The purpose of this assignment is to use health care economics to assist in developing a financial plan to support the viability of your health care organization.

Imagine that your CFO has asked you to present a high-level financial overview to the other administrators using the information found in the organization at the Unity health care for the year of 2017

Where does the company stand financially?

1. How do the components of the health care finance system interact to provide the results you are given?
2. Discuss the short-run and long-run costs of production. How do they fit into your overview?
3. Include a supply curve on one of your slides. Discuss how you determined which factors affected the position of the supply curve.
4. Develop a financial plan to support the viability of your organization.

2017 ANNUAL REPORT I 5 Patients & Visits Location Patients Visits Community 85,880 323,761

Homeless 10,786 58,416 Corrections 8,231 122,789 Totals 104,897 504,966 *1,437 of Unitys community and homeless patients were also seen in the DC Jail 62%

Medicaid 9% Medicare 8%

DC Health Care Alliance 14% Uninsured 7% Private 2017

STATEMENT OF FINANCIAL POSITION

Assets Cash $9,679,016 Accounts Receivable $10,441,947

Property and Equipment $57,610,819

Other Assets $21,908,089 Total Assets $99,639,871

Liabilities and Net Assets Current Liabilities $10,201,222

Long-Term Liabilities $34,078,006 Net AssetsUnrestricted $55,360,643

Total Liabilities and Net Assets $ 99,639,871

STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS Revenue Grant and Contract Revenue $43,789,211

Patient Service Revenue $48,561,962 Contributions/Donations $1,032,619 Other Income $8,408,489

Total Revenue $101,792,281 Expenses Salaries & Benefits $71,601,988

Professional Fees $ 7,033,208 Occupancy Costs $4,563,317

Supplies & Equipment $11,236,292

Other Operating Costs $7,050,435 Total Expenses $101,485,240

Change in Net Assets from Operations $307,041

Capital Related Revenues & Expenses $24,747 Total Change in Net Assets $331,788

STATEMENT OF FINANCIAL POSITION Assets Cash $9,679,016 Accounts Receivable $10,441,947 Property and Equipment $57,610,819

Other Assets $21,908,089 Total Assets $99,639,871 Liabilities and Net Assets Current Liabilities $10,201,222 Long-Term Liabilities $34,078,006

Net AssetsUnrestricted $55,360,643 Total Liabilities and Net Assets $ 99,639,871 STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS

Revenue Grant and Contract Revenue $43,789,211 Patient Service Revenue $48,561,962 C ontributions/Donations $1,032,619 Other Income $8,408,489

Total Revenue $101,792,281 Expenses Salaries & Benefits $71,601,988 Professional Fees $ 7,033,208 Occupancy Costs $4,563,317

Supplies & Equipment $11,236,292 Other Operating Costs $7,050,435 Total Expenses $101,485,240 Change in Net Assets from Operations $307,041

Capital Related Revenues & Expenses $24,747 Total Change in Net Assets $331,788 Clark-Winchcole Foundation $12,000

To provide operating support for Unitys Columbia Road Health Center. This funding supports services provided at Columbia Road Health Center regardless of a patients ability to pay, ensuring that some of the Districts most vulnerable residentsthe uninsured, the homeless and formerly homeless, children from low-income families, and immigrantshave access to high-quality primary care.

Share Fund $25,000 To provide general operating support for our largest homeless health care facility that provides primary care services to the nearly 5,500 individuals experiencing homelessness annually. Naomi and Nehemiah Cohen Foundation $75,000 To ensure access to and availability of long-acting reversible contraceptives (LARCs) to all female patients across our network of health centers.

This effort is a part of our long-term strategy to reduce unplanned/unintended pregnancy among the Districts most vulnerable residents.

While increasing the accessibility and availability of LARCs benefits all women, this greatly impacts young, low-income and minority women, who represent the majority of Unitys service population and also have the highest prevalence of unplanned pregnancy in the District.

Delta Dental Foundation $30,000 To ensure our Dental Department is able to provide comprehensive oral health care services for residents of the District of Columbia. The funding helps to support dental services across our network of health centers which supports more than 15,000 dental patients annually.

We also offer (free of cost) dentures for low income and/ or uninsured patients through this invaluable support.

Stewart Trust Foundation $75,000 To support the DC Family Planning Initiative Pilot (DC-FPIP) to increase demand and improve quality of family planning services to achieve greater impact on unintended pregnancy rates.

This funding helps to build upon Unitys successful family planning program by supporting Family Planning Champions who serve as site leaders, facilitators, and resources for the delivery of quality family planning services and to increase the communitys awareness of family planning services across the District of Columbia. Gilead Sciences $182,708 To support routine HIV and Hepatitis C Virus screen and linkages to care in the primary care setting.

The funding supports the delivery of both HIV and HCV tests across the District of Columbia.

Location Patients Visits Community 85,880 323,761

Homeless 10,786 58,416

Corrections 8,231 122,789

Totals 104,897 504,966

Highlights

Walking outreach to serve homeless patients

Teaching Health Center with a Family Medicine Residency and a Community Medical School campus

Health services in DC Department of Corrections facilities Specialties including behavioral health, dental, infectious diseases,

OB/GYN,

podiatry 73% of patients are African American/Black 18% of patients are Hispanic 60% of patients have incomes below 100% of federal poverty level

Advocacy Training and Efforts Patient advocacy training reviewed the DC Government, legislative process, and budget process

plus offered instruction to patients on public speaking and writing their story

Conducted first advocacy training for 4 patients3 testified at DC Council budget oversight hearings

Patients engaged with reporters at a Congressional Briefing