• Financial Issues- HILLSBORO COUNTY HOME HEALTH AGENCY, INC
• Medicare and Medicaid cover the services provided by the Home Care Services Division. Both pay the agency on a prospective basis, with no retrospective settlement. For Medicare, the prospective payment is based on the scoring attributed to the acuity level of the patient at a rate determined by federal guidelines. For Medicaid the prospective payment is based on a state wide determined rate per service. When services are rendered to individuals not covered by Medicare or Medicaid, bills are issued either directly to the patient or to the patients commercial insurance carrier.
• The Personal Health Services Division issues a bill for all services rendered. Medicare does not cover any service provided by this division. Medicaid covers select services that must be pre approved and has a fee schedule for specific services. Most of the revenue earned in this division is from self-pay and commercial insurance.
• The Community Health Division finances its services based upon grants from the state or local agencies. Some towns also provide support as a line item in the towns budget. Modest users fees are solicited when appropriate.
• Each division is managed as a distinct financial entity and is allocated a portion of the overall agencys general and administrative costs. Managers prepare budgets approximately six months prior to implementation; all proposed the Finance Committee based upon recommendation of the Executive Director reviews budgets. The Finance Committee also oversees budget implementation and examines all significant budget variances.
• The agency maintains a master price list for all services based upon Relative Value Units (RVUs). RVUs per service are based upon the length of time typically required to provide the service and the wage and benefit expense of the workers who provide the services. Variable costs and a portion of all fixed costs are also allocated to determine these prices per RVU and by service. This approach allows the agency to estimate and budget expenses and revenue based upon RVUs. ****NEED TO WRITE AN EXECUTIVE SUMMARY TO ADDRESS FINANCIAL ISSUES

Statement of Operations For Calender Years Ending December 31, CY, CY-1, and CY-2 CY CY-1 CY-2 2,649,112 2,591,247 2,294,350| -403,978 -303,742 -232,477 2,245,134 2,287,505 2,061,873 2,453,566 1,835,404 1,244,537 -196,2951 -220.248 -106,230 2,257,271 1,615,156 1,138,307 148,500 165,000 185,0301 70,000 75,000 105,393 20,000 20,000 60,000 1,935 1,2571 3,458 240,435 261,257 353,881 4,742,840 4,163,918 3,554,061 OPERATIONAL REVENUE Home Care Services Division Less Allowances for Bad Debt and Contractual Allowances Net Income Personal Health Services Division Less Allowances for Bad Debt and Contractual Allowances Net Income Community Health Division Support from State Support from Towns Support from United Appeal Other Net Income Total Net Operational Revenue OPERATIONAL EXPENSES Divsional Expenses Salaries and Wages Fringe Benefits Travel Supplies Total Divisional Expenses Administrative Expenses Salaries Fringe Benefits Supplies Insurance Interest Maintenance - Middlebord Rent-Jasper Heat/Light - Middleboro Printing Postage Telephone Staff Development Board Expenses Publications Memberships Travel Depreciation Total Administrative Expenses 2,493,161) 2,367,505 1,645,292 1,022,196 757,6021 789,7401 425,7211 365,908 301,340 153.260 158,3671 139,250 4,094,338 3,649,382 2,875,622 212.456 84.889 83.563 76.594 14.894 88.023 18.500 9.488 15.540 11.364 3.500 2.150 500 746 8.388 39,4501 670,045 195.340 74.229 80.220 61.767 18.235 59.450 15.000 7.600 13.450 9.453 7.500 2.650 425 500 9.4301 40,5201 595,769 193.240 80.252 65.395 53.672 19.580 98.450 15.000 7.545 12.000 8.253 8.5001 1.430 935 1.356 13.450 75,350 654,408 Total Expenses 4,764,383 4,245,151 3,530,030 Gain (Loss) on Operations -21,543 -81,233 24,031 OTHER INCOME Other 306,3401 321,8591 295,606) NET GAIN LOSS) 284,797 240,626 319,637