1. Summary of Financial Performance Fiscal year ended: June 30, 2010
San Joaquin General Hospital
San Joaquin General Hospital
French Camp, California
French Camp, California
May 31, 2009
September 28, 2010

2. Dashboard – Volume

3. Dashboard – Payer Mix

4. Dashboard – Revenue

5. Dashboard – Revenue (continued)

6. Dashboard – Expenses

7. Dashboard – Expenses (continued)

8. Dashboard – Accounts Receivable and Cash

9. ADC vs. non-physician FTEs

10. Monthly Trending FY
Losses were higher in the first months of the year.
Preliminary results for July and August 2010 are similar to June results.

11. Quarterly Trending
The losses at the Hospital have decreased over the past two quarters and we expect this trend to continue into the new fiscal year.

12. Quarterly Trending
Note (1) FY , FY and FY include $2.5 million increase in expenses due to a change in government retirement accounting. No impact on cash or cost to the County.

13. Funding Uncertainties
Medi-Cal 1115 Waiver  - Current Waiver extended to October 15, Effect of new Waiver unknown.
Coverage Initiative Expansion - Concept proposed as part of new Waiver. Language not yet approved by CMS.
FMAP Extension - (Federal Medical Assistance Program) Signed into law and will provide greater Federal Funding only through June 30,
Hospital Fee - Signed by Governor, awaiting Approval by CMS.
Health Care Reform - Revision to Primary Care Model to create Medical Homes will be required by the end of 2013.

14. Internal Initiatives
Federally Qualified Health Center (FQHC) - Estimated implementation date is Late Summer - Fall 2011
Medical Guarded Unit (“MGU”) - Opened August 2.  ADC of 6.3 in August and 6.75 in September month to date. Outside the MGU, ADC of 2.0 in August and 1.4 in September month to date.
Residency Consortium - Being evaluated with other San Joaquin County Hospital and Health Systems
Electronic Health Record - Installation, currently in progress, must be completed by January 2012