TABLE 3A - Patients by Age and Gender - 2010 Age Groups Male Patients Female Patients All Patients 1. Under Age 1 309,130 296,723 605,853 2. Age 1 207,745 200,886 408,631 3. Age 2 196,782 190,617 387,399 4. Age 3 200,428 195,269 395,697 5. Age 4 203,886 198,594 402,480 6. Age 5 192,300 186,937 379,237 7. Age 6 170,456 165,188 335,644 8. Age 7 160,188 156,322 316,510 9. Age 8 154,717 151,738 306,455 10. Age 9 151,134 149,207 300,341 11. Age 10 147,629 144,719 292,348 12. Age 11 149,380 147,833 297,213 13. Age 12 148,431 147,473 295,904 14. Age 13 142,398 144,135 286,533 15. Age 14 141,662 151,874 293,536 16. Age 15 142,562 164,032 306,594 17. Age 16 138,665 178,861 317,526 18. Age 17 132,381 191,584 323,965 19. Age 18 114,425 200,663 315,088 20. Age 19 96,791 202,013 298,804 Subtotal Patients (Sum lines 1-20) 3,301,090 3,564,668 6,865,758 21. Age 20 93,577 208,936 302,513 22. Age 21 90,340 208,235 298,575 23. Age 22 90,569 209,774 300,343 24. Age 23 92,280 213,025 305,305 25. Age 24 93,739 212,881 306,620 26. Ages 25-29 475,678 1,018,379 1,494,057 27. Ages 30-34 465,535 892,376 1,357,911 28. Ages 35-39 454,970 787,333 1,242,303 29. Ages 40-44 493,311 748,694 1,242,005 30. Ages 45-49 555,137 773,328 1,328,465 31. Ages 50-54 538,888 724,349 1,263,237 32. Ages 55-59 438,142 596,137 1,034,279 33. Ages 60-64 315,415 480,286 795,701 Subtotal Patients (Sum lines 21-33) 4,197,581 7,073,733 11,271,314 34. Ages 65-69 203,890 291,612 495,502 35. Ages 70-74 133,307 191,968 325,275 36. Ages 75-79 87,775 134,982 222,757 37. Ages 80-84 56,767 95,783 152,550 38. Ages 85 and over 43,020 93,291 136,311 Subtotal Patients (Sum lines 34-38) 524,759 807,636 1,332,395 39. Total Patients (Sum lines 1-38) 8,023,430 11,446,037 19,469,467 % of Total 41.2% 58.8% Page 46
TABLE 3B - Patients by Hispanic or Latino Identity / Race / Language - 2010 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 7,478 507,428 514,906 2.6% 3.3% 2a. Native Hawaiian 1,950 43,764 45,714 0.2% 0.3% 2b. Other Pacific Islander 17,853 132,634 150,487 0.8% 1.0% Total Hawaiian/Pacific Islander (Sum lines 2. 2a+2b) 19,803 176,398 196,201 1.0% 1.3% 3. Black/African American 97,130 3,912,859 4,009,989 20.6% 25.8% 4. American Indian/Alaska native 24,693 193,163 217,856 1.1% 1.4% 5. White 3,127,603 6,847,024 9,974,627 51.2% 64.1% 6. More than one race 503,298 149,357 652,655 3.4% 4.2% 6a. Total Known (Sum lines 1+2+3+4+5+6) 3,780,005 11,786,229 15,566,234 7. Unreported/Refused to report 2,613,499 395,355 894,379 4.6% 3,903,233 20.0% 8. Total Patients(Sum lines 1+2+3 to 7) 6,393,504 12,181,584 894,379 4.6% 19,469,467 100% % 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 4,734,904 24.3% % may not equal 100% due to rounding Page 47
TABLE 4 - Selected Patient Characteristics - 2010 Characteristic Number of Patients % of Total % of Known Income as Percent of Poverty Level 1. 100% and Below 10,726,964 55.1% 71.8% 2. 101-150% 2,155,667 11.1% 14.4% 3. 151-200% 978,043 5.0% 6.5% 4. Over 200% 1,075,367 5.5% 7.2% 5. Unknown 4,533,426 23.3% 6. Total (Sum lines 1-5) 19,469,467 100% Principal Third Party Medical Insurance Source Ages 0-19 Ages 20+ TOTAL % 7. None/Uninsured 1,393,640 5,915,004 7,308,644 37.5% 8a. Regular Medicaid (Title XIX) 4,275,207 3,026,018 7,301,225 37.5% 8b. CHIP Medicaid 172,320 31,502 203,822 1.0% 8. Total Medicaid (Sum lines 8a+8b) 4,447,527 3,057,520 7,505,047 38.5% 9. Medicare (Title XVIII) 4,109 1,457,376 1,461,485 7.5% 10a. Other Public Insurance Non-CHIP 43,542 220,390 263,932 1.4% 10b. Other Public Insurance CHIP 208,518 22,658 231,176 1.2% 10. Total Public Insurance (Sum lines 10a+10b) 252,060 243,048 495,108 2.5% 11. Private Insurance 768,422 1,930,761 2,699,183 13.9% 12. Total (Sum Lines 7+8+9+10+11) 6,865,758 12,603,709 19,469,467 100% Managed Care Utilization Payor Category Medicaid Medicare Other Public Including Non- Medicaid CHIP (c) 13a. Capitated Member months 21,120,401 411,139 1,677,075 1,471,876 24,680,491 13b. Fee-for-service Member months 19,460,869 623,145 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) 340,946 39.5% 15. Seasonal (330g grantees Only) 458,436 53.1% Migrant/Seasonal (non-330g grantees) 63,393 7.3% 16. Total Migrant/Seasonal Agricultural Worker or Dependent (All Grantees Report This Line) 862,775 100% 17. Homeless Shelter (330h grantees Only) 289,781 27.6% 18. Transitional (330h grantees Only) 110,190 10.5% 19. Doubling Up (330h grantees Only) 179,365 17.1% 20. Street (330h grantees Only) 75,899 7.2% 21. Other (330h grantees Only) 82,563 7.9% 22. Unknown (330h grantees Only) 59,142 5.6% Homeless (non-330h grantees) 254,810 24.2% 23. Total Homeless (All Grantees Report This Line) 1,051,750 100% 24. Total School Based Health Center Patients (All Grantees Report This Line) 398,754 25. Total Veterans (All Grantees Report this Line) 226,019 Private (d) Total (e) % may not equal 100% due to rounding Page 48
TABLE 5 - Staffing and Utilization - 2010 PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits Patients (c) 1. Family Physicians 4,487.12 16,179,830 2. General Practitioners 388.62 1,488,610 3. Internists 1,594.67 5,524,170 4. Obstetrician/Gynecologists 931.55 3,138,617 5. Pediatricians 1,903.51 7,177,065 7. Other Specialty Physicians 286.63 948,016 8. Total Physicians (Sum lines 1-7) 9,592.10 34,456,308 9a. Nurse Practitioners 3,807.86 10,742,438 9b. Physician Assistants 2,034.20 6,321,962 10. Certified Nurse Midwives 520.28 1,255,262 10a. Total NPs, PAs, CNMs (Sum lines 9a - 10) 6,362.34 18,319,662 11. Nurses 11,364.72 3,329,555 12. Other Medical Personnel 16,511.18 13. Laboratory Personnel 2,016.56 14. X-Ray Personnel 696.56 15. Total Medical Services (Sum lines 8+10a through 14) 46,543.46 56,105,525 16,777,152 16. Dentists 2,881.89 7,700,552 17. Dental Hygienists 1,144.33 1,530,796 18. Dental Assistants, Aides, Techs 5,426.01 19. Total Dental Services (Sum lines 16-18) 9,452.23 9,231,348 3,750,481 20a. Psychiatrists 394.36 993,019 20a1. Licensed Clinical Psychologists 360.31 404,989 20a2. Licensed Clinical Social Workers 1,264.50 1,256,434 20b. Other Licensed Mental Health Providers 957.58 893,002 20c. Other Mental Health Staff 1,264.21 719,801 20. Total Mental Health Services (Sum lines 20a-20c) 4,240.96 4,267,245 852,984 21. Substance Abuse Services 854.36 997,767 98,760 22. Other Professional Services 838.80 1,057,834 387,134 22a. Ophthalmologist 30.37 99,589 22b. Optometrist 114.98 312,234 22c. Other Vision Care Staff 97.12 22d. Total Vision Services (Sum lines 22a-22c) 242.47 411,823 288,275 23. Pharmacy Personnel 2,755.56 24. Case Managers 4,086.47 3,419,785 25. Patient/Community Education Specialists 2,116.75 1,577,907 26. Outreach Workers 2,079.55 27. Transportation Staff 438.63 27a. Eligibility Assistance Workers 2,128.55 27b. Interpretation Staff 802.64 28. Other Enabling Services 475.39 29. Total Enabling Services (Sum lines 24-28) 12,127.98 4,997,692 1,793,746 29a. Other Programs/Services 3,997.24 Visits are shown only for personnel that generate reportable visits Subtotals may differ from the sum of cells due to rounding Page 49
TABLE 5 - Staffing and Utilization - 2010 PERSONNEL BY MAJOR SERVICE CATEGORY FTEs Clinic Visits 30a. Management and Support Staff 13,367.05 30b. Fiscal and Billing Staff 9,024.83 30c. IT Staff 1,978.40 30. Total Administrative Staff (Sum lines 30a-30c) 24,370.28 31. Facility Staff 3,394.58 32. Patient Support Staff 22,842.31 33. Total Administrative & Facility (Sum lines 30-32) 50,607.17 34. Total (Sum lines 15+19+20+21+22+22d+23+29+29a+33) 131,660.23 77,069,234 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
TABLE 5 - Staffing and Utilization - 2010 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
TABLE 5 - Staffing and Utilization - 2010 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 15+19+20+21+22+22d+23+29+29a+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
TABLE 6A - Selected Diagnoses and Services Rendered - 2010 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, 079.53, V08 405,947 90,559 4.48 3. Tuberculosis 010.xx - 018.xx 22,822 10,561 2.16 4. Syphilis and other sexually transmitted diseases 090.xx - 099.xx 91,231 59,158 1.54 4a. Hepatitis B 070.20, 070.22, 070.30, 070.32 24,860 12,333 2.02 4b. Hepatitis C 070.41, 070.44, 070.51, 070.54, 070.70, 070.71 123,213 58,594 2.10 Selected Diseases of the Respiratory System 5. Asthma 493.xx 930,936 549,169 1.70 6. Chronic bronchitis and Emphysema 490.xx - 492.xx 298,171 195,982 1.52 Selected Other Medical Conditions 7. Abnormal Breast Findings, Female 174.xx; 198.81; 233.0x; 238.3; 793.8x 50,426 33,784 1.49 8. Abnormal Cervical Findings 180.xx; 198.82; 233.1x; 795.0x 181,027 120,176 1.51 9. Diabetes Mellitus 250.xx; 648.0x; 775.1x 3,704,992 1,275,055 2.91 10. Heart Disease (selected) 391.xx - 392.0x 410.xx - 429.xx 651,021 267,656 2.43 11. Hypertension 401.xx - 405.xx 4,176,217 1,976,502 2.11 12. Contact Dermatitis and other Eczema 692.xx 389,279 319,042 1.22 13. Dehydration 276.5x 25,277 17,010 1.49 14. Exposure to Heat or Cold 991.xx - 992.xx 18,222 12,558 1.45 14a. Overweight and obesity ICD-9 : 278.0 278.02 or V85.xx (Excluding V85.0, V85.1, V85.51 518,767 335,790 1.54 V85.52) Selected Childhood Conditions 15. Otitis Media and Eustachian Tube Disorders 381.xx - 382.xx 886,016 618,009 1.43 16. Selected Perinatal Medical Conditions 770.xx; 771.xx; 773.xx; 774.xx - 779.xx (Excluding 779.3x) 72,370 46,230 1.57 17. 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 - 269.xx; 779.3x; 783.3x - 783.4x 222,097 126,290 1.76 Source of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / 2010. American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 53
TABLE 6A - Selected Diagnoses and Services Rendered - 2010 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 - 292.8x; 304.xx; 305.2x - 305.9x; 357.6x; 648.3x Number of Visits by Primary Diagnosis Number of Patients with Primary Diagnosis Visits Per Patient 310,855 73,082 4.25 700,789 97,913 7.16 19a. Tobacco Use Disorders 305.1 157,504 110,031 1.43 20a. Depression and Other Mood Disorders 296.xx; 300.4 301.13; 311.xx 2,333,081 726,779 3.21 20b. Anxiety Disorders Including PTSD 300.0x; 300.2x; 300.3; 308.3; 309.81 941,065 397,541 2.37 20c. Attention Deficit and Disruptive Behavior Disorders 312.8x; 312.9x; 313.81; 314.xx 685,102 203,928 3.36 Other Mental Disorders, Excluding Drug or Alcohol Dependence 20d. (includes mental retardation) 290.xx; 293.xx - 302.xx (Excluding 296.xx; 300.0x; 300.2x; 300.3; 300.4; 301.13); 306.xx - 319.xx (Excluding 308.3; 309.81; 311.xx; 312.8x; 312.9x; 313.81; 314.xx) 1,297,334 411,734 3.15 Source of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / 2010. American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 54
TABLE 6A - Selected Diagnoses and Services Rendered - 2010 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; 86701-86703; 860,249 781,750 1.10 87390-87391 21a. Hepatitis B Test CPT-4: 86704, 86706, 87515-17 301,629 256,133 1.18 21b. Hepatitis C Test CPT-4: 86803-04, 87520-22 182,427 162,320 1.12 22. Mammogram CPT-4: 77052, 77057 OR 319,262 299,516 1.07 ICD-9: V76.11; V76.12 23. Pap Test CPT-4: 88141-88155; 88164-88167; 88174-88175 OR ICD - 9:V72.3; V72.31; V76.2 1,948,750 1,808,992 1.08 24. 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: 90633-90634, 90645-90648; 90669; 90696-90702; 90704-90716; 90718-90723; 90743-90744; 90748 3,722,871 2,733,327 1.36 24a. Seasonal Flu Vaccine CPT-4: 90655-90662 2,498,553 2,288,951 1.09 24b. H1N1 Flu Vaccine CPT-4: 90663; 90470 642,486 588,688 1.09 25. Contraceptive Management ICD - 9: V25.xx 1,972,824 1,096,615 1.80 26. Health Supervision of Infant or Child (ages 0 through 11) CPT-4: 99391-99393; 99381-99383 3,902,296 2,411,483 1.62 26a. Childhood lead test screening (Ages 9 to 72 months) CPT-4: 83655 380,070 352,373 1.08 26b. Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408-99409 78,008 68,736 1.13 26c. Smoke and tobacco use cessation counseling CPT-4: 99406 and 99407; S9075 187,156 132,168 1.42 26d. Comprehensive and Intermediate Eye Exams CPT-4: 92002, 92004, 92012, 92014 271,016 220,816 1.23 Sources of codes: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Volumes 1 and 2, 2009 / 2010. American Medical Association. Current Procedural Terminology, (CPT) 2009 / 2010. American Medical Association. Note: x in a code denotes any number including the absence of a number in that place. Page 55
TABLE 6A - Selected Diagnoses and Services Rendered - 2010 Service Category Applicable ADA Codes Number of Visits Number of Patients Visits Per Patient Selected Dental Services 27. I. Emergency Services ADA: D9110 249,239 206,446 1.21 28. II. Oral Exams ADA: D0120, D0140, D0145, D0150, D0160, D0170, D0180 3,795,175 2,896,676 1.31 29. Prophylaxis - Adult or Child ADA: D1110, D1120 2,033,697 1,655,060 1.23 30. Sealants ADA: D1351 369,993 265,933 1.39 31. Fluoride Treatment - adult or child ADA: D1203, D1204, D1206 1,352,042 1,077,043 1.26 32. III. Restorative Services ADA: D21xx - D29xx 2,061,459 1,075,533 1.92 33. 34. IV. Oral Surgery (Extractions and other Surgical Procedures) V. Rehabilitative Services (Endo, Perio, Prostho, Orhto) Source of codes: Current Dental Terminology, (CDT) 2009 / 2010. 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 1,030,495 770,777 1.34 841,019 452,165 1.86 Page 56
TABLE 6B - Quality of Care Indicators - 2010 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 1,935 0.4% 2. Ages 15-19 75,610 15.4% 3. Ages 20-24 153,821 31.4% 4. Ages 25-44 257,394 52.5% 5. Ages 45 and Over 1,123 0.2% 6. Total Patients (Sum lines 1-5) 489,883 100% 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 319,455 65.2% 18,734 3.8% 69.0% 8. Second Trimester 112,884 23.0% 10,712 2.2% 25.2% 9. Third Trimester 23,584 4.8% 4,514 0.9% 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) 343,427 254,141 74.0% 11. Pap Tests Number of female patients aged 24-64 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 24-64 Years of Age Estimated number patients tested Estimated % patients tested (c) 5,392,242 3,118,168 57.8% % 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
TABLE 7 - Health Outcomes and Disparities - 2010 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 1500-2499 grams Live Births >= 2500 grams % Low and Very Low Birth Weight Asian 8,283 3.1% 91 473 7,652 6.9% Native Hawaiian (b1) 591 0.2% 3 43 548 7.7% Pacific Islander (b2) 3,138 1.2% 55 154 2,922 6.7% Black/ African American (c) 51,582 19.5% 1,017 4,541 45,782 10.8% Hispanic/Latino 2,556 1.0% 44 173 2,262 8.8% Non-Hispanic/Latino 49,026 18.6% 973 4,368 43,520 10.9% American Indian/ Alaska Native (d) 3,028 1.1% 26 164 2,730 6.5% White (e) 124,835 47.3% 1,237 6,651 114,248 6.5% Hispanic/Latino 69,675 26.4% 618 3,269 63,028 5.8% Non-Hispanic/Latino 55,160 20.9% 619 3,382 51,220 7.2% More than one race (f) 9,686 3.7% 155 634 9,106 8.0% Race Unreported/ Refused to Report (g) 58,240 22.1% 647 3,072 56,095 6.2% Sub-total (Sum a+b1+b2+c+d+e+f+g) 259,383 98.2% 3,231 15,732 239,083 7.3% By Ethnicity Hispanic/Latino (col1) 135,457 51.3% 1,376 6,833 126,059 6.1% Non-Hispanic/Latino (col2) 123,926 46.9% 1,855 8,899 113,024 8.7% Sub-total (Sum col1 + col2) 259,383 98.2% 3,231 15,732 239,083 7.3% Unreported / Refused to Report Race and Ethnicity (h) 4,729 1.8% 91 361 4,818 8.6% Total (i) 264,112 100% 168,372 3,322 16,093 243,901 7.4% % shown are rounded to the.1% level for table display purposes; calculations are made using % to 8 decimal places Page 58
TABLE 7 - Health Outcomes and Disparities - 2010 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 68,348 62.2% Native Hawaiian (b1) 4,892 49.8% Pacific Islander (b2) 12,100 50.3% Black/ African American (c) 634,339 56.8% Hispanic/Latino 10,396 48.5% Non-Hispanic/Latino 623,943 56.8% American Indian/ Alaska Native (d) 21,939 51.2% White (e) 1,226,227 65.7% Hispanic/Latino 274,962 67.0% Non-Hispanic/Latino 951,265 65.2% More than one race (f) 62,421 59.8% Race Unreported/ Refused to Report (g) 272,597 64.8% Sub-total (Sum a+b1+b2+c+d+e+f+g) 2,302,863 By Ethnicity Hispanic/Latino (col1) 571,853 66.7% Non-Hispanic/Latino (col2) 1,731,010 62.1% Sub-total (Sum col1 + col2) 2,302,863 Unreported / Refused to Report Race and Ethnicity (h) 64,295 51.5% Total (i) 2,367,158 63.2% % 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
TABLE 7 - Health Outcomes and Disparities - 2010 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 34,481 77.9% 44.6% Native Hawaiian (b1) 2,809 51.8% 25.0% Pacific Islander (b2) 9,865 50.4% 21.3% Black/ African American (c) 284,998 68.3% 38.0% Hispanic/Latino 7,191 52.3% 29.5% Non-Hispanic/Latino 277,807 68.4% 37.9% American Indian/ Alaska Native (d) 13,657 54.1% 31.4% White (e) 631,214 72.5% 41.2% Hispanic/Latino 205,330 68.9% 36.1% Non-Hispanic/Latino 425,884 73.8% 43.5% More than one race (f) 39,153 61.8% 32.0% Race Unreported/ Refused to Report (g) 202,790 68.1% 36.3% Sub-total (Sum a+b1+b2+c+d+e+f+g) 1,218,967 By Ethnicity Hispanic/Latino (col1) 425,128 68.5% 35.8% Non-Hispanic/Latino (col2) 793,839 72.1% 41.4% Sub-total (Sum col1 + col2) 1,218,967 Unreported / Refused to Report Race and Ethnicity (h) 37,478 63.1% 41.8% Total (i) 1,256,445 71.0% 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
TABLE 8A - Financial Costs - 2010 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 6,192,224,700 2. Lab and X-ray 324,813,564 157,185,385 481,998,949 3. Medical/Other Direct 767,949,913 357,013,105 1,124,963,018 4. 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 962,157,096 478,320,719 1,440,477,815 6. Mental Health 386,201,464 190,318,549 576,520,013 7. Substance Abuse 61,026,941 33,521,345 94,548,286 8a. Pharmacy not including pharmaceuticals 263,198,045 149,011,789 412,209,834 8b. Pharmaceuticals 451,095,453 451,095,453 9. Other Professional 105,960,414 51,924,305 157,884,719 10. Total Other Clinical Services (Sum lines 5-9) 2,229,639,413 903,096,707 3,132,736,120 Financial Costs of Enabling and Other Program Related Services 11a. Case Management 216,346,906 216,346,906 11b. Transportation 26,289,796 26,289,796 11c. Outreach 98,306,224 98,306,224 11d. Patient and Community Education 116,114,133 116,114,133 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 29,017,479 11. Total Enabling Services Cost (Sum lines 11a-11g) 607,228,570 299,640,642 906,869,212 12. Other Related Services 305,765,821 114,726,329 420,492,150 13. Total Enabling and Other Services (Sum lines 11-12) 912,994,391 414,366,971 1,327,361,362 Overhead and Totals 14. Facility 914,914,033 15. Administration 3,072,248,624 16. Total Overhead (Sum lines 14-15) 3,987,162,657 17. Total Accrued Costs (Sum lines 4+10+13+16) 12,259,284,149 12,259,284,149 18. Value of Donated Facilities, Services and Supplies 384,054,158 19. Grand Total including Donations (Sum lines 17-18) 12,643,338,307 Page 61
TABLE 9D -Patient Related Revenue (Scope of Project Only) - 2010 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 3,335,369,694 56.4% 26.4% 2,634,465,600 55.1% 35.3% 79.0% 2a. Medicaid Managed Care (capitated) 1,041,282,619 17.6% 8.2% 949,156,628 19.9% 12.7% 91.2% 2b. Medicaid Managed Care (fee-for-service) 1,535,596,087 26.0% 12.1% 1,196,167,833 25.0% 16.0% 77.9% 3. Total Medicaid (Sum lines 1+2a+2b) 5,912,248,400 100% 46.7% 4,779,790,061 100% 64.0% 80.8% 4. Medicare Non-Managed Care 995,049,257 88.2% 7.9% 660,994,786 89.3% 8.9% 66.4% 5a. Medicare Managed Care (capitated) 38,164,998 3.4% 0.3% 29,186,775 3.9% 0.4% 76.5% 5b. Medicare Managed Care (fee-for-service) 95,023,342 8.4% 0.8% 50,092,269 6.8% 0.7% 52.7% 6. Total Medicare (Sum lines 4+5a+5b) 1,128,237,597 100% 8.9% 740,273,830 100% 9.9% 65.6% 7. Other Public including Non-Medicaid CHIP (Non Managed Care) 371,035,505 67.8% 2.9% 216,172,426 63.7% 2.9% 58.3% Other Public including Non-Medicaid CHIP 8a. (Managed Care Capitated) 67,241,273 12.3% 0.5% 60,317,347 17.8% 0.8% 89.7% Other Public including Non-Medicaid CHIP 8b. (Managed Care fee-for-service) 109,198,418 19.9% 0.9% 62,961,109 18.5% 0.8% 57.7% 9. Total Other Public (Sum lines 7+8a+8b) 547,475,196 100% 4.3% 339,450,882 100% 4.5% 62.0% 10. Private Non-Managed Care 1,282,384,230 84.8% 10.1% 733,285,304 84.8% 9.8% 57.2% 11a. Private Managed Care (Capitated) 66,616,210 4.4% 0.5% 44,140,930 5.1% 0.6% 66.3% 11b. Private Managed Care (fee-for-service) 163,071,561 10.8% 1.3% 86,789,157 10.0% 1.2% 53.2% 12. Total Private (Sum lines 10+11a+11b) 1,512,072,001 100% 11.9% 864,215,391 100% 11.6% 57.2% 13. Self Pay 3,557,780,737 100% 28.1% 744,248,006 100% 10.0% 20.9% 14. Grand Total (Sum lines 3+6+9+12+13) 12,657,813,931 100% 7,467,978,170 100% 59.0% % may not equal 100% due to rounding Page 62
TABLE 9D -Patient Related Revenue (Scope of Project Only) - 2010 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 13,713,310 261,132,278 7.8% 622,601,236 18.7% 2a. Medicaid Managed Care (capitated) 349,058,712 66,007,996 42,985,565 1,267,471 456,784,802 43.9% 88,595,934 8.5% 2b. Medicaid Managed Care (fee-for-service) 288,835,016 108,677,343 13,602,342 6,101,829 405,012,872 26.4% 295,952,478 19.3% 3. Total Medicaid (Sum lines 1+2a+2b) 817,705,353 269,719,302 56,587,907 21,082,610 1,122,929,952 19.0% 1,007,149,648 17.0% 4. Medicare Non-Managed Care 4,540,283 10,068,017 1,993,396 12,614,904 1.3% 260,180,364 26.1% 5a. Medicare Managed Care (capitated) 918,354 461,408 818,106 5,961 2,191,907 5.7% 8,924,032 23.4% 5b. Medicare Managed Care (fee-for-service) 645,205 1,147,062 1,048,208 18,277 2,822,198 3.0% 46,479,734 48.9% 6. Total Medicare (Sum lines 4+5a+5b) 6,103,842 11,676,487 1,866,314 2,017,634 17,629,009 1.6% 315,584,130 28.0% Other Public including Non-Medicaid CHIP 7. (Non Managed Care) 337,634 1,393,386 36,284 1,694,736 0.5% 139,356,341 37.6% Other Public including Non-Medicaid CHIP 8a. (Managed Care Capitated) 1,869,559 491,979 15,395,718 676 17,756,580 26.4% 6,988,098 10.4% Other Public including Non-Medicaid CHIP 8b. (Managed Care fee-for-service) 2,910,727 122,946 923,353 83,579 3,873,447 3.5% 36,030,576 33.0% 9. Total Other Public (Sum lines 7+8a+8b) 5,117,920 2,008,311 16,319,071 120,539 23,324,763 4.3% 182,375,015 33.3% % may not equal 100% due to rounding Page 63
TABLE 9D -Patient Related Revenue (Scope of Project Only) - 2010 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 60,127-60,127 0.0% 470,656,233 36.7% 11a. Private Managed Care (Capitated) 4,129,739 2,995 4,126,744 6.2% 21,874,312 32.8% 11b. Private Managed Care (fee-for-service) 1,124,604 3,431 1,121,173 0.7% 65,193,689 40.0% 12. Total Private (Sum lines 10+11a+11b) 5,254,343 66,553 5,187,790 0.3% 557,724,234 36.9% 13. Self Pay 14. Grand Total (Sum lines 828,927,115 283,404,100 80,027,635 23,287,336 1,169,071,514 3+6+9+12+13) 9.2% 2,062,833,027 16.3% 13. Self Pay Sliding Discounts (e) Bad Debt Write Off (f) 2,329,188,852 333,590,578 % may not equal 100% due to rounding Page 64
TABLE 9E -Other Revenues - 2010 Source Amount % Group Total BPHC Grants (Enter Amount Drawn Down - Consistent with PMS-272) 1a. Migrant Health Center 165,693,315 8.3% 1b. Community Health Center 1,620,194,292 81.3% 1c. Health Care for the Homeless 173,418,962 8.7% 1e. Public Housing Primary Care 25,327,372 1.3% 1g. Total Health Center Cluster (Sum lines 1a through 1e) 1,984,633,941 99.6% 1j. Capital Improvement Program Grants (excluding ARRA and ACA) 6,210,165 0.3% 1k. Capital Development Grants 2,183,037 0.1% 1. Total BPHC Grants (Sum Lines 1g+1j+1k) 1,993,027,143 100% Other Federal Grants 2. Ryan White Part C HIV Early Intervention 74,013,613 7.8% 3. Other Federal Grants 151,675,638 16.0% American Recovery and Reinvestment Act (ARRA) New Access Point (NAP) and 4. Increased Demand for Services (IDS) 257,858,829 27.1% American Recovery and Reinvestment Act (ARRA) Capital Improvement Project 4a. (CIP) and Facility Investment Program (FIP) 466,725,579 49.1% 5. Total Other Federal Grants (Sum Lines 2-4a) 950,273,659 100% Non-Federal Grants Or Contracts 6. State Government Grants and Contracts 600,595,064 31.9% 6a. State/Local Indigent Care Programs 422,843,595 22.5% 7. Local Government Grants and Contracts 410,032,695 21.8% 8. Foundation/Private Grants and Contracts 446,899,269 23.8% 9. Total Non-Federal Grants Or Contracts (Sum lines 6+6a+7+8) 1,880,370,623 100% 10. Other Revenue (Non-patient related revenue not reported elsewhere) 399,476,144 100% 11. Grand Total Revenue (Sum lines 1+5+9+10) 5,223,147,569 % may not equal 100% due to rounding Page 65