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Health Center Board Member Workshop MPCA Finance 101 Jim Raschke, MBA, FHFMA Finance Director MidMichigan Health Services Roscommon County, Michigan
Financial Statements should not be a mystery!
Concepts Numbers always tell the truth
More Concepts ,[object Object],[object Object],[object Object]
Are you kidding me?
Still More Concepts ,[object Object],[object Object],[object Object],[object Object]
Hey, come back!  I’m not done yet!
Even More Concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Okay, one more!
One More Concept The Success of Your Clinic Depends on the Success of Your Financial Management
Practice Management Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Financial Statements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Income Statements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407) Total Income  $43,941 $48,914 $43,576 Operating Margin 1.7% 2.3% 2.7% Total Margin 2.1% 2.5% 2.7%
Operating Revenue #1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452
Operating Revenue #2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Payor Mix ,[object Object]
Operating Revenue #3 ,[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017
 
Other Operating Revenue ,[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714
Operating Expenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732
Operating Income ,[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983
Non-Operating Revenue ,[object Object],[object Object],[object Object],[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407)
Net Income ,[object Object]
Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue  1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407) Total Income  $43,941 $48,914 $43,576 Operating Margin 1.7% 2.3% 2.7% Total Margin 2.1% 2.5% 2.7%
Balance Sheet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Balance Sheet June, 2006 May, 2006 December, 2005 Assets Cash $697,065 $765,073 $749,766 Net Accounts Receivable 196,960 203,147 184,154 Other Current Assets 407,083 452,382 474,797 Total Current Assets 1,301,109 1,420,603 1,408,717 Net Property & Equipment 2,914,251 2,851,830 2,872,338 Other Assets 9,151 9,389 10,579 Total Assets $4,224,511 $4,281,821 $4,291,634 Liabilities and Net Assets Current Liabilities $669,939 $741,581 $710,766 Other Liabilities 1,293,945 1,312,846 1,405,929 Total Liabilities 1,963,884 2,054,428 2,116,695 Net Assets 2,260,627 2,227,394 2,174,939 Total Liabilities and Net Assets $4,224,511 $4,281,821 $4,291,634
Cash Flow Statement ,[object Object],[object Object],[object Object]
Cash Flow Projections ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ready for more?
The Numbers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gross Collection Percentage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Net Collection Percentage ,[object Object],[object Object],[object Object]
Days in Accounts Receivable ,[object Object],[object Object],[object Object],[object Object]
Accounts Receivable > 90 days ,[object Object],[object Object]
Clinical Encounters ,[object Object],[object Object],[object Object],[object Object],[object Object]
Measuring your progress!
This Year Better Than Last Year ,[object Object],[object Object],[object Object]
Five Key Things to Watch ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Jim Raschke, MBA, FHFMA Finance Director MidMichigan Health Services 989.422.2105 [email_address]

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CHC Finance: Finance 101

  • 1. Health Center Board Member Workshop MPCA Finance 101 Jim Raschke, MBA, FHFMA Finance Director MidMichigan Health Services Roscommon County, Michigan
  • 2. Financial Statements should not be a mystery!
  • 3. Concepts Numbers always tell the truth
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  • 7. Hey, come back! I’m not done yet!
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  • 10. One More Concept The Success of Your Clinic Depends on the Success of Your Financial Management
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  • 14. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407) Total Income $43,941 $48,914 $43,576 Operating Margin 1.7% 2.3% 2.7% Total Margin 2.1% 2.5% 2.7%
  • 15.
  • 16. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452
  • 17.
  • 18.
  • 19.
  • 20. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017
  • 21.  
  • 22.
  • 23. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714
  • 24.
  • 25. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732
  • 26.
  • 27. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983
  • 28.
  • 29. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407)
  • 30.
  • 31. Income Statement Year to Date Actual Budget Prior Year Gross Patient Service Revenue $1,963,791 $1,898,385 $1,613,452 Provision for Adjustments (356,653) (397,936) (409,435) Net Patient Service Revenue 1,607,138 1,500,449 1,204,017 Other Operating Revenue 464,047 452,755 439,698 Total Operating Revenue 2,071,185 1,953,204 1,643,714 Total Operating Expenses 2,035,416 1,908,265 1,598,732 Total Operating Income 35,769 44,938 44,983 Non-Operating Income 8,172 3,976 (1,407) Total Income $43,941 $48,914 $43,576 Operating Margin 1.7% 2.3% 2.7% Total Margin 2.1% 2.5% 2.7%
  • 32.
  • 33. Balance Sheet June, 2006 May, 2006 December, 2005 Assets Cash $697,065 $765,073 $749,766 Net Accounts Receivable 196,960 203,147 184,154 Other Current Assets 407,083 452,382 474,797 Total Current Assets 1,301,109 1,420,603 1,408,717 Net Property & Equipment 2,914,251 2,851,830 2,872,338 Other Assets 9,151 9,389 10,579 Total Assets $4,224,511 $4,281,821 $4,291,634 Liabilities and Net Assets Current Liabilities $669,939 $741,581 $710,766 Other Liabilities 1,293,945 1,312,846 1,405,929 Total Liabilities 1,963,884 2,054,428 2,116,695 Net Assets 2,260,627 2,227,394 2,174,939 Total Liabilities and Net Assets $4,224,511 $4,281,821 $4,291,634
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  • 46.  
  • 47. Jim Raschke, MBA, FHFMA Finance Director MidMichigan Health Services 989.422.2105 [email_address]