Date Requested: 07/13/ :04 AM EST Data As Of: 05/10/2011. TABLE 3A - Patients by Age and Gender National - Universal Grantees

Transcription

1 TABLE 3A - Patients by Age and Gender Age Groups Male Patients Female Patients All Patients 1. Under Age 1 309, , , Age 1 207, , , Age 2 196, , , Age 3 200, , , Age 4 203, , , Age 5 192, , , Age 6 170, , , Age 7 160, , , Age 8 154, , , Age 9 151, , , Age , , , Age , , , Age , , , Age , , , Age , , , Age , , , Age , , , Age , , , Age , , , Age 19 96, , ,804 Subtotal Patients (Sum lines 1-20) 3,301,090 3,564,668 6,865, Age 20 93, , , Age 21 90, , , Age 22 90, , , Age 23 92, , , Age 24 93, , , Ages ,678 1,018,379 1,494, Ages , ,376 1,357, Ages , ,333 1,242, Ages , ,694 1,242, Ages , ,328 1,328, Ages , ,349 1,263, Ages , ,137 1,034, Ages , , ,701 Subtotal Patients (Sum lines 21-33) 4,197,581 7,073,733 11,271, Ages , , , Ages , , , Ages , , , Ages ,767 95, , Ages 85 and over 43,020 93, ,311 Subtotal Patients (Sum lines 34-38) 524, ,636 1,332, Total Patients (Sum lines 1-38) 8,023,430 11,446,037 19,469,467 % of Total 41.2% 58.8% Page 46

2 TABLE 3B - Patients by Hispanic or Latino Identity / Race / Language PATIENTS BY RACE Hispanic/Latino PATIENTS BY HISPANIC OR LATINO IDENTITY Unreported/Refused Non-Hispanic/Latino to Report (c) % of Number Total Number Total (d) 1. Asian 7, , , % 3.3% 2a. Native Hawaiian 1,950 43,764 45, % 0.3% 2b. Other Pacific Islander 17, , , % 1.0% Total Hawaiian/Pacific Islander (Sum lines 2. 2a+2b) 19, , , % 1.3% 3. Black/African American 97,130 3,912,859 4,009, % 25.8% 4. American Indian/Alaska native 24, , , % 1.4% 5. White 3,127,603 6,847,024 9,974, % 64.1% 6. More than one race 503, , , % 4.2% 6a. Total Known (Sum lines ) 3,780,005 11,786,229 15,566, Unreported/Refused to report 2,613, , , % 3,903, % 8. Total Patients(Sum lines to 7) 6,393,504 12,181, , % 19,469, % % of Known % of Known 9. Total Patients 34.4% 65.6% % of Total % of Known Number PATIENTS BY LANGUAGE % of Total 12. Patients best served in a language other than English 4,734, % % may not equal 100% due to rounding Page 47

3 TABLE 4 - Selected Patient Characteristics Characteristic Number of Patients % of Total % of Known Income as Percent of Poverty Level % and Below 10,726, % 71.8% % 2,155, % 14.4% % 978, % 6.5% 4. Over 200% 1,075, % 7.2% 5. Unknown 4,533, % 6. Total (Sum lines 1-5) 19,469, % Principal Third Party Medical Insurance Source Ages 0-19 Ages 20+ TOTAL % 7. None/Uninsured 1,393,640 5,915,004 7,308, % 8a. Regular Medicaid (Title XIX) 4,275,207 3,026,018 7,301, % 8b. CHIP Medicaid 172,320 31, , % 8. Total Medicaid (Sum lines 8a+8b) 4,447,527 3,057,520 7,505, % 9. Medicare (Title XVIII) 4,109 1,457,376 1,461, % 10a. Other Public Insurance Non-CHIP 43, , , % 10b. Other Public Insurance CHIP 208,518 22, , % 10. Total Public Insurance (Sum lines 10a+10b) 252, , , % 11. Private Insurance 768,422 1,930,761 2,699, % 12. Total (Sum Lines ) 6,865,758 12,603,709 19,469, % Managed Care Utilization Payor Category Medicaid Medicare Other Public Including Non- Medicaid CHIP (c) 13a. Capitated Member months 21,120, ,139 1,677,075 1,471,876 24,680,491 13b. Fee-for-service Member months 19,460, ,145 1,075,690 1,485,731 22,645,435 13c. Total Member Months (Sum lines 13a+13b) 40,581,270 1,034,284 2,752,765 2,957,607 47,325,926 Characteristics - Special Populations Number of Patients % 14. Migrant (330g grantees Only) 340, % 15. Seasonal (330g grantees Only) 458, % Migrant/Seasonal (non-330g grantees) 63, % 16. Total Migrant/Seasonal Agricultural Worker or Dependent (All Grantees Report This Line) 862, % 17. Homeless Shelter (330h grantees Only) 289, % 18. Transitional (330h grantees Only) 110, % 19. Doubling Up (330h grantees Only) 179, % 20. Street (330h grantees Only) 75, % 21. Other (330h grantees Only) 82, % 22. Unknown (330h grantees Only) 59, % Homeless (non-330h grantees) 254, % 23. Total Homeless (All Grantees Report This Line) 1,051, % 24. Total School Based Health Center Patients (All Grantees Report This Line) 398, Total Veterans (All Grantees Report this Line) 226,019 Private (d) Total (e) % may not equal 100% due to rounding Page 48

4 TABLE 5 - Staffing and Utilization PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits Patients (c) 1. Family Physicians 4, ,179, General Practitioners ,488, Internists 1, ,524, Obstetrician/Gynecologists ,138, Pediatricians 1, ,177, Other Specialty Physicians , Total Physicians (Sum lines 1-7) 9, ,456,308 9a. Nurse Practitioners 3, ,742,438 9b. Physician Assistants 2, ,321, Certified Nurse Midwives ,255,262 10a. Total NPs, PAs, CNMs (Sum lines 9a - 10) 6, ,319, Nurses 11, ,329, Other Medical Personnel 16, Laboratory Personnel 2, X-Ray Personnel Total Medical Services (Sum lines 8+10a through 14) 46, ,105,525 16,777, Dentists 2, ,700, Dental Hygienists 1, ,530, Dental Assistants, Aides, Techs 5, Total Dental Services (Sum lines 16-18) 9, ,231,348 3,750,481 20a. Psychiatrists ,019 20a1. Licensed Clinical Psychologists ,989 20a2. Licensed Clinical Social Workers 1, ,256,434 20b. Other Licensed Mental Health Providers ,002 20c. Other Mental Health Staff 1, , Total Mental Health Services (Sum lines 20a-20c) 4, ,267, , Substance Abuse Services ,767 98, Other Professional Services ,057, ,134 22a. Ophthalmologist ,589 22b. Optometrist ,234 22c. Other Vision Care Staff d. Total Vision Services (Sum lines 22a-22c) , , Pharmacy Personnel 2, Case Managers 4, ,419, Patient/Community Education Specialists 2, ,577, Outreach Workers 2, Transportation Staff a. Eligibility Assistance Workers 2, b. Interpretation Staff Other Enabling Services Total Enabling Services (Sum lines 24-28) 12, ,997,692 1,793,746 29a. Other Programs/Services 3, Visits are shown only for personnel that generate reportable visits Subtotals may differ from the sum of cells due to rounding Page 49

5 TABLE 5 - Staffing and Utilization PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits 30a. Management and Support Staff 13, b. Fiscal and Billing Staff 9, c. IT Staff 1, Total Administrative Staff (Sum lines 30a-30c) 24, Facility Staff 3, Patient Support Staff 22, Total Administrative & Facility (Sum lines 30-32) 50, Total (Sum lines d a+33) 131, ,069,234 Patients (c) Visits are shown only for personnel that generate reportable visits Subtotals may differ from the sum of cells due to rounding Page 50

6 TABLE 5 - Staffing and Utilization PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits % Group % Total % Group % Total 1. Family Physicians 9.6% 3.4% 28.8% 21.0% 2. General Practitioners 0.8% 0.3% 2.7% 1.9% 3. Internists 3.4% 1.2% 9.8% 7.2% 4. Obstetrician/Gynecologists 2.0% 0.7% 5.6% 4.1% 5. Pediatricians 4.1% 1.4% 12.8% 9.3% 7. Other Specialty Physicians 0.6% 0.2% 1.7% 1.2% 8. Total Physicians (Sum lines 1-7) 20.6% 7.3% 61.4% 44.7% 9a. Nurse Practitioners 8.2% 2.9% 19.1% 13.9% 9b. Physician Assistants 4.4% 1.5% 11.3% 8.2% 10. Certified Nurse Midwives 1.1% 0.4% 2.2% 1.6% 10a. Total NPs, PAs, CNMs (Sum lines 9a - 10) 13.7% 4.8% 32.7% 23.8% 11. Nurses 24.4% 8.6% 5.9% 4.3% 12. Other Medical Personnel 35.5% 12.5% 13. Laboratory Personnel 4.3% 1.5% 14. X-Ray Personnel 1.5% 0.5% 15. Total Medical Services (Sum lines 8+10a through 14) 100% 35.4% 100% 72.8% 16. Dentists 30.5% 2.2% 83.4% 10.0% 17. Dental Hygienists 12.1% 0.9% 16.6% 2.0% 18. Dental Assistance,Aides,Techs 57.4% 4.1% 19. Total Dental Services (Sum lines 16-18) 100% 7.2% 100% 12.0% 20a. Psychiatrists 9.3% 0.3% 23.3% 1.3% 20a1. Licensed Clinical Psychologists 8.5% 0.3% 9.5% 0.5% 20a2. Licensed Clinical Social Workers 29.8% 1.0% 29.4% 1.6% 20b. Other Licensed Mental Health Providers 22.6% 0.7% 20.9% 1.2% 20c. Other Mental Health Staff 29.8% 1.0% 16.9% 0.9% 20. Total Mental Health Services (Sum lines 20a-c) 100% 3.2% 100% 5.5% 21. Substance Abuse Services 100% 0.6% 100% 1.3% 22. Other Professional Services 100% 0.6% 100% 1.4% 22a. Ophthalmologist 12.5% 0.0% 24.2% 0.1% 22b. Optometrist 47.4% 0.1% 75.8% 0.4% 22c. Other Vision Care Staff 40.1% 0.1% 22d. Total Vision Services (Sum lines 22a-22c) 100% 0.2% 100% 0.5% 23. Pharmacy Personnel 100% 2.1% 24. Case Managers 33.7% 3.1% 68.4% 4.4% 25. Patient/Community Education Specialists 17.5% 1.6% 31.6% 2.0% 26. Outreach Workers 17.1% 1.6% 27. Transportation Staff 3.6% 0.3% 27a. Eligibility Assistance Workers 17.6% 1.6% 27b. Interpretation Staff 6.6% 0.6% 28. Other Enabling Services 3.9% 0.4% 29. Total Enabling Services (Sum lines 24-28) 100% 9.2% 100% 6.5% 29a. Other Programs/Services 100% 3.0% Clinic visits are shown only for personnel that generate reportable visits Subtotals may differ from the sum of cells due to rounding % may not equal 100% due to rounding Page 51

7 TABLE 5 - Staffing and Utilization PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits % Group % Total % Group % Total 30a. Management and Support Staff 26.4% 10.2% 30b. Fiscal and Billing Staff 17.8% 6.9% 30c. IT Staff 3.9% 1.5% 30. Total Administrative Staff (Sum lines 30a-30c) 48.2% 18.5% 31. Facility Staff 6.7% 2.6% 32. Patient Support Staff 45.1% 17.3% 33. Total Administrative & Facility (Sum lines 30-32) 100% 38.4% 34. Total (Sum lines d a+33) 100% 100% Clinic Visits are shown only for personnel that generate reportable visits Subtotals may differ from the sum of cells due to rounding % may not equal 100% due to rounding Page 52

8 TABLE 6A - Selected Diagnoses and Services Rendered Diagnostic Category Applicable ICD-9-CM Codes Number of Visits by Primary Diagnosis Number of Patients with Primary Diagnosis Visits Per Patient Selected Infectious and Parasitic Diseases 1, 2. Symptomatic HIV, Asymptomatic HIV 042, , V08 405,947 90, Tuberculosis 010.xx xx 22,822 10, Syphilis and other sexually transmitted diseases 090.xx xx 91,231 59, a. Hepatitis B , , , ,860 12, b. Hepatitis C , , , , , ,213 58, Selected Diseases of the Respiratory System 5. Asthma 493.xx 930, , Chronic bronchitis and Emphysema 490.xx xx 298, , Selected Other Medical Conditions 7. Abnormal Breast Findings, Female 174.xx; ; 233.0x; 238.3; 793.8x 50,426 33, Abnormal Cervical Findings 180.xx; ; 233.1x; 795.0x 181, , Diabetes Mellitus 250.xx; 648.0x; 775.1x 3,704,992 1,275, Heart Disease (selected) 391.xx x 410.xx xx 651, , Hypertension 401.xx xx 4,176,217 1,976, Contact Dermatitis and other Eczema 692.xx 389, , Dehydration 276.5x 25,277 17, Exposure to Heat or Cold 991.xx xx 18,222 12, a. Overweight and obesity ICD-9 : or V85.xx (Excluding V85.0, V85.1, V , , V85.52) Selected Childhood Conditions 15. Otitis Media and Eustachian Tube Disorders 381.xx xx 886, , Selected Perinatal Medical Conditions 770.xx; 771.xx; 773.xx; 774.xx xx (Excluding 779.3x) 72,370 46, Lack of Expected Normal Physiological Development (Such as delayed milestone; Failure to gain weight; Failure to thrive) - does not include sexual or mental development; Nutritional Deficiencies 260.xx xx; 779.3x; 783.3x x 222, , Source of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 53

9 TABLE 6A - Selected Diagnoses and Services Rendered Diagnostic Category Selected Mental Health and Substance Abuse Conditions 18. Alcohol Related Disorders 19. Other Substance Related Disorders (Excludes Tobacco Use Disorders) Applicable ICD-9-CM Codes 291.xx, 303.xx; 305.0x; 357.5x 292.1x x; 304.xx; 305.2x x; 357.6x; 648.3x Number of Visits by Primary Diagnosis Number of Patients with Primary Diagnosis Visits Per Patient 310,855 73, ,789 97, a. Tobacco Use Disorders , , a. Depression and Other Mood Disorders 296.xx; ; 311.xx 2,333, , b. Anxiety Disorders Including PTSD 300.0x; 300.2x; 300.3; 308.3; , , c. Attention Deficit and Disruptive Behavior Disorders 312.8x; 312.9x; ; 314.xx 685, , Other Mental Disorders, Excluding Drug or Alcohol Dependence 20d. (includes mental retardation) 290.xx; 293.xx xx (Excluding 296.xx; 300.0x; 300.2x; 300.3; 300.4; ); 306.xx xx (Excluding 308.3; ; 311.xx; 312.8x; 312.9x; ; 314.xx) 1,297, , Source of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 54

10 TABLE 6A - Selected Diagnoses and Services Rendered Service Category Applicable ICD-9-CM or CPT-4 Codes Number of Visits Number of Patients Visits Per Patient Selected Diagnostic Tests/Screening/Preventive Services 21. HIV Test CPT-4: 86689; ; 860, , a. Hepatitis B Test CPT-4: 86704, 86706, , , b. Hepatitis C Test CPT-4: , , , Mammogram CPT-4: 77052, OR 319, , ICD-9: V76.11; V Pap Test CPT-4: ; ; OR ICD - 9:V72.3; V72.31; V76.2 1,948,750 1,808, Selected Immunizations (Hepatitis A, Hemophilus Influenza B (HiB), Pneumococcal, Diptheria, Tetanus, Pertussis (DTaP) (DTP) (DT), Mumps, Measles, Rubella, Poliovirus, Varicella, Hepatitis B Child) CPT-4: , ; 90669; ; ; ; ; ,722,871 2,733, a. Seasonal Flu Vaccine CPT-4: ,498,553 2,288, b. H1N1 Flu Vaccine CPT-4: 90663; , , Contraceptive Management ICD - 9: V25.xx 1,972,824 1,096, Health Supervision of Infant or Child (ages 0 through 11) CPT-4: ; ,902,296 2,411, a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: , , b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: ,008 68, c. Smoke and tobacco use cessation counseling CPT-4: and 99407; S , , d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, , , Sources of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / American Medical Association. Current Procedural Terminology, (CPT) 2009 / American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 55

11 TABLE 6A - Selected Diagnoses and Services Rendered Service Category Applicable ADA Codes Number of Visits Number of Patients Visits Per Patient Selected Dental Services 27. I. Emergency Services ADA: D , , II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0180 3,795,175 2,896, Prophylaxis - Adult or Child ADA: D1110, D1120 2,033,697 1,655, Sealants ADA: D , , Fluoride Treatment - adult or child ADA: D1203, D1204, D1206 1,352,042 1,077, III. Restorative Services ADA: D21xx - D29xx 2,061,459 1,075, IV. Oral Surgery (Extractions and other Surgical Procedures) V. Rehabilitative Services (Endo, Perio, Prostho, Orhto) Source of codes: Current Dental Terminology, (CDT) 2009 / American Dental Association. Note: x in a code denotes any number including the absence of a number in that place. ADA: D7111, D7140, D7210, D7220, D7230, D7240, D7241, D7250, D7260, D7261, D7270, D7272, D7280 ADA: D3xxx, D4xxx, D5xxx, D6xxx, D8xxx 1,030, , , , Page 56

12 TABLE 6B - Quality of Care Indicators SECTION A - AGE CATEGORIES FOR PRENATAL PATIENTS (GRANTEES WHO PROVIDE PRENATAL CARE ONLY) DEMOGRAPHIC CHARACTERISTICS OF PRENATAL CARE PATIENTS AGE Number of Patients Percent 1. Less than 15 Years 1, % 2. Ages , % 3. Ages , % 4. Ages , % 5. Ages 45 and Over 1, % 6. Total Patients (Sum lines 1-5) 489, % Trimester of First Known Visit for Women Receiving Prenatal Care During Reporting Year SECTION B - TRIMESTER OF ENTRY INTO PRENATAL CARE Women Having First Visit with Another Women Having First Visit with Grantee Provider % Total % % 7. First Trimester 319, % 18, % 69.0% 8. Second Trimester 112, % 10, % 25.2% 9. Third Trimester 23, % 4, % 5.7% 10. Childhood Immunization Number of children who have received required vaccines who had their 2nd birthday during measurement year SECTION C - CHILDHOOD IMMUNIZATION Total Number Patients with 2nd Birthday During Measurement Year Estimated number patients immunized Estimated % patients immunized (c) 343, , % 11. Pap Tests Number of female patients aged who had at least one Pap test performed during the measurement year or during one of the previous two calendar years SECTION D - PAP TESTS Total Number of Female Patients Years of Age Estimated number patients tested Estimated % patients tested (c) 5,392,242 3,118, % % may not equal 100% due to rounding The childhood immunization and Pap test rates are based on the total of the estimated number of patients tested or immunized for each health center divided by the total number patients in the applicable category (i.e., the universe) for each measure. Page 57

13 TABLE 7 - Health Outcomes and Disparities Total (i) HIV Positive Pregnant Women 666 Section A: DELIVERIES AND BIRTH WEIGHT Prenatal care patients who delivered during the year By Race Deliveries performed by Grantee Provider Live Births < 1500 grams Live Births grams Live Births >= 2500 grams % Low and Very Low Birth Weight Asian 8, % , % Native Hawaiian (b1) % % Pacific Islander (b2) 3, % , % Black/ African American (c) 51, % 1,017 4,541 45, % Hispanic/Latino 2, % , % Non-Hispanic/Latino 49, % 973 4,368 43, % American Indian/ Alaska Native (d) 3, % , % White (e) 124, % 1,237 6, , % Hispanic/Latino 69, % 618 3,269 63, % Non-Hispanic/Latino 55, % 619 3,382 51, % More than one race (f) 9, % , % Race Unreported/ Refused to Report (g) 58, % 647 3,072 56, % Sub-total (Sum a+b1+b2+c+d+e+f+g) 259, % 3,231 15, , % By Ethnicity Hispanic/Latino (col1) 135, % 1,376 6, , % Non-Hispanic/Latino (col2) 123, % 1,855 8, , % Sub-total (Sum col1 + col2) 259, % 3,231 15, , % Unreported / Refused to Report Race and Ethnicity (h) 4, % , % Total (i) 264, % 168,372 3,322 16, , % % shown are rounded to the.1% level for table display purposes; calculations are made using % to 8 decimal places Page 58

14 TABLE 7 - Health Outcomes and Disparities SECTION B: HYPERTENSION Patients 18 to 85 diagnosed with hypertension whose last blood pressure was less than 140/90 Total hypertensive patients By Race Estimated % Patients with Controlled Blood Pressure Asian 68, % Native Hawaiian (b1) 4, % Pacific Islander (b2) 12, % Black/ African American (c) 634, % Hispanic/Latino 10, % Non-Hispanic/Latino 623, % American Indian/ Alaska Native (d) 21, % White (e) 1,226, % Hispanic/Latino 274, % Non-Hispanic/Latino 951, % More than one race (f) 62, % Race Unreported/ Refused to Report (g) 272, % Sub-total (Sum a+b1+b2+c+d+e+f+g) 2,302,863 By Ethnicity Hispanic/Latino (col1) 571, % Non-Hispanic/Latino (col2) 1,731, % Sub-total (Sum col1 + col2) 2,302,863 Unreported / Refused to Report Race and Ethnicity (h) 64, % Total (i) 2,367, % % shown are rounded to the.1% level for table display purposes; calculations are made using % to 8 decimal places % by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories. Page 59

15 TABLE 7 - Health Outcomes and Disparities SECTION C: DIABETES Patients 18 to 75 diagnosed with Type I or Type II diabetes: Most recent test results Total patients with diabetes By Race Estimated % Patients with Hba1c <= 9% Estimated % Patients with Hba1c < 7% Asian 34, % 44.6% Native Hawaiian (b1) 2, % 25.0% Pacific Islander (b2) 9, % 21.3% Black/ African American (c) 284, % 38.0% Hispanic/Latino 7, % 29.5% Non-Hispanic/Latino 277, % 37.9% American Indian/ Alaska Native (d) 13, % 31.4% White (e) 631, % 41.2% Hispanic/Latino 205, % 36.1% Non-Hispanic/Latino 425, % 43.5% More than one race (f) 39, % 32.0% Race Unreported/ Refused to Report (g) 202, % 36.3% Sub-total (Sum a+b1+b2+c+d+e+f+g) 1,218,967 By Ethnicity Hispanic/Latino (col1) 425, % 35.8% Non-Hispanic/Latino (col2) 793, % 41.4% Sub-total (Sum col1 + col2) 1,218,967 Unreported / Refused to Report Race and Ethnicity (h) 37, % 41.8% Total (i) 1,256, % 39.8% % shown are rounded to the.1% level for table display purposes; calculations are made using % to 8 decimal places % by race are low estimates, not adjusted at the grantee level for samples with zero patients in racial categories. Page 60

16 TABLE 8A - Financial Costs Accrued Cost Allocation of Facility and Administration Total Cost After Allocation of Facility and Administration (c) Financial Costs for Medical Care 1. Medical Staff 4,036,724,211 2,155,500,489 6,192,224, Lab and X-ray 324,813, ,185, ,998, Medical/Other Direct 767,949, ,013,105 1,124,963, Total Medical Care Services (Sum lines 1-3) 5,129,487,688 2,669,698,979 7,799,186,667 Financial Costs for Other Clinical Services 5. Dental 962,157, ,320,719 1,440,477, Mental Health 386,201, ,318, ,520, Substance Abuse 61,026,941 33,521,345 94,548,286 8a. Pharmacy not including pharmaceuticals 263,198, ,011, ,209,834 8b. Pharmaceuticals 451,095, ,095, Other Professional 105,960,414 51,924, ,884, Total Other Clinical Services (Sum lines 5-9) 2,229,639, ,096,707 3,132,736,120 Financial Costs of Enabling and Other Program Related Services 11a. Case Management 216,346, ,346,906 11b. Transportation 26,289,796 26,289,796 11c. Outreach 98,306,224 98,306,224 11d. Patient and Community Education 116,114, ,114,133 11e. Eligibility Assistance 85,303,199 85,303,199 11f. Interpretation Services 35,850,833 35,850,833 11g. Other Enabling Services 29,017,479 29,017, Total Enabling Services Cost (Sum lines 11a-11g) 607,228, ,640, ,869, Other Related Services 305,765, ,726, ,492, Total Enabling and Other Services (Sum lines 11-12) 912,994, ,366,971 1,327,361,362 Overhead and Totals 14. Facility 914,914, Administration 3,072,248, Total Overhead (Sum lines 14-15) 3,987,162, Total Accrued Costs (Sum lines ) 12,259,284,149 12,259,284, Value of Donated Facilities, Services and Supplies 384,054, Grand Total including Donations (Sum lines 17-18) 12,643,338,307 Page 61

17 TABLE 9D -Patient Related Revenue (Scope of Project Only) Payor Category Full Charges This Period Charges % of Payor % of Total Amount Collected This Period Collections % of Payor % of Total % of Charges 1. Medicaid Non-Managed Care 3,335,369, % 26.4% 2,634,465, % 35.3% 79.0% 2a. Medicaid Managed Care (capitated) 1,041,282, % 8.2% 949,156, % 12.7% 91.2% 2b. Medicaid Managed Care (fee-for-service) 1,535,596, % 12.1% 1,196,167, % 16.0% 77.9% 3. Total Medicaid (Sum lines 1+2a+2b) 5,912,248, % 46.7% 4,779,790, % 64.0% 80.8% 4. Medicare Non-Managed Care 995,049, % 7.9% 660,994, % 8.9% 66.4% 5a. Medicare Managed Care (capitated) 38,164, % 0.3% 29,186, % 0.4% 76.5% 5b. Medicare Managed Care (fee-for-service) 95,023, % 0.8% 50,092, % 0.7% 52.7% 6. Total Medicare (Sum lines 4+5a+5b) 1,128,237, % 8.9% 740,273, % 9.9% 65.6% 7. Other Public including Non-Medicaid CHIP (Non Managed Care) 371,035, % 2.9% 216,172, % 2.9% 58.3% Other Public including Non-Medicaid CHIP 8a. (Managed Care Capitated) 67,241, % 0.5% 60,317, % 0.8% 89.7% Other Public including Non-Medicaid CHIP 8b. (Managed Care fee-for-service) 109,198, % 0.9% 62,961, % 0.8% 57.7% 9. Total Other Public (Sum lines 7+8a+8b) 547,475, % 4.3% 339,450, % 4.5% 62.0% 10. Private Non-Managed Care 1,282,384, % 10.1% 733,285, % 9.8% 57.2% 11a. Private Managed Care (Capitated) 66,616, % 0.5% 44,140, % 0.6% 66.3% 11b. Private Managed Care (fee-for-service) 163,071, % 1.3% 86,789, % 1.2% 53.2% 12. Total Private (Sum lines 10+11a+11b) 1,512,072, % 11.9% 864,215, % 11.6% 57.2% 13. Self Pay 3,557,780, % 28.1% 744,248, % 10.0% 20.9% 14. Grand Total (Sum lines ) 12,657,813, % 7,467,978, % 59.0% % may not equal 100% due to rounding Page 62

18 TABLE 9D -Patient Related Revenue (Scope of Project Only) Payor Category Collection of recon./wrap around Current Year (c1) Retroactive Settlements, Receipts, and Paybacks (c) Collection of recon./wrap around Previous Years (c2) Collection of other retroactive payments (c3) Penalty/ Payback (c4) Net Retros Net Retros % of Charges Allowances (d) Allowances Allowances % of Charges 1. Medicaid Non-Managed Care 179,811,625 95,033,963 13,713, ,132, % 622,601, % 2a. Medicaid Managed Care (capitated) 349,058,712 66,007,996 42,985,565 1,267, ,784, % 88,595, % 2b. Medicaid Managed Care (fee-for-service) 288,835, ,677,343 13,602,342 6,101, ,012, % 295,952, % 3. Total Medicaid (Sum lines 1+2a+2b) 817,705, ,719,302 56,587,907 21,082,610 1,122,929, % 1,007,149, % 4. Medicare Non-Managed Care 4,540,283 10,068,017 1,993,396 12,614, % 260,180, % 5a. Medicare Managed Care (capitated) 918, , ,106 5,961 2,191, % 8,924, % 5b. Medicare Managed Care (fee-for-service) 645,205 1,147,062 1,048,208 18,277 2,822, % 46,479, % 6. Total Medicare (Sum lines 4+5a+5b) 6,103,842 11,676,487 1,866,314 2,017,634 17,629, % 315,584, % Other Public including Non-Medicaid CHIP 7. (Non Managed Care) 337,634 1,393,386 36,284 1,694, % 139,356, % Other Public including Non-Medicaid CHIP 8a. (Managed Care Capitated) 1,869, ,979 15,395, ,756, % 6,988, % Other Public including Non-Medicaid CHIP 8b. (Managed Care fee-for-service) 2,910, , ,353 83,579 3,873, % 36,030, % 9. Total Other Public (Sum lines 7+8a+8b) 5,117,920 2,008,311 16,319, ,539 23,324, % 182,375, % % may not equal 100% due to rounding Page 63

19 TABLE 9D -Patient Related Revenue (Scope of Project Only) Payor Category Collection of recon./wrap around Current Year (c1) Retroactive Settlements, Receipts, and Paybacks (c) Collection of recon./wrap around Previous Years (c2) Collection of other retroactive payments (c3) Penalty/ Payback (c4) Net Retros Net Retros % of Charges Allowances (d) Allowances Allowances % of Charges 10. Private Non-Managed Care 60,127-60, % 470,656, % 11a. Private Managed Care (Capitated) 4,129,739 2,995 4,126, % 21,874, % 11b. Private Managed Care (fee-for-service) 1,124,604 3,431 1,121, % 65,193, % 12. Total Private (Sum lines 10+11a+11b) 5,254,343 66,553 5,187, % 557,724, % 13. Self Pay 14. Grand Total (Sum lines 828,927, ,404,100 80,027,635 23,287,336 1,169,071, ) 9.2% 2,062,833, % 13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f) 2,329,188, ,590,578 % may not equal 100% due to rounding Page 64

20 TABLE 9E -Other Revenues Source Amount % Group Total BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 1a. Migrant Health Center 165,693, % 1b. Community Health Center 1,620,194, % 1c. Health Care for the Homeless 173,418, % 1e. Public Housing Primary Care 25,327, % 1g. Total Health Center Cluster (Sum lines 1a through 1e) 1,984,633, % 1j. Capital Improvement Program Grants (excluding ARRA and ACA) 6,210, % 1k. Capital Development Grants 2,183, % 1. Total BPHC Grants (Sum Lines 1g+1j+1k) 1,993,027, % Other Federal Grants 2. Ryan White Part C HIV Early Intervention 74,013, % 3. Other Federal Grants 151,675, % American Recovery and Reinvestment Act (ARRA) New Access Point (NAP) and 4. Increased Demand for Services (IDS) 257,858, % American Recovery and Reinvestment Act (ARRA) Capital Improvement Project 4a. (CIP) and Facility Investment Program (FIP) 466,725, % 5. Total Other Federal Grants (Sum Lines 2-4a) 950,273, % Non-Federal Grants Or Contracts 6. State Government Grants and Contracts 600,595, % 6a. State/Local Indigent Care Programs 422,843, % 7. Local Government Grants and Contracts 410,032, % 8. Foundation/Private Grants and Contracts 446,899, % 9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8) 1,880,370, % 10. Other Revenue (Non-patient related revenue not reported elsewhere) 399,476, % 11. Grand Total Revenue (Sum lines ) 5,223,147,569 % may not equal 100% due to rounding Page 65