1. Key Indicators Your Health
Center Might be at Risk
1

2. Health Center Size:
• Smaller Health Centers when measured by
patients, visits, full-time equivalent employees
(FTEs), and revenues are historically shown to
be predominantly more vulnerable than their
larger counterparts.
2

3. Stagnating Growth:
• When centers begin to experience a trend in
stagnating or declining revenues and shrinking
numbers of patients, visits, and FTEs, as
compared to the other centers within the
surrounding service area or even within the
same state.
3

4. Payer Mix:
• When the percentage of uninsured income as a
percentage of total Net Patient Services
Revenue (NPSR) is greater than the percentage
of all other incomes as a percentage of total
NPSR.
4

5. Payer Mix:
• When Medicaid visits are comparatively lower
than their State counterparts and yet the
percentage of patients below 100% of the
Federal Poverty Line (FPL) is equal to or
greater.
5

6. Collections/Allowances:
• An increase in allowances as a percentage of
charges, in particular for Medicaid.
6

7. Productivity:
• When productivity levels begin to decline or
become eratic and unpredictable.
– Common Contributors
• Electronic Health Record (EHR) implementation
• Insufficient support staffing levels
• Provider turnover
7

8. Customer Dissatisfaction:
• An increase in patient complaints and/or
negative survey results
• Decrease in patient returns and/or new
patients
• Increase in staff turnover.
8