BOARD OF DIRECTORS MEETING Thursday December 28th, 2017 at 6 pm

Transcription

1 BOARD OF DIRECTORS MEETING Thursday December 28th, 2017 at 6 pm Call to Order Consent to Agenda o November 2017 Minutes CFO Report o November 2017 Financials CIO Report CMO Report NCCY Report CEO Report Other Business Adjourn

2 December 6th, 2017 Board Meeting December 28th, 2017 at 6 pm Attendees: Absent: Rosita Castillo, Alexis Kennedy, Joselyn Cousins, Brittnie Watkins, Angela Quinn, Dr. Christine Quartuccio, Kathleen Sandoval, Angela Lok, Sonya Harris, Andrea Brown, Lori Goodwine, Leonida Frisbee, Glenn Nowak Donna Miller, Paciencia Bebe Ilustre, Jon Ponder, MJ Maynard Approval of Consent Agenda: No changes to the November 2017 Minutes J. Cousins motioned to approve; R. Castillo seconded - approved and passed. No changes to the November 2017 financials J. Cousins motioned to approve; L. Frisbee seconded - approved and passed. CFO s Report: We are $300,000 over what we budget for income. S. Harris stated that $100,000 will be given out to all staff in bonuses. Motion to increase A. Quinn s salary by 10%. R. Castillo motioned to approve; J. Cousins seconded - approved and passed. CIO s Report: A. Lok stated that there has been a total of 218 IT tickets for the month of November. A. Lok mentioned that one IT staff was sent to The Children s Cabinet to help set up internet & laptops. There was an order placed for additional laptops, desk tops, and phones due to the staff growth. CMO s Report: Dr. Q stated that there will be changes starting January 1 st. The hours of operations for FirstMed will be changing from 8 am to 8 pm Monday through Thursday and 8 am to 5 pm on Friday. The implementation of a text messages to confirm appointments, no-show policy, late policy, and walk in policy will all be changed and will be implemented. Dr. Q stated that to fill some gaps in the clinic due to Vance s absence we have created a Director of Clinical Operations position and have promoted Maricres for this role. Dr. Q mentioned that beginning January 1 st the medical providers will all receive raises. December 6th, 2017 BOD Meeting - 1

3 NCCY s Report: FirstMed has been contacted to provide therapy in the Resiliency Center starting December 11 th. K. Sandoval stated that FirstMed therapists are on call in the evenings. Nancy Adams, an employee of FirstMed has been placed at UMC but there have been many road blocks by UMC for her to offer services. FirstMed has had a total of 369 therapy appointments for adults, with 212 that attended, 77 no showed, 55 rescheduled, and 25 canceled. FirstMed has had a total of 277 NCCY therapy appointments, with 205 that attended, 37 no showed, 25 rescheduled, 10 cancelled. CEO s Report: A. Quinn stated that the lease for the North Las Vegas clinic has been signed today. FirstMed has agreed that instead of 45 days for tenant improvements we now have 75 days till lease starts. FirstMed will be renting out apartments from Nevada Hand to provide transitional housing to our clients. Motion to approve the Operating Policy and Procedure R. Castillo motioned to approve; A. Kennedy seconded - approved and passed. Motion to add Helen Foley to the Board of Directors J. Cousins motioned to approve; R. Castillo seconded - approved and passed. Motion to accept the attached listing of current Board Members and to accept the Credentialing and Privileging Policy. Resolution of the Board of Directors RES J. Cousins motioned to approve; R. Castillo seconded - approved and passed. Motion to allow S. Harris to deposit and amount not to exceed $200,000 into a money market investment with Meadows Bank Account and to approve the CFO, CIO, CMO, CEO to negotiate the purchase of AllScripts and HP for hardware not to exceed $200,000. Resolution of the Board of Directors RES J. Cousins motioned to approve; R. Castillo seconded - approved and passed. Adjourned at 7:30 pm December 6th, 2017 BOD Meeting - 2

4 FIRSTMED HEALTH AND WELLNESS CENTER Budget vs. Actuals: FMHWC - FY17 P&L Classes January - November, 2017 Total Actual Budget over Budget Income Services Income SelfPay/Sliding Scale 411, , , Contract PreEmp 66, , , Programs Income 2, , Laboratory Income 36, , VOCA Grant 1,933, ,577, , HRSA - Grant (SAC) 2,104, ,571, , a HRSA Supplement - DSHII 28, , b HRSA Supplement - PCMHS 35, , c HRSA - NAP 185, , Total HRSA - Grant (SAC) $ 2,353, $ 1,820, $ 533, Insurance Charges Insurance Copay 3, , , Medicaid 1,647, , ,097, Medicare 326, , , Private Insurance 377, , , Total Insurance Charges $ 2,355, $ 830, $ 1,524, Contract Discounts Medicaid Insurance Discount -376, , Medicare Insurance Discount -8, , Private Insurance Discount -41, , Total Contract Discounts -$ 426, $ $ 426, Refunds 5, , Total Services Income $ 6,738, $ 5,459, $ 1,278, Other Income Unrestricted 53, , Total Donations $ 53, $ 0.00 $ 53, Medical Record Reproduction 1, , Total Other Income $ 55, $ 2, $ 52, Interest Earned Total Income $ 6,793, $ 5,461, $ 1,331, Gross Profit $ 6,793, $ 5,461, $ 1,331, Expenses Advertising and Marketing Meals and Business Meeting 12, , , Marketing/Outreach 7, , , Marketing materials 21, , Total Advertising and Marketing $ 41, $ 78, $ 36, of 4

5 60300 Bad Debt Expense 458, , Bank & Credit Cards fees Monthly Service Fee Cash Deposit fee Interest Expense , , Telecheck Fees Merchant & CC Fees 2, , , OverDraft fee Total Bank & Credit Cards fees $ 4, $ 6, $ 2, Sales Tax Charged Fed Excise Tax Charged Total Sales Tax Charged $ $ 0.00 $ Account Fees Interest Fee 1, , Late Fee 3, , Total Account Fees $ 5, $ 0.00 $ 5, Insurance Expense Business -1, , Travel Insurance Professional Liability 10, , , Directors & Officers 2, , Malpractice 26, , Total Insurance Expense $ 38, $ 50, $ 12, Charitable Contribution 1, , Medical Expenses Medical Consumable Supplies 35, , , Laboratory Expenses 24, , , Medical Records and Supplies 4, , , Patient Services 157, , , BioHazzard 5, , Small Medical Equipment -29, , , Uniforms , , Medical Software 88, , , Total Medical Expenses $ 287, $ 572, $ 284, Payroll Expenses Direct Wages 1,105, ,254, , Admin Wages 833, , , Enabling Wages 96, , Direct Payroll Tax Expense 94, , , Admin Payroll Tax Expense 73, , , Enabling Payroll Tax Expense 8, , Payroll Processing Fees , , Bonus 7, , Employees' benefits 155, , , Workers Comp 6, , , Total Payroll Expenses $ 2,382, $ 2,554, $ 172, of 4

6 66700 Professional Fees Board/Staff Development 36, , , Grant Writing Services 169, , , Professional Programs 219, , Medical Consultants 371, , Credentialing 28, , Legal Services 85, , , Continued Education & Training 4, , , Accounting 79, , , NCCY 450, , Outside Services 240, ,105, , Translation Services 8, , , HR Mgmt/RecruitmentExpense 7, , , Total Professional Fees $ 1,700, $ 1,402, $ 298, Office & General Bus. Expenses Kitchen/cleaning supplies 9, , , Shredding 2, , , Computer and Internet Expenses 113, , , Dues and Subscriptions 4, , , Licenses & Permits 8, , , Office Supplies 111, , , Printing and Reproduction 7, , , Postage & Delivery , , Security Alarm Expense 3, , Rent 191, , , Repairs & Maintenance 53, , Misc Administrative/Office Expenses 1, , , Total Office & General Bus. Expenses $ 507, $ 598, $ 91, Travel Expense Car Rental 1, , , Mileage 1, , , Per Diem 1, Local Travel Hotel 4, , , Airfare 22, , , Transportation PT Total Travel Expense $ 31, $ 25, $ 6, Utilities Gas and Electric 17, , , Water , , Telephone 43, , , Storage 5, , , Total Utilities $ 67, $ 115, $ 47, of 4

7 Payoll PTO Expense -16, , Total Payoll -$ 16, $ $ 16, Total Expenses $ 5,510, $ 5,403, $ 106, Net Operating Income $ 1,282, $ 58, $ 1,224, Other Expenses Suspense Account Total Other Expenses $ $ 0.00 $ Net Other Income -$ $ $ Net Income $ 1,282, $ 58, $ 1,223, Monday, Dec 18, :48:45 PM GMT-8 - Accrual Basis 4 of 4

8 FIRSTMED HEALTH AND WELLNESS CENTER Balance Sheet As of November 30, 2017 Total ASSETS Current Assets Bank Accounts WF Deposit , Meadows Bank - OPS , Meadows Bank PR WF Savings NSB - OPS checking NSB - MED Checking Petty Cash 2, Front Desk Cash Drawer Total Bank Accounts $ 260, Accounts Receivable Accounts Receivable 1,597, Program Recievables Other Service Recievables 0.00 Total Program Recievables $ Insurance Recievables 444, Ins. Allowance for DA 0.00 Total Insurance Recievables $ 444, Total Accounts Receivable $ 2,042, AR Allowance for bad debts -214, Wells Fargo Grants -25, Total Accounts Receivable $ 1,803, Other Current Assets Prepaid Insurance 10, Payroll Refunds Total Other Current Assets $ 10, Total Current Assets $ 2,074, Fixed Assets Fixed Assets Computers 21, Furniture and Equipment Medical Equipment 64, Accumulated Depreciation -15, Total Fixed Assets $ 70, Total Fixed Assets $ 70, Other Assets Security Deposits Asset 21, Total Other Assets $ 21, TOTAL ASSETS $ 2,166, of 3

9 LIABILITIES AND EQUITY Liabilities Current Liabilities Accounts Payable Accounts Payable 337, Accounts Payable - other 35, Total Accounts Payable $ 373, Credit Cards Visa CC , Wells Fargo CC Total Credit Cards $ 5, Other Current Liabilities Deferred Rent Payable 19, Loan Payable 100, DLL Copystar Image , Reclass LT maturities capital lease -12, Reclass LT maturities capital lease 12, Payroll Taxes Payable -2, Great America/AIS Settlement - payable current 12, Great America/AIS settlement - LT 108, Marlin Business settlement - Current 12, Marlin Business settlement - LT 12, K&L Joint Venture - potential settlement 150, Payroll Liabilities Payroll Liabilities - NV Unemployment Tax -2, Child Support Income Withholding Child Support Income Withholding Fee 2.00 Federal Taxes (941/944) -10, Federal Unemployment (940) HPN 25, Koster Finance, LLC 1, NV UI Bond Obligation Assessment -12, NV Unemployment Tax 5, Stop Payment Fee Supplemental Insurance Vision and Dental 2, Total Payroll Liabilities $ 9, Total Other Current Liabilities $ 435, Total Current Liabilities $ 813, Total Liabilities $ 813, Equity Opening Balance Equity Temporarily restricted net assets 4, Retained Earnings 65, Net Income 1,282, Total Equity $ 1,352, of 3

10 TOTAL LIABILITIES AND EQUITY $ 2,166, of 3

11 FIRSTMED HEALTH AND WELLNESS CENTER Budget vs. Actuals: FMHWC - FY17 P&L Classes November 2017 Total Actual Budget over Budget Income Services Income SelfPay/Sliding Scale 81, , , Contract PreEmp 6, , , Programs Income Laboratory Income 2, , VOCA Grant 333, , , HRSA - Grant (SAC) 237, , , Insurance Charges Insurance Copay , , Medicaid 342, , , Medicare 64, , , Private Insurance 39, , , Total Insurance Charges $ 446, $ 75, $ 370, Contract Discounts Medicaid Insurance Discount -157, , Medicare Insurance Discount -3, , Private Insurance Discount -8, , Total Contract Discounts -$ 170, $ $ 170, Total Services Income $ 937, $ 573, $ 363, Other Income Donations Total Donations $ 0.00 $ 0.00 $ Medical Record Reproduction Total Other Income $ $ $ Interest Earned Total Income $ 937, $ 574, $ 363, Gross Profit $ 937, $ 574, $ 363, Expenses Advertising and Marketing Meals and Business Meeting Marketing/Outreach , , Marketing materials Total Advertising and Marketing $ 1, $ 10, $ 9, Bad Debt Expense 118, , Bank & Credit Cards fees Monthly Service Fee Interest Expense Telecheck Fees Merchant & CC Fees Total Bank & Credit Cards fees $ $ $ of 3

12 62200 Account Fees Late Fee 2, , Total Account Fees $ 2, $ 0.00 $ 2, Insurance Expense Professional Liability , , Directors & Officers Malpractice 2, , Total Insurance Expense $ 3, $ 4, $ 1, Medical Expenses Medical Consumable Supplies 3, , , Laboratory Expenses 2, , , Medical Records and Supplies 2, , Patient Services 39, , , BioHazzard Small Medical Equipment , , Uniforms Medical Software 13, , , Total Medical Expenses $ 62, $ 66, $ 4, Payroll Expenses Direct Wages 146, , , Admin Wages 83, , Enabling Wages 9, , Direct Payroll Tax Expense 11, , , Admin Payroll Tax Expense 5, , , Enabling Payroll Tax Expense Payroll Processing Fees Employees' benefits 22, , , Workers Comp , Total Payroll Expenses $ 282, $ 270, $ 11, Professional Fees Board/Staff Development Grant Writing Services , , Professional Programs 190, , Medical Consultants 60, , Credentialing 10, , Legal Services 1, , , Continued Education & Training , , Accounting 11, , Outside Services 15, , , Translation Services HR Mgmt/RecruitmentExpense 1, , Total Professional Fees $ 293, $ 144, $ 149, of 3

13 67000 Office & General Bus. Expenses Kitchen/cleaning supplies 2, , Shredding Computer and Internet Expenses 12, , , Dues and Subscriptions Office Supplies 3, , , Printing and Reproduction , Postage & Delivery Security Alarm Expense Rent 21, , , Repairs & Maintenance , , Misc Administrative/Office Expenses Total Office & General Bus. Expenses $ 42, $ 64, $ 22, Travel Expense Car Rental Mileage Local Travel Hotel Airfare Total Travel Expense $ 1, $ $ 1, Utilities Gas and Electric 2, , , Water Telephone 7, , , Storage Total Utilities $ 9, $ 10, $ Total Expenses $ 816, $ 573, $ 243, Net Operating Income $ 121, $ $ 120, Net Income $ 121, $ $ 120, Monday, Dec 18, :01:49 PM GMT-8 - Accrual Basis 3 of 3