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Building a Sustainable SBHC:
The Pro-Forma Business Plan
May 8, 2014
Help Us Count!
If you are viewing as a group, please go to the chat window
and type in the name of the person registered and the total
number of additional people in the room, e.g., Tammy
Jones, +3. This will help us with our final count.
Reminders
This presentation may be downloaded now. Please visit
www.sbh4all.org/webinars to download the presentation.
All attendees are in listen-only mode.
We want to hear your questions! To ask a question during
the session, use the chat tool that appears on the right
side of your screen.
Attendees will receive an evaluation survey within two days
of the webinar. Please let us know how we are doing and
new topics you would like us to cover.
Webinar Archives
Access previous webinars,
sorted by topic:
• Clinical Services ( Diabetes,
ADHD)
• SBHC Operations (PCMH, HIT)
• Policy & Advocacy
• Quality Improvement
• Special Initiatives
• School-Based Health Alliance
Tools
www.sbh4all.org/webinars
Objectives
1. List 3 reasons for having a business plan
2. Explain the purpose of completing a pro-forma
business plan
3. Describe the process of conducting a financial
analysis
Today’s Presenters
Serina Reckling
Policy Analyst
School-Based Health Alliance
Amy Manta-Ranger
School-Based Health Center
Department Manger
La Clínica de La Raza
SBHC BUSINESS PLAN
Why a Business Plan?
assuring that key
elements to success are
addressed
explaining what you
want to accomplish or
achieve
Guides the SBHC project planning process by…
Information can be used…
to develop grant
proposals
in presentations to
potential community
partners
to ensure
accountability to
funders
The 10 Components of a SBHC
Business Plan
1. Needs Assessment
2. Business Overview
3. Operations &
Management plan
4. Personnel &
Resources
5. Marketing Strategies
6. Niche Analysis
7. Financial Analysis
8. Risk Management
9. Exit Strategy
10. Executive Summary
Poll Question
Do you have a written
business plan for your SBHC?
1) Yes
2) No
3) Not yet, I plan on
finalizing a business plan
over the next year.
FINANCIAL ANALYSIS:
The Pro-forma Business Plan
Pro-Forma Business Plan
Projects revenue &
expenses that a SBHC
can expect to generate
during one or more fiscal
years
Why a pro-forma business plan?
So new and existing SBHCs can….
understand their financial standing
expansion of
services
And assess the implications of proposed changes
such as…
new patient
population
transitioning to
a new medical
sponsor
How does the SBHC Pro-Forma template
work?
Input SBHC Data
staffing
costs
patient encounters
reimbursement
rates
HIT costs
utilities
Income
Statement
total expenses
net revenue
cost per
user
cost per
visit
Data Input Worksheet
Actual
or
Needs
Assessment
Data
Student Utilization
Reimbursement Rates
Average Billable Amounts
per Visit
Insurance Coverage
Mix of Care
Community Utilization
% Claims Denied
Grant Revenue
Staffing Input Worksheet
Estimate the expenses of staff salaries & benefits
during a 4-year period
Other Costs Worksheet
Medical Supplies
Rx
Education
Materials
Program Costs
Office Supplies
Furniture
Phone & Internet
Administrative
Costs
In Kind Costs
Office Space
FOR RENT
$20/square ft.
What is the $ value of personnel, supplies, materials, and all
other aspects of operational support that are provided to the
SBHC at no cost?
Income Statement Worksheet
Conducting a financial analysis with the
pro-forma business plan template……
Remember!
• Try to be explicit about assumptions & where they come
from.
• When ‘guesstimating’, pull from the experience of other
SBHCs that are similar to you.
• Be clear about what you do and don’t have control over.
Financial Analysis: What’s the worst and
best case scenario?
 For each revenue item, which funds are most
likely to change?
 For each cost item, which costs are the most
unpredictable?
 Use the variations of these values to compute
the worst case, best case & most likely scenario.
Income Statement
Adjust inputs to see how they  or  your
SBHC’s net revenue
utilization
billable
visits
% denied
claims
grant
support
staffing
other
costs
Sustainability Infographic
CLICK HERE to
download:
 Instructions
Manual
 Pro-Forma Excel
Template
Planning…
Implementing…
Expanding…
Policies & Procedures
SBHC Job Descriptions
Business Planning
Materials
Student Satisfaction
Surveys
Needs Assessment
Mobile Apps
Save the Date
Questions and Answers
Closing Reminders
This presentation has been recorded and will be archived on the School-Based
Health Alliance website within the next 2 days.
For more information and resources on Sustainability, please visit the Tools for
SBHC Sustainability under the Our Issues tab on the School-Based Health
Alliance website at: www.sbh4all.org
To request support and technical assistance related to Sustainability please
send us an e-mail at: policy@sbh4all.org
Take a moment to fill out three poll questions that will appear on your screen.
We will also be sending out a brief evaluation survey within the next two days.
Please let us know how we are doing.
Poll Question
Did this presentation meet
your needs?
1) Yes
2) No
Poll Question
Did this presentation
provide you with usable
ideas and/or techniques?
1) Yes
2) No
Poll Question
Would you recommend this
webinar series to others?
1) Yes
2) No
Thank you!
For more information visit:
www.sbh4all.org/sustainability
www.sbh4all.org/blueprint

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Pro-Forma Business Plan Webinar Slides AR-1

  • 1. Building a Sustainable SBHC: The Pro-Forma Business Plan May 8, 2014
  • 2. Help Us Count! If you are viewing as a group, please go to the chat window and type in the name of the person registered and the total number of additional people in the room, e.g., Tammy Jones, +3. This will help us with our final count.
  • 3. Reminders This presentation may be downloaded now. Please visit www.sbh4all.org/webinars to download the presentation. All attendees are in listen-only mode. We want to hear your questions! To ask a question during the session, use the chat tool that appears on the right side of your screen. Attendees will receive an evaluation survey within two days of the webinar. Please let us know how we are doing and new topics you would like us to cover.
  • 4. Webinar Archives Access previous webinars, sorted by topic: • Clinical Services ( Diabetes, ADHD) • SBHC Operations (PCMH, HIT) • Policy & Advocacy • Quality Improvement • Special Initiatives • School-Based Health Alliance Tools www.sbh4all.org/webinars
  • 5. Objectives 1. List 3 reasons for having a business plan 2. Explain the purpose of completing a pro-forma business plan 3. Describe the process of conducting a financial analysis
  • 6. Today’s Presenters Serina Reckling Policy Analyst School-Based Health Alliance Amy Manta-Ranger School-Based Health Center Department Manger La Clínica de La Raza
  • 8. Why a Business Plan? assuring that key elements to success are addressed explaining what you want to accomplish or achieve Guides the SBHC project planning process by… Information can be used… to develop grant proposals in presentations to potential community partners to ensure accountability to funders
  • 9. The 10 Components of a SBHC Business Plan 1. Needs Assessment 2. Business Overview 3. Operations & Management plan 4. Personnel & Resources 5. Marketing Strategies 6. Niche Analysis 7. Financial Analysis 8. Risk Management 9. Exit Strategy 10. Executive Summary
  • 10. Poll Question Do you have a written business plan for your SBHC? 1) Yes 2) No 3) Not yet, I plan on finalizing a business plan over the next year.
  • 12. Pro-Forma Business Plan Projects revenue & expenses that a SBHC can expect to generate during one or more fiscal years
  • 13. Why a pro-forma business plan? So new and existing SBHCs can…. understand their financial standing expansion of services And assess the implications of proposed changes such as… new patient population transitioning to a new medical sponsor
  • 14. How does the SBHC Pro-Forma template work? Input SBHC Data staffing costs patient encounters reimbursement rates HIT costs utilities Income Statement total expenses net revenue cost per user cost per visit
  • 15. Data Input Worksheet Actual or Needs Assessment Data Student Utilization Reimbursement Rates Average Billable Amounts per Visit Insurance Coverage Mix of Care Community Utilization % Claims Denied Grant Revenue
  • 16. Staffing Input Worksheet Estimate the expenses of staff salaries & benefits during a 4-year period
  • 17. Other Costs Worksheet Medical Supplies Rx Education Materials Program Costs Office Supplies Furniture Phone & Internet Administrative Costs
  • 18. In Kind Costs Office Space FOR RENT $20/square ft. What is the $ value of personnel, supplies, materials, and all other aspects of operational support that are provided to the SBHC at no cost?
  • 20. Conducting a financial analysis with the pro-forma business plan template……
  • 21. Remember! • Try to be explicit about assumptions & where they come from. • When ‘guesstimating’, pull from the experience of other SBHCs that are similar to you. • Be clear about what you do and don’t have control over.
  • 22. Financial Analysis: What’s the worst and best case scenario?  For each revenue item, which funds are most likely to change?  For each cost item, which costs are the most unpredictable?  Use the variations of these values to compute the worst case, best case & most likely scenario.
  • 23. Income Statement Adjust inputs to see how they  or  your SBHC’s net revenue utilization billable visits % denied claims grant support staffing other costs
  • 24.
  • 25. Sustainability Infographic CLICK HERE to download:  Instructions Manual  Pro-Forma Excel Template
  • 26. Planning… Implementing… Expanding… Policies & Procedures SBHC Job Descriptions Business Planning Materials Student Satisfaction Surveys Needs Assessment Mobile Apps
  • 29. Closing Reminders This presentation has been recorded and will be archived on the School-Based Health Alliance website within the next 2 days. For more information and resources on Sustainability, please visit the Tools for SBHC Sustainability under the Our Issues tab on the School-Based Health Alliance website at: www.sbh4all.org To request support and technical assistance related to Sustainability please send us an e-mail at: policy@sbh4all.org Take a moment to fill out three poll questions that will appear on your screen. We will also be sending out a brief evaluation survey within the next two days. Please let us know how we are doing.
  • 30. Poll Question Did this presentation meet your needs? 1) Yes 2) No
  • 31. Poll Question Did this presentation provide you with usable ideas and/or techniques? 1) Yes 2) No
  • 32. Poll Question Would you recommend this webinar series to others? 1) Yes 2) No
  • 33. Thank you! For more information visit: www.sbh4all.org/sustainability www.sbh4all.org/blueprint