US Bureau of Primary Health Care (BPHC) - CHAMPS...

Table of Contents:

I. Overview: Grantees, Staffing, Clinic Visits, and Income Page 2 Region VIII Summary of 2012-2016 Information

Page 3 Region VIII 2016 Breakdown by State, Region, and Nation

Page 4 Region VIII 2016 Percentages by State, Region, and Nation

II. Overview: Patients Page 5 Region VIII Summary of 2012-2016 Information

Page 6 Region VIII 2016 Breakdown by State, Region, and Nation


III. Selected Staffing Metrics Page 8 Medical and Dental Productivity: Region VIII and National Comparison, 2014-2016

Page 9 Medical and Dental Productivity: Region VIII 2016 Breakdown by State, Region, and Nation 0 Key Staff Tenure: Region VIII and National Comparison, 2015-2016

Page 11 Key Staff Tenure: Region VIII 2016 Breakdown by State, Region, and Nation

Page 12 Key Staff Percentage Locum, On-Call, Etc.: Region VIII 2016 Breakdown by State, Region, and Nation

IV. Health Center Program Financial Performance Measures and Related Factors Page 13 Region VIII and National Comparison of 2014-2016 Information

Page 14 Region VIII 2016 Breakdown by State and Region

V. Health Center Program Clinical Performance Measures

Health Outcomes and Disparities Focus Areas: Diabetes and Hypertension

Page 15 Region VIII and National Comparison of 2014-2016 Information

Page 16 Region VIII 2016 Breakdown by State and Region


Additional Clinical Performance Trends Page 18 Region VIII 2014-2016 Breakdown by State and Region

Page 19 Region VIII and National Comparison of 2014-2016 Information

CHAMPS Region VIII (CO, MT, ND, SD, UT, WY) Summary of

2016 Bureau of Primary Health Care (BPHC) Health Center Program Grantee* Uniform Data System (UDS) Information

August 2016

Community Health Association of Mountain/Plains States (CHAMPS)

600 Grant Street #800, Denver, CO 80203 Phone (303) 861-5165

www.CHAMPSonline.org

*There was one Region VIII Health Center Program Look-Alike (LA) organization in 2016. LA data is not available at state or regional levels, and is not included in this report.

http://www.champsonline.org/

Community Health Association of Mountain/Plains States (CHAMPS) 2

Region VIII (CO, MT, ND, SD, UT, WY) Uniform Data System (UDS) Summary,

Overview of Grantees, Staffing, Clinic Visits, and Income, 2012-2016

2012 2013 Change

'12-'13 2014 Change

'13-'14 2015 Change

'14-'15 2016 Change

'15-'16

Change

'12-'16

Grantees

Total Grantees 60 62 3.3% 63 1.6% 66 4.8% 65 -1.5% 8.3%

Service Sites 380 389 N/A 362 -6.9% 399 10.2% 417 4.5% 9.7%

Staffing

Total Full Time Equivalent (FTE) 5,866.94 6,139.21 4.6% 6,786.10 10.5% 7,489.86 10.4% 8,321.48 11.1% 41.8%

Medical Services FTE 2,233.24 2,346.73 5.1% 2,502.23 6.6% 2,793.87 11.7% 3,077.65 10.2% 37.8%

Physicians FTE 366.28 354.58 -3.2% 373.31 5.3% 399.82 7.1% 485.97 21.5% 32.7%

NPs / PAs / CNMs FTE 409.10 439.09 7.3% 481.62 9.7% 529.76 10.0% 608.31 14.8% 48.7%

Nurses FTE 448.03 456.98 2.0% 483.11 5.7% 542.56 12.3% 584.92 7.8% 30.6%

Dental Services FTE 476.49 502.75 5.5% 553.54 10.1% 647.20 16.9% 719.27 11.1% 51.0%

Dentists FTE 135.11 140.78 4.2% 152.76 8.5% 169.81 11.2% 184.67 8.8% 36.7%

Dental Hygienists FTE 72.55 75.91 4.6% 90.82 19.6% 108.04 19.0% 130.15 20.5% 79.4%

Mental Health Services FTE 180.95 205.68 13.7% 209.42 1.8% 270.89 29.4% 296.40 9.4% 63.8%

Substance Abuse Services FTE 5.41 10.10 86.7% 10.75 6.4% 9.78 -9.0% 16.74 71.2% 209.4%

Vision Services FTE 5.72 4.02 -29.7% 3.78 -6.0% 4.23 11.9% 5.10 20.6% -10.8%

Pharmacy FTE 232.41 241.79 4.0% 261.88 8.3% 291.31 11.2% 305.33 4.8% 31.4%

Enabling Services FTE 687.56 738.34 7.4% 901.11 22.0% 888.25 -1.4% 983.66 10.7% 43.1%

Quality Improvement FTE UNK UNK N/A UNK N/A UNK N/A 65.31 N/A N/A

Facility / Non-Clinical Support FTE 1980.01 2017.20 1.9% 2,261.64 12.1% 2,494.84 10.3% 2,745.37 10.0% 38.7%

Clinic Visits

Total Visits 3,121,809 3,137,359 0.5% 3,316,957 5.7% 3,488,129 5.2% 3,776,145 8.3% 21.0%

Medical Services Visits 2,299,114 2,312,147 0.6% 2,429,959 5.1% 2,506,062 3.1% 2,690,801 7.4% 17.0%

Dental Services Visits 390,806 399,692 2.3% 426,010 6.6% 481,417 13.0% 532,099 10.5% 36.2%

Mental Health Services Visits 146,026 156,990 7.5% 164,952 5.1% 189,075 14.6% 233,777 23.6% 60.1%

Substance Abuse Services Visits 11,885 9,392 -21.0% 7,291 -22.4% 6,485 -11.1% 9,026 39.2% -24.1%

Vision Services Visits 14,086 4,185 -70.3% 5,435 29.9% 6,387 17.5% 8,454 32.4% -40.0%

Enabling Services Visits 226,930 230,167 1.4% 253,410 10.1% 272,299 7.5% 276,099 1.4% 21.7%

Income*

Total Income from All Sources $595.0M $640.4M 7.6% $732.6M 14.4% $823.9M 12.5% $910.1M 10.5% 53.0%

Health Resources and Services Administration. 2016 Health Center Data. Available from URL: http://bphc.hrsa.gov/uds/datacenter.aspx [accessed August 14, 2017].

*Collected patient-related revenue plus other revenues.

http://bphc.hrsa.gov/uds/datacenter.aspx


Region VIII Uniform Data System (UDS)

Overview of Grantees, Staffing, Clinic Visits, and Income

Breakdown by State, Region, and Nation, 2016

CO MT ND SD UT WY Region VIII Nation

Grantees

Total Grantees 20 17 4 5 13 6 65 1,367

Rural Grantees* 10 16 2 3 8 5 44 606

Urban Grantees* 10 1 2 2 5 1 21 761

Service Sites 202 77 22 48 55 13 417 UNK

Staffing

Total Full Time Equivalent (FTE) 5,353.42 948.74 328.07 499.59 1,027.52 164.14 8,321.48 207,656.17

Medical Services FTE 1,992.44 302.23 103.20 222.52 400.94 56.32 3,077.65 72,453.87

Physicians FTE 353.64 42.69 6.56 26.43 51.10 5.55 485.97 12,419.10

NPs / PAs / CNMs FTE 363.51 64.16 27.70 53.63 86.23 13.08 608.31 11,484.68

Nurses FTE 306.83 102.77 40.67 96.34 26.38 11.93 584.92 16,712.25

Dental Services FTE 440.67 90.93 35.39 46.29 97.07 8.92 719.27 16,141.81

Dentists FTE 107.38 25.15 10.45 11.79 26.94 2.96 184.67 4,474.48

Dental Hygienists FTE 82.77 16.23 8.92 10.80 10.03 1.40 130.15 2,200.39

Mental Health Services FTE 196.75 47.87 9.86 3.79 32.18 5.95 296.40 9,191.82

Substance Abuse Services FTE 7.76 5.08 1.18 0.38 2.09 0.25 16.74 1,163.10

Vision Services FTE 3.41 0.00 0.94 0.01 0.74 0.00 5.10 661.82

Pharmacy FTE 175.09 32.45 21.35 4.06 59.58 12.80 305.33 4,529.22

Enabling Services FTE 688.38 115.63 34.66 20.69 113.82 10.48 983.66 20,497.20

Quality Improvement FTE 38.03 8.00 2.43 3.53 12.32 1.00 65.31 2,119.33

Facility / Non-Clinical Support FTE 1,727.49 336.29 116.80 197.39 298.98 68.42 2,745.37 74,304.03

Clinic Visits

Total Visits 2,446,065 407,084 133,261 239,716 496,233 53,786 3,776,145 104,116,257

Medical Services Visits 1,740,422 261,334 89,786 194,225 362,980 42,054 2,690,801 71,297,375

Dental Services Visits 328,069 67,492 30,514 34,877 65,380 5,767 532,099 14,420,355

Mental Health Services Visits 156,617 41,105 3,448 5,576 23,231 3,800 233,777 8,508,031

Substance Abuse Services Visits 2,544 3,456 530 231 2,139 126 9,026 1,135,218

Vision Services Visits 3,501 188 2,157 71 2,459 78 8,454 805,582

Enabling Services Visits 201,975 31,434 3,819 4,232 32,678 1,961 276,099 6,104,093

Income**

Total Income from All Sources $571.7M $105.0M $35.3M $55.3M $125.5M $17.3M $910.1M $23.7B


*From BPHC’s State and National UDS Summary Reports. **Collected patient-related revenue plus other revenues.



Region VIII Uniform Data System (UDS)

Overview of Grantees, Staffing, Clinic Visits, and Income

Percentages by State, Region, and Nation, 2016


Grantees

Grantees as % of RVIII Grantees 30.8% 26.2% 6.2% 7.7% 20.0% 9.2% 100.0% N/A

Rural Grantees* as % of All Grantees 50.0% 94.1% 50.0% 60.0% 61.5% 83.3% 67.7% 44.3%

Urban Grantees* as % of All Grantees 50.0% 5.9% 50.0% 40.0% 38.5% 16.7% 32.3% 55.7%

Staffing

Total Full Time Equivalent (FTE) as % of RVIII FTE 64.3% 11.4% 3.9% 6.0% 12.3% 2.0% 100.0% N/A

Medical Services FTE as % of Total FTE 37.2% 31.9% 31.5% 44.5% 39.0% 34.3% 37.0% 34.9%

Physicians FTE as % of Total FTE 6.6% 4.5% 2.0% 5.3% 5.0% 3.4% 5.8% 6.0%

NPs / PAs / CNMs FTE as % of Total FTE 6.8% 6.8% 8.4% 10.7% 8.4% 8.0% 7.3% 5.5%

Nurses FTE as % of Total FTE 5.7% 10.8% 12.4% 19.3% 2.6% 7.3% 7.0% 8.0%

Dental Services FTE as % of Total FTE 8.2% 9.6% 10.8% 9.3% 9.4% 5.4% 8.6% 7.8%

Dentists FTE as % of Total FTE 2.0% 2.7% 3.2% 2.4% 2.6% 1.8% 2.2% 2.2%

Dental Hygienists FTE as % of Total FTE 1.5% 1.7% 2.7% 2.2% 1.0% 0.9% 1.6% 1.1%

Mental Health Services FTE as % of Total FTE 3.7% 5.0% 3.0% 0.8% 3.1% 3.6% 3.6% 4.4%

Substance Abuse Services FTE as % of Total FTE 0.1% 0.5% 0.4% 0.1% 0.2% 0.2% 0.2% 0.6%

Vision Services FTE as % of Total FTE 0.1% 0.0% 0.3% 0.0% 0.1% 0.0% 0.1% 0.3%

Pharmacy FTE as % of Total FTE 3.3% 3.4% 6.5% 0.8% 5.8% 7.8% 3.7% 2.2%

Enabling Services FTE as % of Total FTE 12.9% 12.2% 10.6% 4.1% 11.1% 6.4% 11.8% 9.9%

Quality Improvement FTE as % of Total FTE 0.7% 0.8% 0.7% 0.7% 1.2% 0.6% 0.8% 1.0%

Total Facility / Non-Clinical Support FTE as % of Total FTE 32.3% 35.4% 35.6% 39.5% 29.1% 41.7% 33.0% 35.8%

Clinic Visits

Total Visits as % of RVIII Visits 64.8% 10.8% 3.5% 6.3% 13.1% 1.4% 100.0% N/A

Medical Services Visits as % of Total Visits 71.2% 64.2% 67.4% 81.0% 73.1% 78.2% 71.3% 68.5%

Dental Services Visits as % of Total Visits 13.4% 16.6% 22.9% 14.5% 13.2% 10.7% 14.1% 13.9%

Mental Health Services Visits as % of Total Visits 6.4% 10.1% 2.6% 2.3% 4.7% 7.1% 6.2% 8.2%

Substance Abuse Services Visits as % of Total Visits 0.1% 0.8% 0.4% 0.1% 0.4% 0.2% 0.2% 1.1%

Vision Services Visits as % of Total Visits 0.1% 0.0% 1.6% 0.0% 0.5% 0.1% 0.2% 0.8%

Enabling Services Visits as % of Total Visits 8.3% 7.7% 2.9% 1.8% 6.6% 3.6% 7.3% 5.9%

Income**

Total Income from All Sources as % of RVIII Income 62.8% 11.5% 3.9% 6.1% 13.8% 1.9% 100.0% N/A


*From BPHC’s State and National UDS Summary Reports. **Collected patient-related revenue plus other revenues.



Region VIII Uniform Data System (UDS) Overview of Patients, 2012-2016

2012 2013 Change

'12-'13 2014 Change

'13-'14 2015 Change

'14-'15 2016 Change

'15-'16

Change

'12-'16

Patients

Total Patients 811,659 825,405 1.7% 868,720 5.2% 920,231 5.9% 979,601 6.5% 20.7% Patients by Services Received

Medical Services Patients 723,688 731,985 1.1% 770,056 5.2% 818,310 6.3% 868,293 6.1% 20.0%

Dental Services Patients 165,352 169,903 2.8% 173,619 2.2% 193,270 11.3% 214,049 10.8% 29.5%

Mental Health Services Patients 47,143 51,758 9.8% 55,876 8.0% 65,939 18.0% 85,584 29.8% 81.5%

Substance Abuse Services Patients 6,223 2,926 -53.0% 1,952 -33.3% 2,140 9.6% 2,243 4.8% -64.0%

Vision Services Patients 10,404 3,372 -67.6% 4,715 39.8% 5,590 18.6% 7,063 26.4% -32.1%

Enabling Services Patients 92,890 109,334 17.7% 105,940 -3.1% 112,199 5.9% 121,554 8.3% 30.9% Patients by Special/Vulnerable Population Groups

Agricultural Worker/Dependent Patients 25,763 21,106 -18.1% 23,575 11.7% 24,757 5.0% 28,023 13.2% 8.8%

Homeless Patients 49,227 48,988 -0.5% 49,391 0.8% 51,762 4.8% 58,413 12.8% 18.7%

School Based Health Center Patients 27,624 30,441 10.2% 35,121 15.4% 41,731 18.8% 39,567 -5.2% 43.2%

Veteran Patients 12,470 13,135 5.3% 15,210 15.8% 16,255 6.9% 17,918 10.2% 43.7%

Pts Served In/Near Public Housing Site* UNK UNK N/A UNK N/A UNK N/A 20,389 N/A N/A

LOTE Patients** 183,050 186,797 2.0% 201,121 7.7% 157,264 -21.8% 229,504 45.9% 25.4% Patients by Insurance Status and Income Level

Uninsured Patients 340,100 335,096 -1.5% 269,075 -19.7% 273,888 1.8% 271,555 -0.9% -20.2%

Regular Medicaid (Title XIX) Patients 254,761 270,798 6.3% 360,959 33.3% 385,786 6.9% 421,444 9.2% 65.4%

Medicare (Title XVIII) Patients 62,452 66,105 5.8% 72,951 10.4% 79,193 8.6% 86,824 9.6% 39.0%

Private Insurance Patients 120,385 127,664 6.0% 145,661 14.1% 162,980 11.9% 176,760 8.5% 46.8%

Patients at 100% and Below FPL^ 486,968 476,503 -2.1% 471,025 -1.1% 493,845 4.8% 498,634 1.0% 2.4%

Patients at 101-200% FPL^ 148,287 150,832 1.7% 147,597 -2.1% 167,170 13.3% 180,589 8.0% 21.8%

Patients above 200% FPL^ 42,720 46,339 8.5% 49,718 7.3% 63,341 27.4% 70,016 10.5% 63.9% Patients by Age and Gender

Patients Aged Under 18 270,866 277,938 2.6% 284,226 2.3% 299,005 5.2% 313,410 4.8% 15.7%

Patients Aged 18-64 485,551 490,667 1.1% 521,357 6.3% 552,841 6.0% 589,353 6.6% 21.4%

Patients Aged 65+ 55,242 56,800 2.8% 63,137 11.2% 68,385 8.3% 76,838 12.4% 39.1%

Total Male Patients 353,178 359,499 1.8% 379,957 5.7% 404,120 6.4% 433,067 7.2% 22.6%

Total Female Patients 458,481 465,906 1.6% 488,763 4.9% 516,111 5.6% 546,534 5.9% 19.2% Patients by Sexual Orientation and Gender Identity Reporting

Lesbian/Gay Patients UNK UNK N/A UNK N/A UNK N/A 1,485 N/A N/A

Straight (Not Lesbian/Gay) Patients UNK UNK N/A UNK N/A UNK N/A 157,663 N/A N/A

Bisexual Patients UNK UNK N/A UNK N/A UNK N/A 1,119 N/A N/A

Other Sexual Orientation Patients UNK UNK N/A UNK N/A UNK N/A 290 N/A N/A

Unknown Sexual Orientation Patients UNK UNK N/A UNK N/A UNK N/A 771,240 N/A N/A

Undisclosed Sexual Orientation Patients UNK UNK N/A UNK N/A UNK N/A 47,804 N/A N/A

Male Patients UNK UNK N/A UNK N/A UNK N/A 157,842 N/A N/A

Female Patients UNK UNK N/A UNK N/A UNK N/A 200,254 N/A N/A

Transgender Male/Female-to-Male Pts UNK UNK N/A UNK N/A UNK N/A 141 N/A N/A

Transgender Female/Male-to-Female Pts UNK UNK N/A UNK N/A UNK N/A 145 N/A N/A

Other Gender Identity Patients UNK UNK N/A UNK N/A UNK N/A 606,126 N/A N/A

Undisclosed Gender Identity Patients UNK UNK N/A UNK N/A UNK N/A 15,093 N/A N/A


*Patients served at health center in or immediately accessible to public housing. **Patients best served in a Language Other Than English. ^Federal Poverty Level.



Region VIII Uniform Data System (UDS) Overview of Patients

Breakdown by State, Region, and Nation, 2016 CO MT ND SD UT WY Region VIII Nation

Patients

Total Patients 594,959 106,342 40,331 69,137 151,250 17,582 979,601 25,860,296 Patients by Services Received

Medical Services Patients 549,902 85,332 29,038 59,681 128,132 16,208 868,293 21,880,295

Dental Services Patients 133,754 28,380 14,494 12,939 22,276 2,206 214,049 5,656,190

Mental Health Services Patients 66,850 8,950 945 1,200 7,019 620 85,584 1,788,577

Substance Abuse Services Patients 582 842 126 86 560 47 2,243 141,569

Vision Services Patients 2,844 188 1,546 69 2,348 68 7,063 599,314

Enabling Services Patients 82,009 13,188 1,477 1,968 22,162 750 121,554 2,482,751 Patients by Special/Vulnerable Population Groups

Agricultural Worker/Dependent Patients 11,571 4,009 383 360 11,679 21 28,023 957,529

Homeless Patients 36,421 5,861 1,947 5,984 6,657 1,543 58,413 1,262,961

School Based Health Center Patients 24,532 731 0 5,088 9,216 0 39,567 755,423

Veteran Patients 8,283 4,636 1,066 2,151 1,019 763 17,918 330,271

Patients Served In/Near Public Housing Site* 16,042 4,049 0 0 298 0 20,389 2,691,329

LOTE Patients** 161,253 2,817 3,840 9,364 51,419 811 229,504 6,090,644 Patients by Insurance Status and Income Level

Uninsured Patients 128,713 26,662 11,823 17,536 79,627 7,194 271,555 6,059,126

Regular Medicaid (Title XIX) Patients 334,449 34,665 10,851 13,898 24,977 2,604 421,444 12,543,818

Medicare (Title XVIII) Patients 48,312 15,162 3,659 8,527 8,920 2,244 86,824 2,384,323

Private Insurance Patients 69,858 28,683 13,854 24,666 34,172 5,527 176,760 4,448,200

Patients at 100% and Below FPL^ 340,134 44,912 13,213 19,809 75,166 5,400 498,634 13,083,637

Patients at 101-200% FPL^ 112,289 20,960 7,009 13,780 23,573 2,978 180,589 4,097,142

Patients above 200% FPL^ 34,319 11,197 7,140 10,500 4,688 2,172 70,016 1,503,914 Patients by Age and Gender

Patients Aged Under 18 203,947 20,574 11,712 22,472 51,274 3,431 313,410 8,005,982

Patients Aged 18-64 351,104 72,855 24,529 38,533 90,047 12,285 589,353 15,705,993

Patients Aged 65+ 39,908 12,913 4,090 8,132 9,929 1,866 76,838 2,148,321

Total Male Patients 260,582 48,385 19,287 31,297 65,530 7,986 433,067 10,922,703

Total Female Patients 334,377 57,957 21,044 37,840 85,720 9,596 546,534 14,937,593 Patients by Sexual Orientation and Gender Identity Reporting

Lesbian/Gay Patients 1,017 337 3 29 67 32 1,485 125,772

Straight (Not Lesbian/Gay) Patients 121,551 15,544 1,644 6,951 9,065 2,908 157,663 4,073,054

Bisexual Patients 657 321 3 68 38 32 1,119 50,941

Other Sexual Orientation Patients 98 162 0 8 7 15 290 43,948

Unknown Sexual Orientation Patients 454,672 85,497 34,003 42,553 140,519 13,996 771,240 19,941,060

Undisclosed Sexual Orientation Patients 16,964 4,481 4,678 19,528 1,554 599 47,804 1,625,521

Male Patients 67,947 25,352 12,548 21,298 28,327 2,370 157,842 3,617,287

Female Patients 89,881 27,565 13,726 25,786 40,685 2,611 200,254 5,064,052

Transgender Male/Female-to-Male Patients 99 28 0 5 7 2 141 20,975

Transgender Female/Male-to-Female Patients 105 20 2 5 8 5 145 15,826

Other Gender Identity Patients 429,643 51,031 14,046 17,274 82,044 12,088 606,126 16,248,894

Undisclosed Gender Identity Patients 7,284 2,346 9 4,769 179 506 15,093 893,262





Region VIII Uniform Data System (UDS) Overview of Patients

Percentages by State, Region, and Nation, 2016 CO MT ND SD UT WY Region VIII Nation

Patients

All Patients as % of RVIII Patients 60.7% 10.9% 4.1% 7.1% 15.4% 1.8% 100.0% N/A Patients by Services Received

Medical Services Patients as % of All Patients 92.4% 80.2% 72.0% 86.3% 84.7% 92.2% 88.6% 84.6%

Dental Services Patients as % of All Patients 22.5% 26.7% 35.9% 18.7% 14.7% 12.5% 21.9% 21.9%

Mental Health Services Patients as % of All Patients 11.2% 8.4% 2.3% 1.7% 4.6% 3.5% 8.7% 6.9%

Substance Abuse Services Patients as % of All Patients 0.1% 0.8% 0.3% 0.1% 0.4% 0.3% 0.2% 0.5%

Vision Services Patients as % of All Patients 0.5% 0.2% 3.8% 0.1% 1.6% 0.4% 0.7% 2.3%

Enabling Services Patients as % of All Patients 13.8% 12.4% 3.7% 2.8% 14.7% 4.3% 12.4% 9.6% Patients by Special/Vulnerable Population Groups

Agricultural Worker/Dependent Patients as % of All Patients 1.9% 3.8% 0.9% 0.5% 7.7% 0.1% 2.9% 3.7%

Homeless Patients as % of All Patients 6.1% 5.5% 4.8% 8.7% 4.4% 8.8% 6.0% 4.9%

School Based Health Center Patients as % of All Patients 4.1% 0.7% 0.0% 7.4% 6.1% 0.0% 4.0% 2.9%

Veteran Patients as % of All Patients 1.4% 4.4% 2.6% 3.1% 0.7% 4.3% 1.8% 1.3%

Patients Served In/Near Public Housing Site* as % of All Patients 2.7% 3.8% 0.0% 0.0% 0.2% 0.0% 2.1% 10.4%

LOTE Patients** as % of All Patients 27.1% 2.6% 9.5% 13.5% 34.0% 4.6% 23.4% 23.6% Patients by Insurance Status and Income Level

Uninsured Patients as % of All Patients 21.6% 25.1% 29.3% 25.4% 52.6% 40.9% 27.7% 23.4%

Regular Medicaid (Title XIX) Patients as % of All Patients 56.2% 32.6% 26.9% 20.1% 16.5% 14.8% 43.0% 48.5%

Medicare (Title XVIII) Patients as % of All Patients 8.1% 14.3% 9.1% 12.3% 5.9% 12.8% 8.9% 9.2%

Private Insurance Patients as % of All Patients 11.7% 27.0% 34.4% 35.7% 22.6% 31.4% 18.0% 17.2%

Patients at 100% and Below FPL^ as % of All Patients 57.2% 42.2% 32.8% 28.7% 49.7% 30.7% 50.9% 50.6%

Patients at 101-200% FPL^ as % of All Patients 18.9% 19.7% 17.4% 19.9% 15.6% 16.9% 18.4% 15.8%

Patients above 200% FPL^ as % of All Patients 5.8% 10.5% 17.7% 15.2% 3.1% 12.4% 7.1% 5.8% Patients by Age and Gender

Patients Aged Under 18 as % of All Patients 34.3% 19.3% 29.0% 32.5% 33.9% 19.5% 32.0% 31.0%

Patients Aged 18-64 as % of All Patients 59.0% 68.5% 60.8% 55.7% 59.5% 69.9% 60.2% 60.7%

Patients Aged 65+ as % of All Patients 6.7% 12.1% 10.1% 11.8% 6.6% 10.6% 7.8% 8.3%

Total Male Patients as % of All Patients 43.8% 45.5% 47.8% 45.3% 43.3% 45.4% 44.2% 42.2%

Total Female Patients as % of All Patients 56.2% 54.5% 52.2% 54.7% 56.7% 54.6% 55.8% 57.8% Patients by Sexual Orientation and Gender Identity Reporting

Lesbian/Gay Patients as % of All Patients 0.2% 0.3% 0.0% 0.0% 0.0% 0.2% 0.2% 0.5%

Straight (Not Lesbian/Gay) Patients as % of All Patients 20.4% 14.6% 4.1% 10.1% 6.0% 16.5% 16.1% 15.8%

Bisexual Patients as % of All Patients 0.1% 0.3% 0.0% 0.1% 0.0% 0.2% 0.1% 0.2%

Other Sexual Orientation Patients as % of All Patients 0.0% 0.2% 0.0% 0.0% 0.0% 0.1% 0.0% 0.2%

Unknown Sexual Orientation Patients as % of All Patients 76.4% 80.4% 84.3% 61.5% 92.9% 79.6% 78.7% 77.1%

Undisclosed Sexual Orientation Patients as % of All Patients 2.9% 4.2% 11.6% 28.2% 1.0% 3.4% 4.9% 6.3%

Male Patients as % of All Patients 11.4% 23.8% 31.1% 30.8% 18.7% 13.5% 16.1% 14.0%

Female Patients as % of All Patients 15.1% 25.9% 34.0% 37.3% 26.9% 14.9% 20.4% 19.6%

Transgender Male/Female-to-Male Patients as % of All Patients 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1%

Transgender Female/Male-to-Female Patients as % of All Patients 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.1%

Other Gender Identity Patients as % of All Patients 72.2% 48.0% 34.8% 25.0% 54.2% 68.8% 61.9% 62.8%

Undisclosed Gender Identity Patients as % of All Patients 1.2% 2.2% 0.0% 6.9% 0.1% 2.9% 1.5% 3.5%





Region VIII Uniform Data System (UDS) Medical and Dental Productivity

Region VIII/National Comparison, 2014-2016

2014

Region VIII Visits/FTE

2014

National Visits/FTE

2015


2015

National Visits/FTE

2016


2016

National Visits/FTE

Region VIII

Change '15-'16

National

Change '15-'16

Medical Personnel Productivity: Physicians

Family Physicians 2,831.3 3,238.2 2,829.8 3,156.0 2,617.0 3,079.4 -7.5% -2.4%

General Practitioners 3,720.7 3,427.0 570.9 3,303.9 2,851.1 3,304.9 399.4% 0.0%

Internists 2,273.7 3,058.9 2,061.3 2,997.7 1,195.4 2,969.0 -42.0% -1.0%

Obstetrician/Gynecologists 2,031.6 2,968.1 1,619.6 2,880.5 1,276.9 2,858.4 -21.2% -0.8%

Pediatricians 3,585.0 3,451.3 3,069.3 3,316.4 2,290.9 3,247.1 -25.4% -2.1%

Other Specialty Physicians 2,396.6 3,452.0 2,629.4 3,422.6 1,799.0 3,375.4 -31.6% -1.4%

Total Physicians 2,799.1 3,241.5 2,616.9 3,152.2 2,227.4 3,095.2 -14.9% -1.8%

Medical Personnel Productivity: NPs, PAs, CNMs

Nurse Practitioners 2,528.0 2,638.9 2,401.8 2,569.8 2,283.4 2,560.1 -4.9% -0.4%

Physician Assistants 2,769.6 2,936.9 2,723.7 2,886.3 2,627.5 2,845.2 -3.5% -1.4%

Certified Nurse Midwives 3,177.7 2,335.4 2,739.7 2,231.2 2,595.1 2,202.9 -5.3% -1.3%

Total NPs, PAs, CNMs 2,683.2 2,703.3 2,583.4 2,632.4 2,473.2 2,611.5 -4.3% -0.8%

Medical Personnel Productivity: Nurses

Nurses 192.0 205.3 167.1 176.1 177.6 171.5 6.2% -2.7%

Dental Personnel Productivity

Dentists 2,119.3 2,637.4 2,100.8 2,622.7 2,042.9 2,614.2 -2.8% -0.3%

Dental Hygienists 1,126.0 1,237.4 1,154.0 1,240.3 1,189.7 1,231.3 3.1% -0.7%




Region VIII Uniform Data System (UDS) Medical and Dental Productivity

by State, Region, and Nation, 2016

CO MT ND SD

FTE Visits

Visits/

FTE FTE Visits

Visits/

FTE FTE Visits

Visits/

FTE FTE Visits

Visits/

FTE Medical Personnel Productivity: Physicians

Family Physicians 180.9 455,112 2,515.3 39.7 111,436 2,809.1 6.4 20,993 3,269.9 12.7 31,745 2,507.5

General Practitioners 2.3 7,003 3,085.0 0.0 0 N/A 0.0 0 N/A 0.8 2,052 2,736.0

Internists 72.9 82,596 1,132.8 0.9 1,472 1,692.0 0.0 0 N/A 6.0 10,921 1,835.5

Obstetrician/Gynecologists 25.6 31,833 1,244.4 0.0 53 2,650.0 0.1 164 1,171.4 2.1 3,602 1,757.1

Pediatricians 64.4 137,922 2,143.0 1.6 4,499 2,847.5 0.0 0 N/A 4.0 15,672 3,927.8

Other Specialty Physicians 7.6 16,369 2,159.5 0.6 601 1,092.7 0.0 28 N/A 1.0 1,901 1,845.6

Total Physicians 353.6 730,835 2,066.6 42.7 118,061 2,765.5 6.6 21,185 3,229.4 26.4 65,893 2,493.1


Nurse Practitioners 153.5 372,904 2,429.2 36.2 70,233 1,942.3 17.2 37,365 2,172.4 27.5 52,764 1,918.0

Physician Assistants 187.3 528,621 2,822.3 26.6 49,843 1,871.0 8.5 18,425 2,167.6 25.1 50,631 2,016.4

Certified Nurse Midwives 22.7 63,827 2,811.8 1.4 1,617 1,189.0 2.0 4,804 2,402.0 1.0 1,639 1,622.8

Total NPs, PAs, CNMs 363.5 965,352 2,655.6 64.2 121,693 1,896.7 27.7 60,594 2,187.5 53.6 105,034 1,958.5


Nurses 306.8 44,235 144.2 102.8 21,580 210.0 40.7 8,007 196.9 96.3 23,298 241.8


Dentists 107.4 220,600 2,054.4 25.2 48,336 1,921.9 10.5 20,571 1,968.5 11.8 27,151 2,302.9

Dental Hygienists 82.8 107,469 1,298.4 16.2 19,156 1,180.3 8.9 9,943 1,114.7 10.8 7,726 715.4

UT WY Region VIII Nation

FTE Visits Visits/

FTE FTE Visits Visits/



FTE Medical Personnel Productivity: Physicians

Family Physicians 43.3 121,925 2,816.5 3.7 9,135 2,442.5 286.7 750,346 2,617.0 5,721.4 17,618,401 3,079.4

General Practitioners 0.3 268 1,072.0 0.0 0 N/A 3.3 9,323 2,851.1 428.3 1,415,369 3,304.9

Internists 0.3 667 2,084.4 1.0 1,235 1,235.0 81.1 96,891 1,195.4 1,905.1 5,656,264 2,969.0

Obstetrician/Gynecologists 3.2 3,624 1,139.6 0.2 513 2,700.0 31.2 39,789 1,276.9 1,230.5 3,517,312 2,858.4

Pediatricians 2.0 6,735 3,334.2 0.0 0 N/A 72.0 164,828 2,290.9 2,694.7 8,749,800 3,247.1

Other Specialty Physicians 2.0 1,590 779.4 0.6 775 1,250.0 11.8 21,264 1,799.0 439.1 1,482,214 3,375.4

Total Physicians 51.1 134,809 2,638.1 5.6 11,658 2,100.5 486.0 1,082,441 2,227.4 12,419.1 38,439,360 3,095.2


Nurse Practitioners 28.9 68,113 2,360.9 6.8 15,171 2,237.6 270.0 616,550 2,283.4 7,879.0 20,170,946 2,560.1

Physician Assistants 56.7 153,159 2,703.1 5.5 13,176 2,378.3 309.8 813,855 2,627.5 2,924.9 8,322,036 2,845.2

Certified Nurse Midwives 0.7 1,961 2,723.6 0.8 241 317.1 28.6 74,089 2,595.1 680.8 1,499,696 2,202.9

Total NPs, PAs, CNMs 86.2 223,233 2,588.8 13.1 28,588 2,185.6 608.3 1,504,494 2,473.2 11,484.7 29,992,678 2,611.5


Nurses 26.4 4,938 187.2 11.9 1,808 151.6 584.9 103,866 177.6 16,712.3 2,865,337 171.5


Dentists 26.9 56,331 2,091.0 3.0 4,265 1,440.9 184.7 377,254 2,042.9 4,474.5 11,697,209 2,614.2

Dental Hygienists 10.0 9,049 902.2 1.4 1,502 1,072.9 130.2 154,845 1,189.7 2,200.4 2,709,426 1,231.3




Region VIII Uniform Data System (UDS) Average Months of Key Staff* Tenure**


2015 Region VIII

2015 National

2016 Region VIII

2016 National

Region VIII

Change '15-'16

National

Change '15-'16

#

Avg.

TTL

Mo./

Person #

Avg.

TTL

Mo./

Person #

Avg.

TTL

Mo./

Person #

Avg.

TTL

Mo./

Person #

Avg. TTL

Mo./

Person #

Avg. TTL

Mo./

Person

Medical Staff

Family Physicians 460 63.6 9,112 59.1 527 60.1 9,440 59.8 12.7% -5.9% 3.5% 1.1%

General Practitioners 22 61.8 728 61.0 6 55.5 776 65.3 -266.7% -11.4% 6.2% 6.6%

Internists 76 71.3 3,438 68.3 78 82.7 3,443 69.7 2.6% 13.8% 0.1% 2.1%

Obstetrician/Gynecologists 49 27.7 2,486 58.3 39 43.7 2,578 58.3 -25.6% 36.5% 3.6% 0.1%

Pediatricians 81 75.9 4,061 72.2 77 89.4 4,069 73.9 -5.2% 15.1% 0.2% 2.4%

Other Specialty Physicians 40 62.4 2,117 83.6 61 67.6 2,008 78.7 34.4% 7.7% -5.4% -6.3%

Nurse Practitioners 356 56.4 9,925 47.8 384 56.8 10,871 47.2 7.3% 0.6% 8.7% -1.4%

Physician Assistants 377 54.2 3,772 58.3 418 52.8 3,959 58.8 9.8% -2.6% 4.7% 0.8%

Certified Nurse Midwives 32 57.9 1,064 62.3 38 48.7 1,048 68.5 15.8% -18.9% -1.5% 9.1%

Nurses 777 55.3 21,152 60.8 788 57.8 22,706 58.0 1.4% 4.5% 6.8% -4.7%

Dental Staff

Dentists 263 43.7 5,988 52.6 274 42.6 6,527 51.5 4.0% -2.5% 8.3% -2.0%

Dental Hygienists 189 34.5 2,744 57.4 195 38.7 3,102 57.3 3.1% 10.7% 11.5% -0.2%

Mental Health Staff

Psychiatrists 18 49.7 1,335 50.2 22 41.8 1,443 52.1 18.2% -19.0% 7.5% 3.6%

Licensed Clinical Psychologists 45 39.5 1,078 60.3 51 55.0 1,177 55.8 11.8% 28.2% 8.4% -8.0%

Licensed Clinical Social Workers 148 38.9 3,633 46.9 159 35.5 4,309 45.9 6.9% -9.4% 15.7% -2.2%

Other Licensed Mental Health Providers 117 32.9 3,018 41.7 118 36.5 3,243 39.5 0.8% 9.9% 6.9% -5.6%

Vision Staff

Ophthalmologists 6 65.0 196 89.0 12 43.1 457 62.1 50.0% -50.9% 57.1% -43.3%

Optometrists 12 29.3 474 68.8 11 18.8 558 62.3 -9.1% -55.4% 15.1% -10.4%

Administrative Leadership Staff

Chief Executive Officers 68 82.9 1,390 119.8 66 79.9 1,368 125.3 -3.0% -3.8% -1.6% 4.4%

Chief Medical Officers 66 72.3 1,372 70.5 67 71.1 1,324 73.6 1.5% -1.6% -3.6% 4.3%

Chief Financial Officers 62 49.1 1,331 69.2 59 56.8 1,289 72.6 -5.1% 13.6% -3.3% 4.7%

Chief Information Officers 25 73.9 579 80.0 19 88.7 571 82.3 -31.6% 16.7% -1.4% 2.8%

TOTAL for All Key Staff 3,289 54.0 80,993 59.6 3,469 55.1 86,266 58.6 5.2% 2.0% 6.1% -1.8%

*Includes Full and Part Time Staff (Full Time Staff, Part Time Staff, Part Year Staff, Contract Staff, and NHSC Assignees), and Locum, On-Call, Etc.

(Locum Tenens, On-Call Providers, Volunteers, Residents/Trainees, Off-Site Contract Providers, and Non-Clinical Consultants), subject to restrictions.

**Number of continuous months in current position.


For reporting provisions: http://bphc.hrsa.gov/datareporting/reporting/.


http://bphc.hrsa.gov/datareporting/reporting/


Region VIII Uniform Data System (UDS) Average Months of Key Staff* Tenure**


CO MT ND SD UT WY Region

VIII Nation

#

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person #

TTL

Mo./

Person

Medical Staff

Family Physicians 289 58.8 85 38.4 9 94.6 50 86.3 88 69.1 6 22.5 527 60.1 9,440 59.8

General Practitioners 2 38.0 0 N/A 0 N/A 1 166.0 3 30.3 0 N/A 6 55.5 776 65.3

Internists 61 83.5 2 36.0 0 N/A 9 82.0 5 106.2 1 17.0 78 82.7 3,443 69.7

Obstetrician/Gynecologists 24 40.9 1 8.0 1 14.0 3 151.7 9 22.0 1 48.0 39 43.7 2,578 58.3

Pediatricians 66 88.8 2 64.5 0 N/A 6 124.0 3 50.0 0 N/A 77 89.4 4,069 73.9

Other Specialty Physicians 40 80.3 3 22.0 0 N/A 4 85.0 12 36.9 2 31.5 61 67.6 2,008 78.7

Nurse Practitioners 223 64.4 47 42.0 24 50.6 37 56.6 40 49.7 13 12.7 384 56.8 10,871 47.2

Physician Assistants 257 56.5 32 39.9 10 34.4 39 77.8 72 37.6 8 23.3 418 52.8 3,959 58.8

Certified Nurse Midwives 29 48.9 2 19.5 3 69.7 2 73.0 1 10.0 1 29.0 38 48.7 1,048 68.5

Nurses 412 59.4 124 42.3 65 41.0 141 77.3 34 54.8 12 34.4 788 57.8 22,706 58.0

Dental Staff

Dentists 153 48.4 32 36.8 24 17.5 19 31.5 42 47.0 4 23.5 274 42.6 6,527 51.5

Dental Hygienists 122 35.2 21 37.7 15 65.8 18 41.1 17 38.9 2 34.0 195 38.7 3,102 57.3

Mental Health Staff

Psychiatrists 15 43.9 1 17.0 0 N/A 2 101.5 4 10.0 0 N/A 22 41.8 1,443 52.1

Licensed Clinical Psychologists 43 55.1 4 21.5 0 N/A 1 36.0 3 103.7 0 N/A 51 55.0 1,177 55.8

Licensed Clinical Social Workers 110 40.6 25 22.0 4 26.8 0 N/A 17 25.7 3 28.0 159 35.5 4,309 45.9

Other Licensed MH Providers 67 41.7 21 22.6 5 20.0 6 49.5 16 35.8 3 24.7 118 36.5 3,243 39.5

Vision Staff

Ophthalmologists 11 42.6 0 N/A 0 N/A 0 N/A 1 48.0 0 N/A 12 43.1 457 62.1

Optometrists 8 16.1 0 N/A 1 42.0 1 24.0 1 12.0 0 N/A 11 18.8 558 62.3

Leadership Staff

Chief Executive Officers 21 105.7 17 58.9 4 46.5 5 148.0 13 74.7 6 25.7 66 79.9 1,368 125.3

Chief Medical Officers 23 94.2 16 64.1 5 84.0 5 47.8 14 61.2 4 14.5 67 71.1 1,324 73.6

Chief Financial Officers 21 53.2 16 55.4 4 37.5 3 127.0 12 65.8 3 9.3 59 56.8 1,289 72.6

Chief Information Officers 9 82.8 4 94.5 0 N/A 2 154.0 3 82.3 1 8.0 19 88.7 571 82.3

TOTAL for All Key Staff 2,006 57.8 455 40.6 174 44.3 354 74.9 410 51.2 70 23.2 3,469 55.1 86,266 58.6

*Includes Full and Part Time Staff (Full Time Staff, Part Time Staff, Part Year Staff, Contract Staff, and NHSC Assignees), and Locum, On-Call, Etc.

(Locum Tenens, On-Call Providers, Volunteers, Residents/Trainees, Off-Site Contract Providers, and Non-Clinical Consultants), subject to restrictions.

**Number of continuous months in current position.






Region VIII Uniform Data System (UDS) Key Staff, Percentage Locum, On-Call, Etc.*



#

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc. #

%

Locum,

On-

Call,

Etc.

Medical Staff

Family Physicians 289 13.1% 85 30.6% 9 0.0% 50 24.0% 88 42.0% 6 0.0% 527 21.4% 9,440 18.7%

General Practitioners 2 0.0% 0 N/A 0 N/A 1 0.0% 3 0.0% 0 N/A 6 0.0% 776 11.6%

Internists 61 19.7% 2 0.0% 0 N/A 9 0.0% 5 60.0% 1 0.0% 78 19.2% 3,443 22.7%

Obstetrician/Gynecologists 24 12.5% 1 0.0% 1 0.0% 3 0.0% 9 33.3% 1 0.0% 39 15.4% 2,578 19.3%

Pediatricians 66 0.0% 2 0.0% 0 N/A 6 0.0% 3 0.0% 0 N/A 77 0.0% 4,069 12.9%

Other Specialty Physicians 40 50.0% 3 0.0% 0 N/A 4 50.0% 12 91.7% 2 0.0% 61 54.1% 2,008 30.5%

Nurse Practitioners 223 4.0% 47 2.1% 24 0.0% 37 5.4% 40 2.5% 13 23.1% 384 4.2% 10,871 5.0%

Physician Assistants 257 0.4% 32 3.1% 10 0.0% 39 7.7% 72 11.1% 8 0.0% 418 3.1% 3,959 6.5%

Certified Nurse Midwives 29 0.0% 2 0.0% 3 0.0% 2 0.0% 1 0.0% 1 0.0% 38 0.0% 1,048 11.1%

Nurses 412 1.0% 124 0.0% 65 0.0% 141 0.0% 34 5.9% 12 0.0% 788 0.8% 22,706 2.8%

Dental Staff

Dentists 153 4.6% 32 3.1% 24 16.7% 19 5.3% 42 2.4% 4 0.0% 274 5.1% 6,527 8.7%

Dental Hygienists 122 0.8% 21 0.0% 15 0.0% 18 0.0% 17 0.0% 2 0.0% 195 0.5% 3,102 3.2%

Mental Health Staff

Psychiatrists 15 20.0% 1 0.0% 0 N/A 2 100.0% 4 50.0% 0 N/A 22 31.8% 1,443 13.1%

Licensed Clinical Psychologists 43 0.0% 4 0.0% 0 N/A 1 0.0% 3 0.0% 0 N/A 51 0.0% 1,177 2.4%

Licensed Clinical Social Workers 110 1.8% 25 0.0% 4 0.0% 0 N/A 17 0.0% 3 0.0% 159 1.3% 4,309 2.4%

Other Licensed MH Providers 67 0.0% 21 0.0% 5 0.0% 6 0.0% 16 6.3% 3 0.0% 118 0.8% 3,243 2.8%

Vision Staff

Ophthalmologists 11 100.0% 0 N/A 0 N/A 0 N/A 1 100.0% 0 N/A 12 100.0% 457 15.1%

Optometrists 8 75.0% 0 N/A 1 0.0% 1 100.0% 1 0.0% 0 N/A 11 63.6% 558 15.8%

Leadership Staff

Chief Executive Officers 21 0.0% 17 0.0% 4 0.0% 5 0.0% 13 0.0% 6 0.0% 66 0.0% 1,368 0.2%

Chief Medical Officers 23 0.0% 16 0.0% 5 20.0% 5 0.0% 14 0.0% 4 0.0% 67 1.5% 1,324 1.0%

Chief Financial Officers 21 0.0% 16 0.0% 4 0.0% 3 0.0% 12 0.0% 3 0.0% 59 0.0% 1,289 2.0%

Chief Information Officers 9 0.0% 4 0.0% 0 N/A 2 0.0% 3 0.0% 1 0.0% 19 0.0% 571 2.8%

TOTAL for All Key Staff 2,006 5.8% 455 6.4% 174 2.9% 354 6.5% 410 17.1% 70 4.3% 3,469 7.1% 86,266 8.3%

*Includes Locum Tenens, On-Call Providers, Volunteers, Residents/Trainees, Off-Site Contract Providers, and Non-Clinical Consultants, subject to restrictions.

Does not include Full and Part Time Staff (Full Time Staff, Part Time Staff, Part Year Staff, Contract Staff, and NHSC Assignees).






Financial Performance Measures; Region VIII/National Comparison, 2014-2016

2014

Region

VIII

2014

National

2015

Region

VIII

2015

National

2016

Region

VIII

2016

National

Region VIII

Change '15-'16

National Change '15-'16

Health Center Program Financial Performance Measures - Financial Viability / Costs

Total accrued cost before donations and

after allocation of overhead $684,502,651 $17,443,687,411 $780,622,790 $20,088,900,118 $885,601,334 $23,011,860,613 13.4% 14.6%

Total number of patients 868,720 22,873,243 920,231 24,295,946 979,601 25,860,296 6.5% 6.4%

TOTAL COST PER PATIENT $787.94 $762.62 $848.29 $826.84 $904.04 $889.85 6.6% 7.6%

Total accrued medical staff and medical

other cost after allocation of overhead

(excludes medical lab and x-ray cost) $392,709,848 $10,058,397,093 $443,623,611 $11,416,595,235 $489,729,396 $12,644,171,441 10.4% 10.8%

Medical visits (excludes nursing visits) 2,337,211 60,891,522 2,415,376 64,606,183 2,586,935 68,432,038 7.1% 5.9%

MEDICAL COST PER MEDICAL VISIT $168.02 $165.19 $183.67 $176.71 $189.31 $184.77 3.1% 4.6%

Total accrued BPHC section 330 grants

drawn-down $148,547,828 $2,948,720,119 $171,240,745 $3,548,744,102 $203,598,013 $4,318,331,539 18.9% 21.7%

Total number of patients 868,720 22,873,243 920,231 24,295,946 979,601 25,860,296 6.5% 6.4%

330 GRANT COST PER PATIENT $171.00 $128.92 $186.08 $146.06 $207.84 $166.99 11.7% 14.3%

Selected Factors Relating to Health Center Program Financial Performance Measures* Special Populations, Language, and Location

Special Populations** as % of Total Pts. 8.4% 8.9% 8.3% 8.7% 8.8% 8.6% 0.5% -0.1%

LOTE*** Patients as % of Total Patients 23.2% 23.2% 17.1% 22.8% 23.4% 23.6% 6.3% 0.8%

% of Grantees Considered Rural^ 73.0% 54.5% 74.2% 54.8% 67.7% 44.3% -6.6% -10.5% Comprehensive Services Costs^^ and Patients

Dental Cost per Dental Patient $327 $292 $344 $307 $361 $327 4.8% 6.4%

Dental Cost per Dental Visit $133 $117 $138 $121 $145 $128 5.0% 5.7%

Dental Cost as % of Total Cost 8.3% 8.0% 8.5% 7.9% 8.7% 8.0% 0.2% 0.1%

Dental Patients as % of Total Patients 20.0% 20.9% 21.0% 21.4% 21.9% 21.9% 0.8% 0.5%

Mental Health Cost per Mental Health Pt. $225 $494 $264 $515 $230 $538 -13.0% 4.5%

Mental Health Cost per Mental Health Visit $76 $99 $92 $106 $84 $113 -8.7% 6.8%

Mental Health Cost as % of Total Cost 1.8% 3.5% 2.2% 3.8% 2.2% 4.2% 0.0% 0.4%

Mental Health Patients as % of Total Pts. 6.4% 5.5% 7.2% 6.1% 8.7% 6.9% 1.6% 0.8%

Enabling Cost per Enabling Patient $444 $419 $444 $429 $419 $459 -5.5% 7.1%

Enabling Cost per Enabling Visit $185 $172 $183 $177 $185 $187 1.0% 5.6%

Enabling Cost as % of Total Cost 6.9% 5.3% 6.4% 5.1% 5.8% 5.0% -0.6% -0.1%

Enabling Patients as % of Total Patients 12.2% 9.6% 12.2% 9.8% 12.4% 9.6% 0.2% -0.2% Visits, Patients, and Income^^^

Visits per Patient 3.82 3.95 3.79 3.99 3.85 4.03 1.7% 0.9%

Patients per Staff FTE+ 128.01 134.29 122.86 128.65 117.72 124.53 -4.2% -3.2%

Income per Patient $843.33 $786.38 $895.37 $864.39 $929.03 $918.51 3.8% 6.3%

Income per Staff FTE+ $107,958.14 $105,600.28 $110,008.52 $111,204.60 $109,364.62 $114,385.43 -0.6% 2.9%

330 Grants as % of all Income 20.3% 16.4% 20.8% 16.9% 22.4% 18.2% 1.6% 1.3%


*See page 3 for 2016 Grantees, Staffing, Visits, and Income figures; see page 6 for 2016 Patients figures.

**Agricultural Worker/Dependent Patients and Homeless Patients. ***Patients best served in a Language Other Than English.

^From BPHC’s State UDS Summary Reports. ^^Accrued cost before allocation of facility and non-clinical support services.

^^^Collected patient-related revenue plus other revenues. +Full Time Equivalent.



Financial Performance Measures; Region VIII Breakdown by State and Region, 2016

CO++ MT++ ND++ SD UT WY

Region

VIII

Selected Health Center Program Business Plan Performance Measures - Financial Viability / Costs

Total accrued cost before donations and after

allocation of overhead $563,277,894 $97,623,778 $34,048,094 $56,156,506 $117,122,298 $17,372,764 $885,601,334

Total number of patients 594,959 106,342 40,331 69,137 151,250 17,582 979,601

TOTAL COST PER PATIENT $946.75 $918.02 $844.22 $812.25 $774.36 $988.10 $904.04

Total accrued medical staff and medical other

cost after allocation of overhead (excludes

medical lab and x-ray cost) $321,339,442 $48,267,936 $15,142,405 $37,021,629 $58,898,107 $9,059,877 $489,729,396

Medical visits (excludes nursing visits) 1,696,187 239,754 81,779 170,927 358,042 40,246 2,586,935

MEDICAL COST PER MEDICAL VISIT $189.45 $201.32 $185.16 $216.59 $164.50 $225.11 $189.31

Total accrued BPHC section 330 grants drawn-

down $96,670,838 $35,465,718 $9,876,094 $18,406,407 $35,642,856 $7,536,100 $203,598,013

Total number of patients 594,959 106,342 40,331 69,137 151,250 17,582 979,601

330 GRANT COST PER PATIENT $162.48 $333.51 $244.88 $266.23 $235.66 $428.63 $207.84

Selected Factors Relating to Health Center Program Business Plan Performance Measures*

Special Populations, Language, and Location

Special Populations** as % of Total Patients 8.1% 9.3% 5.8% 9.2% 12.1% 8.9% 8.8%

LOTE*** Patients as % of Total Patients 27.1% 2.6% 9.5% 13.5% 34.0% 4.6% 23.4%

% of Grantees Considered Rural^ 50.0% 94.1% 50.0% 60.0% 61.5% 83.3% 67.7%

Comprehensive Services Costs^^ and Patients

Dental Cost per Dental Patient $344.76 $339 $291 $425 $483 $465 $361

Dental Cost per Dental Visit $141 $143 $138 $158 $164 $178 $145

Dental Cost as % of Total Cost 8.2% 9.9% 12.4% 9.8% 9.2% 5.9% 8.7%

Dental Patients as % of Total Patients 22.5% 26.7% 35.9% 18.7% 14.7% 12.5% 21.9%

Mental Health Cost per Mental Health Patient $174 $419 $523 $424 $387 $947 $230

Mental Health Cost per Mental Health Visit $74 $91 $143 $91 $117 $155 $84

Mental Health Cost as % of Total Cost 2.1% 3.8% 1.5% 0.9% 2.3% 3.4% 2.2%

Mental Health Patients as % of Total Patients 11.2% 8.4% 2.3% 1.7% 4.6% 3.5% 8.7%

Enabling Cost per Enabling Patient $422 $492 $1,012 $760 $286 $714 $419

Enabling Cost per Enabling Visit $171 $206 $391 $353 $194 $273 $185

Enabling Cost as % of Total Cost 6.1% 6.6% 4.4% 2.7% 5.4% 3.1% 5.8%

Enabling Patients as % of Total Patients 13.8% 12.4% 3.7% 2.8% 14.7% 4.3% 12.4%

Visits, Patients, and Income^^^

Visits per Patient 4.11 3.83 3.30 3.47 3.28 3.06 3.85

Patients per Staff FTE+ 111.14 112.09 122.93 138.39 147.20 107.12 117.72

Income per Patient $960.85 $986.92 $875.56 $800.58 $829.89 $982.70 $929.03

Income per Staff FTE+ $106,784.80 $110,621.22 $107,636.35 $110,789.85 $122,159.47 $105,262.29 $109,364.62

330 Grants as % of all Income 16.9% 33.8% 28.0% 33.3% 28.4% 43.6% 22.4%


*See page 3 for 2016 Grantees, Staffing, Visits, and Income figures; see page 6 for 2016 Patients figures.

**Agricultural Worker/Dependent Patients and Homeless Patients. ***Patients best served in a Language Other Than English.

^From BPHC’s State UDS Summary Reports. ^^Accrued cost before allocation of facility and non-clinical support services.

^^^Collected patient-related revenue plus other revenues. +Full Time Equivalent. ++Medicaid-expanded states.



Selected Clinical Health Outcomes and Disparities Performance Measures*;


2014 RVIII

2014 National

2015 RVIII

2015 National

2016 RVIII

2016 National

Region VIII

Change

'15-'16

National Change

'15-'16

Diabetes (DM) - Patients 18-75 Diagnosed with Type I or Type II Diabetes, Most Recent Test Results

Total Patients with Diabetes 52,913 1,637,436 57,630 1,737,060 72,622 2,071,326 26.0% 19.2%

Diabetes Pts as % of Est. Adult Med. Pts 18-75** UNK+ 12.72% UNK+ 0.00% UNK+ 14.3% UNK+ 14.3%

Est. % Patients Hba1c <= 9% ('14) > 9% ('15-'16) 67.9% 68.8% 31.8% 29.8% 36.9% 32.1% 16.1% N/A++

Race: Asian 1,299 56,705 1,462 63,208 1,863 76,762 27.4% 21.4%

Race: Native Hawaiian and Pacific Islander 189 17,167 253 18,552 365 21,726 44.3% 17.1%

Race: Black/African American 3,531 364,758 3,749 386,754 4,476 459,337 19.4% 18.8%

Race: American Indian/Alaska Native 2,532 17,677 2,761 19,544 3,716 24,818 34.6% 27.0%

Race: White 38,707 927,502 42,686 993,582 51,070 1,191,733 19.6% 19.9%

Race: More than One Race 694 41,645 598 40,858 920 41,970 53.8% 2.7%

Race: Unreported/Refused to Report 4,996 179,898 4,769 179,571 8,572 217,984 79.7% 21.4%

Ethnicity: Hispanic/Latino (H/L) 22,869 571,471 25,344 616,082 29,404 740,516 16.0% 20.2%

Ethnicity: Non-Hispanic/Latino (H/L) 29,079 1,033,881 30,934 1,085,987 41,578 1,293,814 34.4% 19.1%

Ethnicity: Unreported/Refused to Report 965 32,084 1,352 34,991 1,640 36,996 21.3% 5.7%

H/L DM Patients as % of DM Patients 18-75 43.2% 34.9% 44.0% 35.5% 40.5% 35.8% -3.5% 0.3%

H/L Patients (ALL) as % of All Medical Patients 43.1% 39.8% 42.1% 40.2% 40.1% 40.5% -2.0% 0.3%

Hypertension (HTN) - Patients 18-85 Diagnosed with Hypertension, Last Blood Pressure < 140/90

Total Hypertensive Patients 97,221 3,083,149 100,679 3,226,170 131,655 3,920,129 30.8% 21.5%

HTN Patients as % of Est. Adult Med. Pts 18-85** UNK+ 23.25% UNK+ 0.00% UNK+ 26.2% UNK+ 26.2%

Est. % Patients w/Controlled Blood Pressure 65.4% 63.7% 65.3% 63.8% 62.7% 62.4% -2.6% -1.4%

Race: Asian 2,332 109,012 2,505 118,691 3,055 140,353 22.0% 18.3%

Race: Native Hawaiian and Pacific Islander 269 22,183 324 6,271 486 27,997 50.0% 346.5%

Race: Black/African American 7,677 797,259 8,116 824,688 9,135 1,000,384 12.6% 21.3%

Race: American Indian/Alaska Native 3,431 29,005 3,536 32,350 4,697 40,626 32.8% 25.6%

Race: White 73,946 1,762,654 76,682 1,863,526 97,279 2,273,584 26.9% 22.0%

Race: More than One Race 767 73,093 675 60,953 1,490 68,145 120.7% 11.8%

Race: Unreported/Refused to Report 6,902 228,971 6,432 236,119 12,207 302,908 89.8% 28.3%

Ethnicity: Hispanic/Latino (H/L) 31,893 773,400 33,443 828,252 40,316 1,004,225 20.6% 21.2%

Ethnicity: Non-Hispanic/Latino (H/L) 63,431 2,248,777 64,826 2,332,763 88,033 2,849,772 35.8% 22.2%

Ethnicity: Unreported/Refused to Report 1,897 60,972 2,406 65,155 3,306 66,132 37.4% 1.5%

H/L HTN Patients as % of HTN Patients 18-85 32.8% 25.1% 33.2% 25.7% 30.6% 25.6% -2.6% -0.1%

H/L Patients (ALL) as % of All Medical Patients 43.1% 39.8% 42.1% 40.2% 40.1% 40.5% -2.0% 0.3%


*Clinical data in BPHC’s State and National Reports have been weighted to account for sites reporting through sampling instead of total patient population.

**From BPHC’s State and National UDS Summary Reports. +Unknown: unable to extrapolate Region VIII percentage from state reports. ++Non-comparable: measure changed from <=9% in 2014 and previous years to >9% in 2015 and subsequent years.




Region VIII Breakdown by State and Region, 2016

CO MT ND SD UT WY

Region

VIII


Total Patients with Diabetes 45,800 6,992 1,984 3,993 12,565 1,288 72,622

DM Patients as % of Est. Adult Medical Patients 18-75** 13.09% 10.69% 10.22% 10.76% 15.33% 10.32% UNK+

Est. % Patients Hba1c > 9% (uncontrolled) 37.9% 31.4% 28.2% 33.1% 37.6% 49.5% 36.9%

Race: Asian 1,357 57 126 175 137 11 1,863

Race: Native Hawaiian and Pacific Islander 160 29 5 18 150 3 365

Race: Black/African American 3,826 75 196 155 175 49 4,476

Race: American Indian/Alaska Native 572 648 137 530 1,795 34 3,716

Race: White 32,036 5,846 1,422 2,625 8,220 921 51,070

Race: More than One Race 190 107 26 28 553 16 920

Race: Unreported/Refused to Report 6,638 136 50 185 1,333 230 8,572

Ethnicity: Hispanic/Latino (H/L) 21,880 456 149 338 6,322 259 29,404

Ethnicity: Non-Hispanic/Latino (H/L) 22,899 6,442 1,813 3,378 6,041 1,005 41,578

Ethnicity: Unreported/Refused to Report 1,021 94 22 277 202 24 1,640

H/L DM Patients as % of DM Patients 18-75 47.8% 6.5% 7.5% 8.5% 50.3% 20.1% 40.5%

H/L Patients (ALL) as % of All Medical Patients 47.4% 7.7% 8.2% 11.0% 54.0% 16.6% 40.1%


Total Hypertensive Patients 78,846 16,773 5,152 9,184 18,839 2,861 131,655

HTN Patients as % of Est. Adult Medical Patients 18-85** 21.97% 24.68% 25.46% 23.45% 22.41% 22.19% UNK+

Est. % Patients w/Controlled Blood Pressure 63.7% 62.5% 63.3% 66.1% 57.9% 54.9% 62.7%

Race: Asian 2,206 82 250 253 249 15 3,055

Race: Native Hawaiian and Pacific Islander 253 42 5 24 162 0 486

Race: Black/African American 7,841 176 354 316 362 86 9,135

Race: American Indian/Alaska Native 759 929 263 645 2,054 47 4,697

Race: White 55,552 14,906 4,116 6,975 13,486 2,244 97,279

Race: More than One Race 323 233 41 48 813 32 1,490

Race: Unreported/Refused to Report 9,845 216 78 241 1,428 399 12,207

Ethnicity: Hispanic/Latino (H/L) 30,952 655 207 443 7,658 401 40,316

Ethnicity: Non-Hispanic/Latino (H/L) 45,827 15,929 4,900 8,059 10,896 2,422 88,033

Ethnicity: Unreported/Refused to Report 2,067 189 45 682 285 38 3,306

H/L HTN Patients as % of HTN Patients 18-85 39.3% 3.9% 4.0% 4.8% 40.6% 14.0% 30.6%

H/L Patients (ALL) as % of All Medical Patients 47.4% 7.7% 8.2% 11.0% 54.0% 16.6% 40.1%



**From BPHC’s State and National UDS Summary Reports. +Unknown: unable to extrapolate Region VIII percentage from state reports.




Region VIII Percentages by State, Region, and Nation, 2016

CO MT ND SD UT WY Region

VIII Nation


Total Patients with Diabetes as % of RVIII Diabetes Patients 63.1% 9.6% 2.7% 5.5% 17.3% 1.8% 100.0% N/A

Race: Asian as % of Total Patients with Diabetes 3.0% 0.8% 6.4% 4.4% 1.1% 0.9% 2.6% 3.7%

Race: Native Hawaiian and Pacific Islander as % of Total Pts with Diabetes 0.3% 0.4% 0.3% 0.5% 1.2% 0.2% 0.5% 1.0%

Race: Black/African American as % of Total Patients with Diabetes 8.4% 1.1% 9.9% 3.9% 1.4% 3.8% 6.2% 22.2%

Race: American Indian/Alaska Native as % of Total Patients with Diabetes 1.2% 9.3% 6.9% 13.3% 14.3% 2.6% 5.1% 1.2%

Race: White as % of Total Patients with Diabetes 69.9% 83.6% 71.7% 65.7% 65.4% 71.5% 70.3% 57.5%

Race: More than One Race as % of Total Patients with Diabetes 0.4% 1.5% 1.3% 0.7% 4.4% 1.2% 1.3% 2.0%

Race: Unreported/Refused to Report as % of Total Patients with Diabetes 14.5% 1.9% 2.5% 4.6% 10.6% 17.9% 11.8% 10.5%

Ethnicity: Hispanic/Latino (H/L) as % of Total Patients with Diabetes 47.8% 6.5% 7.5% 8.5% 50.3% 20.1% 40.5% 35.8%

Ethnicity: Non-Hispanic/Latino (H/L) as % of Total Patients with Diabetes 50.0% 92.1% 91.4% 84.6% 48.1% 78.0% 57.3% 62.5%

Ethnicity: Unreported/Refused to Report as % of Total Patients with Diabetes 2.2% 1.3% 1.1% 6.9% 1.6% 1.9% 2.3% 1.8%


Total Hypertensive Patients as % of RVIII Hypertensive Patients 59.9% 12.7% 3.9% 7.0% 14.3% 2.2% 100.0% N/A

Race: Asian as % of Total Hypertensive Patients 2.8% 0.5% 4.9% 2.8% 1.3% 0.5% 2.3% 3.6%

Race: Native Hawaiian and Pacific Islander as % of Total Hypertensive Pts 0.3% 0.3% 0.1% 0.3% 0.9% 0.0% 0.4% 0.7%

Race: Black/African American as % of Total Hypertensive Patients 9.9% 1.0% 6.9% 3.4% 1.9% 3.0% 6.9% 25.5%

Race: American Indian/Alaska Native as % of Total Hypertensive Patients 1.0% 5.5% 5.1% 7.0% 10.9% 1.6% 3.6% 1.0%

Race: White as % of Total Hypertensive Patients 70.5% 88.9% 79.9% 75.9% 71.6% 78.4% 73.9% 58.0%

Race: More than One Race as % of Total Hypertensive Patients 0.4% 1.4% 0.8% 0.5% 4.3% 1.1% 1.1% 1.7%

Race: Unreported/Refused to Report as % of Total Hypertensive Patients 12.5% 1.3% 1.5% 2.6% 7.6% 13.9% 9.3% 7.7%

Ethnicity: Hispanic/Latino (H/L) as % of Total Hypertensive Patients 39.3% 3.9% 4.0% 4.8% 40.6% 14.0% 30.6% 25.6%

Ethnicity: Non-Hispanic/Latino (H/L) as % of Total Hypertensive Patients 58.1% 95.0% 95.1% 87.8% 57.8% 84.7% 66.9% 72.7%

Ethnicity: Unreported/Refused to Report as % of Total Hypertensive Patients 2.6% 1.1% 0.9% 7.4% 1.5% 1.3% 2.5% 1.7%





Additional Clinical Performance Trends;

Region VIII Breakdown by State, Region, and Nation, 2014-2016

2016 UDS CO MT ND SD UT WY RVIII National

% Prenatal Patients Served in 1st Trimester 79.3% 84.7% 79.0% 57.5% 77.0% 91.2% 78.4% 74.1%

% 2 Year Old Children Immunized 41.9% 27.3% 45.9% 48.9% 34.3% 11.8% 40.4% 42.8%

% Female Patients with PAP Test 51.6% 48.9% 51.8% 47.2% 47.4% 21.3% 49.9% 54.4%

% Pts 3-17 Years with Weight Assessment / Counseling 60.6% 46.2% 30.1% 46.0% 65.4% 11.8% 58.0% 62.9%

% Adult Patients with Weight Screening / Follow-Up 53.1% 50.6% 38.7% 55.2% 66.6% 28.5% 53.9% 62.5%

% Patients with Tobacco Use Assessment / Intervention 90.3% 79.8% 85.5% 84.8% 85.1% 84.4% 87.6% 85.2%

% Patients with Appropriate Colorectal Cancer Screening 34.2% 37.7% 52.3% 36.2% 27.3% 21.3% 34.2% 39.9%

% Patients Screened for Depression and Follow-Up 50.1% 62.4% 81.0% 64.0% 55.9% 72.8% 55.0% 60.3%

% Moderate/High Risk Pts 6-9 Years with Dental Sealant 42.1% 43.4% 42.1% 57.6% 32.8% 52.2% 42.9% 48.7%

% Low Birth Weight 9.2% 7.7% 5.8% 5.6% 6.2% 9.1% 8.2% 7.8%

% Diabetic Patients with Uncontrolled HbA1c 37.9% 31.4% 28.2% 33.1% 37.6% 49.5% 36.9% 32.1%

% Hypertensive Patients with Controlled BP 63.7% 62.5% 63.3% 66.1% 57.9% 54.9% 62.7% 62.4%










% Moderate/High Risk Pts 6-9 Years with Dental Sealant 37.8% 29.3% 36.2% 35.0% 39.6% 31.7% 36.7% 42.5%

% Low Birth Weight 8.7% 6.6% 4.0% 8.1% 6.6% 11.1% 8.0% 7.6%












% Low Birth Weight 7.5% 5.4% 5.5% 7.0% 6.1% 6.7% 7.1% 7.3%






Additional Clinical Performance Trends;


2014

Region

VIII

2014

National

2015

Region

VIII

2015

National

2016

Region

VIII

2016

National

Region VIII

Change

'15-'16

National

Change

'15-'16

% Prenatal Patients

Served in 1st Trimester 76.2% 72.2% 76.3% 73.0% 78.4% 74.1% 2.1% 1.0% Increase= Improvement

% Children Immunized* 78.9% 77.2% 78.1% 77.5% 40.4% 42.8% N/A N/A Increase= Improvement

% Female Patients with PAP Test 52.4% 56.3% 54.3% 56.0% 49.9% 54.4% -4.4% -1.7% Increase= Improvement

% Pts 3-17 Years with

Weight Assessment / Counseling 44.9% 56.6% 51.9% 57.9% 58.0% 62.9% 6.1% 5.0% Increase= Improvement

% Adult Patients with

Weight Screening / Follow-Up 46.6% 56.1% 50.9% 59.4% 53.9% 62.5% 3.0% 3.0% Increase= Improvement

% Patients with

Tobacco Use Assessment / Intervention 83.5% 81.0% 85.6% 82.8% 87.6% 85.2% 1.9% 2.4% Increase= Improvement

% Patients with Appropriate

Colorectal Cancer Screening 30.5% 34.5% 32.9% 38.3% 34.2% 39.9% 1.3% 1.5% Increase= Improvement

% Patients Screened for

Depression and Follow-Up 28.5% 38.8% 45.0% 50.6% 55.0% 60.3% 10.0% 9.7% Increase=

Improvement

% Moderate/High Risk Pts 6-9 Years with

Dental Sealant** N/A N/A 36.7% 42.5% 42.9% 48.7% 6.2% 6.2% Increase= Improvement

% Low Birth Weight 7.1% 7.3% 8.0% 7.6% 8.2% 7.8% 0.2% 0.2% Decrease= Improvement

% Diabetic Patients with

Uncontrolled HbA1c 32.1% 31.2% 31.8% 29.8% 36.9% 32.1% 5.1% 2.3% Decrease= Improvement

% Hypertensive Patients with

Controlled Blood Pressure 65.4% 63.7% 65.3% 63.8% 62.7% 62.4% -2.6% -1.4% Increase= Improvement

*Measure was revised in 2016 and is not comparable to prior years. **Measure added in 2015; data not available for prior years.


This project is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under cooperative

agreement number U58CS06861, “State and Regional Primary Care Associations,” total award of $519,941, 22% of the total PCA project is financed with non-federal

sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements

be inferred by HRSA, HHS or the US Government.


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