
igh
Perfo
rmer
sMe
dian
2016
Mi
ssou
ri FQ
HCs
Medi
an 20
16
Ope
ratin
gMargin
>3%
1.7%
1.5%
16.3%
13.6%
3.6%
Bottom
LineMargin
>3%
7.3%
1.9%
18.7%
13.8%
5.6%
Person
nelR
elated
Expe
nseas
Percen
tage
ofOpe
ratin
gRe
venu
e<70
%60
.4%
69.5%
63.0%
65.3%
69.6%
Days
Cash
onHa
nd>45
Days
812
1915
862
Days
inNe
tPatient
Receivables
<60
Days
6928
174
3739
Benchm
arkUn
met
7
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|7
PhysicianVisitsp
erPh
ysicianFTEs
Prod
uctiv
ity D
ashb
oard
Mid
LevelV
isitspe
rMid
LevelFTEs
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri 20
14 -
2016
Med
icalPa
tientsp
erMed
icalFTE
Med
icalPa
tientsp
erMed
icalProvider
FTEs
DentalVisitsp
erDe
ntalProvider
FTEs
Key P
rodu
ctivi
ty M
etric
s20
1420
1520
16CL
Hig
h Pe
rform
ers
Medi
an 20
16
Miss
ouri
FQHC
s Me
dian
2016
Physician
Visitsp
erPh
ysician
FTE
4,26
33,46
11,37
83,10
32,62
4Mid
LevelV
isitspe
rMid
LevelFTE
1,65
81,06
391
12,79
92,35
3Med
icalPatientsp
erMed
icalStaffFTE
332
246
221
299
294
Med
icalPatientsp
erMed
icalProvide
rFTE
1,07
179
945
494
392
0De
ntalVisitsp
erDe
ntalProvider
FTE
839
742
1,14
32,15
41,89
1
8
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|8
Ope
ratin
gRe
venu
e&Expe
nsepe
rPatient
Ope
ratin
gRe
venu
e&Expe
nsepe
rVisit
Oper
ation
s & U
tiliza
tion
Dash
boar
dHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
Med
icalSupp
ortS
taffFTEs
perM
edicalProvider
FTEs
Administrativ
e,Facilities&
Patie
ntSupp
ortF
TEsa
sa%of
TotalFTEs
Annu
alVisits&
Patie
ntGrow
thRa
tes
Key O
pera
tions
& U
tiliza
tion
Metri
cs20
1420
1520
16CL
Hig
h Pe
rform
ers
Medi
an 20
16
Miss
ouri
FQHC
s Me
dian
2016
Ope
ratin
gRe
venu
epe
rPatient
$1,037
$920
$1,020
$933
$779
Ope
ratin
gExpe
nsepe
rPatient
$1,020
$906
$854
$802
$732
Ope
ratin
gRe
venu
epe
rPatient
Visit
$346
$361
$409
$238
$213
Ope
ratin
gExpe
nsepe
rPatient
Visit
$340
$356
$342
$204
$211
NonProvider
Med
icalStaffpe
rMed
icalProvide
r2.2
2.2
1.1
2.1
2.0
Administrativ
e,Facilities,and
Patie
ntSupp
ortF
TEsa
sPercen
tofT
otalFTEs
56%
53%
39%
37%
35%
Patie
ntGrow
thRa
te26
%42
%5%
9%Visit
Grow
thRa
te7%
39%
8%16
%
9
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|9
Paye
r Mix
Dash
boar
d%of
Patie
nts
%of
CollectionRe
venu
eHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
Patie
ntan
dCo
llectionRe
venu
eby
PayerS
ervice
Med
icaid
SelfPayor
Uninsured
Private
Other
Med
icare
Paye
r Mix
2014
2015
2016
CL H
igh
Perfo
rmer
sMe
dian
2016
Mi
ssou
ri FQ
HCs
Medi
an 20
16
SelfPayPatie
ntsa
sPercentageof
TotalPatients
19%
20%
21%
18%
23%
SelfPayCo
llections
asPercen
tage
ofTotalCollections
22%
21%
15%
6%10
%Med
icaidPatie
ntsa
sPercentageof
TotalPatients
22%
31%
35%
57%
43%
Med
icaidCo
llections
asPercen
tage
ofTotalCollections
24%
32%
44%
74%
65%
Med
icare
Patie
ntsa
sPercentageof
TotalPatients
20%
15%
11%
8%9%
Med
icare
Collections
asPercen
tage
ofTotalCollections
26%
22%
22%
10%
9%Other
PubliclyInsuredPatie
ntsa
sPercentageof
Total
Patie
nts
Other
PublicCo
llections
asPercen
tage
ofTotalCollections
1%0%
PrivatelyInsuredPatie
ntsa
sPercentageof
TotalPatients
39%
34%
33%
14%
21%
PrivateInsuranceCo
llections
asPercen
tage
ofTotal
Collections
28%
25%
20%
8%13
%
10
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|10
Per
form
ance
Det
ail
Finan
cial H
ealth
: Per
forma
nce a
nd Li
quidi
ty Me
asur
esHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16 P
erfo
rman
ce an
d Li
quid
ity
Mea
sure
sTa
rget
2014
2015
2016
Perc
entil
e20
16 C
L Hi
gh
Perfo
rmer
sMi
ssou
riFQ
HCs 2
016
Ope
ratin
gMargin
7518
.9%
6.4%
>3%
1.7%
1.5%
16.3%
5013
.6%
3.6%
257.7%
1.2%
Bottom
LineMargin
7520
.0%
9.1%
>3%
7.3%
1.9%
18.7%
5013
.8%
5.6%
258.0%
0.5%
Person
nelR
elated
Expe
nseas
Percen
tage
ofOpe
ratin
gRe
venu
e
7570
.6%
74.1%
<70
%60
.4%
69.5%
63.0%
5065
.3%
69.6%
2557
.9%
63.0%
Days
Cash
onHa
nd75
212
116
>45
Days
812
1950
158
6225
113
38
Curren
tRatio
758.3
3.0
>1.25
2.3
1.1
2.9
505.9
2.2
253.6
1.4
Days
inNe
tPatient
Receivables
7554
52<60
Days
6928
174
5037
3925
2835
Days
inAllReceivables
7560
52<60
Days
5226
8450
3742
2528
36
Days
inAccoun
tsPayable
7541
42<45
Days
3036
4650
2929
2516
23
Debt
Service
Coverage
Ratio
7552
.711
.3>1.25
8.4
0.0
11.4
5018
.26.7
257.9
2.0
Leverage
750.4
1.0
<3.0
0.5
1.9
0.7
500.2
0.5
250.1
0.3
11
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|11
Per
form
ance
Det
ail
Finan
cial H
ealth
: Othe
r Per
forma
nce M
easu
res,
Finan
cial G
rowt
h Rate
sHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
Ot
her P
erfo
rman
ce M
easu
res
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6 75
24.9%
9.6%
Change
inNe
tAssetsa
saPe
rcen
tage
ofExpe
nse
7.4%
1.9%
22.3%
5015
.9%
5.8%
259.1%
0.5%
758.1
3.7
Working
CapitaltoMon
thlyExpe
nseRa
tio1.2
0.1
2.6
505.6
2.0
254.1
1.2
750.2
0.3
Long
Term
Debt
toEquity
Ratio
0.1
1.0
0.4
500.0
0.1
250.0
7523
.1%
21.8%
Fringe
&TaxestoSalarie
sRatio
64.1%
17.8%
18.8%
5018
.9%
19.2%
2511
.6%
17.5%
F
inan
cial G
rowt
h Ra
te75
23.4%
22.2%
Ope
ratin
gRe
venu
eGrow
thRa
te11
.5%
57.6%
5016
.7%
15.2%
257.3%
4.6%
7521
.8%
19.9%
Ope
ratin
gExpe
nseGrow
thRa
te11
.7%
33.9%
5014
.2%
13.0%
258.5%
5.5%
7532
.0%
38.9%
GrantsandCo
ntractRe
venu
eGrow
thRa
te6.8%
48.2%
5017
.6%
17.6%
258.1%
9.1%
7525
.1%
19.9%
NetP
atient
Service
Revenu
eGrow
thRa
te109.9%
81.8%
5013
.3%
12.9%
252.6%
6.3%
12
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|12
Per
form
ance
Det
ail
Prod
uctiv
ity: V
isits
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri 20
14 -
2016
2014
2015
2016
Perc
entil
e20
16 C
L Hi
gh
Perfo
rmer
sMi
ssou
riFQ
HCs 2
016
753,655
3,242
Physician
Visitsp
erPh
ysician
FTE
4,263
3,461
1,378
503,103
2,624
252,594
2,086
753,230
2,721
Mid
LevelV
isitspe
rMid
LevelFTE
1,658
1,063
911
502,799
2,353
252,345
2,048
753,656
3,104
Med
icalV
isitspe
rMed
icalProvide
rFTE
3,111
2,228
1,285
503,128
2,605
252,616
2,168
751,895
1,637
Med
icalV
isitspe
rNon
Provider
Med
icalStaffFTE
1,400
992
1,223
501,480
1,237
251,187
1,051
752,698
2,261
DentalVisitsp
erDe
ntalProvider
FTE
839
742
1,143
502,154
1,891
251,697
1,605
751,508
1,409
Men
talH
ealth
Visitsp
erMen
talH
ealth
Provider
FTE
281
1,090
185
501,031
1,027
25677
786
75428
447
EnablingService
sVisitp
erEnablingFTE
50178
114
2534
3075
147,154
95,566
TotalV
isits
8,231
8,792
12,235
5060
,796
50,918
2536
,118
30,160
75617
547
TotalV
isitspe
rAllFTE
327
270
249
50503
470
25429
411
753,628
2,670
TotalV
isitspe
rProvide
rFTE
1,372
1,293
1,015
502,760
2,312
252,452
1,890
13
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|13
Per
form
ance
Det
ail
Prod
uctiv
ity: P
atien
tsHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6
7535
435
2Med
icalPatientsp
erMed
icalStaffFTE
332
246
221
5029
929
425
261
264
751,07
51,03
8Med
icalPatientsp
erMed
icalProvide
rFTE
1,07
179
945
450
943
920
2578
774
575
1,20
21,01
0De
ntalPatie
ntsp
erDe
ntalProvider
FTE
625
345
675
5093
884
625
674
725
7539
734
9Men
talH
ealth
Patie
ntsp
erMen
talH
ealth
Provider
FTE
8333
768
5023
026
125
161
197
7533
,561
24,971
TotalPatie
nts
2,74
73,45
54,90
750
16,423
15,840
259,96
99,56
575
156
163
TotalU
ndup
licated
Patie
ntsp
erTo
talFTE
109
106
100
5012
313
625
106
117
7587
980
9To
talPatientsp
erProvider
FTE
458
508
407
5071
470
225
601
604
14
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|14
Per
form
ance
Det
ail
Oper
ation
s & U
tiliza
tion:
Reve
nue &
Cos
t per
Pati
ent
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri 20
14 -
2016
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6
75$1
,194
$948
Ope
ratin
gRe
venu
epe
rPatient
$1,037
$920
$1,020
50$9
33$7
7925
$770
$645
75$9
73$9
16Ope
ratin
gExpe
nsepe
rPatient
$1,020
$906
$854
50$8
02$7
3225
$667
$635
75$7
62$5
86Ne
tPatient
Service
Revenu
epe
rPatient
$192
$320
$410
50$6
02$4
5125
$445
$394
75$3
1,46
1,72
5$2
4,00
0,32
8To
talReven
ue$2
,849
,946
$3,177
,177
$5,006
,620
50$1
5,83
1,12
1$1
3,22
3,74
625
$9,201
,880
$8,822
,862
75$2
7,10
8,16
5$2
2,91
3,65
6To
talExpen
ses
$2,801
,957
$3,129
,087
$4,189
,002
50$1
3,38
2,87
7$1
2,32
3,77
725
$7,681
,305
$8,582
,970
75$4
55$4
23DirectMed
icalCostp
erMed
icalPatient
$280
$441
$490
50$3
74$3
6825
$296
$313
75$3
84$3
92DirectDe
ntalCo
stpe
rDen
talPatient
$178
$483
$254
50$2
99$3
3225
$199
$273
75$7
51$6
57Men
talH
ealth
Costpe
rMen
talH
ealth
Patie
nt$6
99$1
,246
$1,880
50$4
56$4
6625
$270
$330
75$1
,935
$1,178
330GrantD
ollarspe
rUninsured
Patie
nt$1
,829
$1,699
$2,027
50$1
,119
$838
25$6
39$6
25
15
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|15
Per
form
ance
Det
ail
Oper
ation
s & U
tiliza
tion:
Reve
nue &
Cos
t per
Visi
tHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6
75$2
86$2
95Ope
ratin
gRe
venu
epe
rPatient
Visit
$346
$361
$409
50$2
38$2
1325
$195
$199
75$2
42$2
86Ope
ratin
gExpe
nsepe
rPatient
Visit
$340
$356
$342
50$2
04$2
1125
$168
$198
75$1
83$1
65Ne
tPatient
Service
Revenu
epe
rPatient
Visit
$64
$126
$164
50$1
49$1
4125
$116
$122
75$1
32$1
48DirectMed
icalCostp
erMed
icalPatient
Visit
$96
$158
$173
50$1
13$1
2225
$96
$112
75$1
53$1
70DirectDe
ntalCo
stpe
rDen
talPatient
Visit
$132
$225
$150
50$1
19$1
4725
$94
$130
75$1
56$1
38Men
talH
ealth
Costpe
rMen
talH
ealth
Patie
ntVisit
$207
$385
$690
50$1
10$1
1525
$77
$87
16
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|16
Per
form
ance
Det
ail
Oper
ation
s & U
tiliza
tion:
Staff
ing, Q
uality
of C
are
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri 20
14 -
2016
Sta
ffing
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6
752.5
2.5
NonProvider
Med
icalStaffpe
rMed
icalProvide
r2.2
2.2
1.1
502.1
2.0
251.7
1.5
751.9
2.0
NonProvider
DentalStaffp
erDe
ntalProvider
0.4
0.5
0.4
501.4
1.5
251.0
1.3
750.3
0.4
NonProvider
Men
talH
ealth
Staffp
erMen
talH
ealth
Provider
0.3
50 25 7541
%37
%Ad
ministrativ
e,Facilities,and
Patie
ntSupp
ortF
TEsa
sPe
rcen
tofT
otalFTEs
56%
53%
39%
5037
%35
%
2533
%33
% Q
ualit
y of C
are
7564
%28
%Pe
rcen
tage
ofCh
ildrenRe
ceivingAp
prop
riate
Vaccinations
byAg
e2
56%
4%50
43%
14%
2526
%5%
7596
%97
%Pe
rcen
tofP
atientsw
ithAsthmaGivenan
Asthma
Treatm
entP
lan
86%
87%
100%
5091
%92
%
2585
%80
%75
63%
41%
Percen
tage
ofPatie
ntsS
creene
dforC
olorectalCancer
5%26
%21
%50
46%
32%
2536
%22
%
17
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|17
Per
form
ance
Det
ail
Oper
ation
s & U
tiliza
tion:
Servi
ce M
ixHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
Ser
vice M
ix20
1420
1520
16Pe
rcen
tile
CL H
igh
Perfo
rmer
s20
16Mi
ssou
riFQ
HCs 2
016
7584
.4%
63.5%
Med
icalV
isitsas
aPe
rcen
tage
ofTo
talV
isits
68.0%
62.1%
60.8%
5073
.5%
51.6%
2563
.6%
45.8%
7517
.8%
38.5%
DentalVisitsa
saPe
rcen
tage
ofTo
talV
isits
26.5%
34.2%
35.5%
5010
.7%
30.7%
255.0%
19.1%
758.7%
11.8%
Men
talH
ealth
Visitsa
saPe
rcen
tage
ofTo
talV
isits
5.5%
3.7%
3.7%
504.8%
5.3%
251.8%
4.0%
756.8%
5.9%
EnablingVisitsa
saPe
rcen
tage
ofTo
talV
isits
502.7%
1.8%
250.4%
0.7%
754.7
3.9
TotalV
isitspe
rPatient
3.0
2.5
2.5
504.0
3.2
253.4
3.0
18
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|18
Per
form
ance
Det
ail
Oper
ation
s & U
tiliza
tion:
Utiliz
ation
Gro
wth R
ates
Healt
h Ca
re C
ollab
orat
ive o
f Rur
al Mi
ssou
ri 20
14 -
2016
Util
izatio
n Gr
owth
Rat
es20
1420
1520
16Pe
rcen
tile
CL H
igh
Perfo
rmer
s20
16Mi
ssou
riFQ
HCs 2
016
7511
.0%
13.3%
Med
icalPatient
Grow
thRa
te1.5%
34.3%
504.5%
5.3%
250.1%
0.6%
7512
.9%
19.1%
Med
icalV
isitG
rowth
Rate
2.5%
36.3%
505.8%
5.4%
250.5%
2.7%
7519
.0%
32.4%
DentalPatie
ntGrow
thRa
te14
.0%
83.7%
508.3%
13.4%
250.1%
4.3%
7524
.8%
31.5%
DentalVisit
Grow
thRa
te37
.8%
44.4%
508.7%
16.8%
251.6%
7.8%
7541
.7%
24.6%
Men
talH
ealth
Patie
ntGrow
thRa
te24
.1%
65.3%
5019
.1%
6.4%
254.5%
6.9%
7555
.7%
37.6%
Men
talH
ealth
Visit
Grow
thRa
te27
.2%
39.1%
5016
.4%
9.8%
250.4%
6.0%
7511
.4%
21.8%
Patie
ntGrow
thRa
te25
.8%
42.0%
504.8%
9.1%
250.3%
0.4%
7514
.5%
30.2%
Visit
Grow
thRa
te6.8%
39.2%
507.5%
15.6%
251.8%
2.5%
19
©2018
CapitalLink
Performan
ceEvalua
tionProfile
2013
2016
|19
Per
form
ance
Det
ail
Finan
cial M
etrics
: Billi
ng an
d Coll
ectio
nsHe
alth
Care
Col
labor
ative
of R
ural
Miss
ouri
2014
- 20
16
2014
2015
2016
Perc
entil
eCL
Hig
h Pe
rform
ers
2016
Miss
ouri
FQHC
s 201
6
7510
%13
%SelfPayCo
llections
asPe
rcen
tage
ofTo
talCollections
22%
21%
15%
506%
10%
253%
6%75
14%
16%
BadDe
btWriteOffs
asPe
rcen
tage
ofTo
talSelfP
ayCh
arges
5%18
%1%
506%
8%
252%
3%75
82%
76%
Med
icaidCo
llections
asPe
rcen
tage
ofTo
talCollections
24%
32%
44%
5074
%65
%25
56%
57%
7516
%12
%Med
icare
Collections
asPe
rcen
tage
ofTo
talCollections
26%
22%
22%
5010
%9%
255%
6%75
2%0%
Other
PublicCo
llections
asPe
rcen
tage
ofTo
tal
Collections
501%
0%
25 7519
%17
%PrivateInsuranceCo
llections
asPe
rcen
tage
ofTo
tal
Collections
28%
25%
20%
508%
13%
254%
8%
20