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Sunshine Clinic Financial Report Shows Red

by Phillip Manning ~ November 25th, 2013

The financial report, published on the Sunshine Clinic Friends blog last week, shows that, through the first quarter, the Clinic is at a budget shortfall of just under $120,000.  That number is not due to overspending.  Expenses came in about $31,000 under budget.  The problem is revenue, specifically from patient visits.

In financial terms, visits are referred to as encounters.  In June, July, and August, visits fell just over twenty-two percent versus the same period last year.  That, in turn, reduced the amount of money coming from patient fees, which makes up 47% of the Clinic’s income, according to its annual statement.  The total shortfall of income from patients was $153,000 as of the end of September.

Clinic Executive Director David Bryant says that billable patient encounters have been declining since 2009.  He says that the current drop is more significant due to a number of reasons.  He says that encounter numbers are down for healthcare facilities statewide and that there is uncertainty for patients on how to proceed under the Affordable Care Act.  Bryant also acknowledges that provider turnover has played a role.  Dr. Mary Loeb formerly served as Medical Director for the Clinic as well as a healthcare provider.  She left the Clinic in July after her contract was not renewed.

Since Dr. Loeb’s departure, other permanent providers have left the Clinic, and their patients are being seen by temporary providers.  Nurse Practitioner Diane Maythorne and Physician’s Assistant Keith Kehoe left in September and October, respectively.  That has caused some, including the Sunshine Clinic Friends bloggers, comprised of area residents and not the Clinic itself, to question what the financials will look like in coming months.

David Bryant says that he expects the Clinic to rebound, and that steps are being taken to reach out to more of the area the Clinic serves.  This includes expanding marketing and consulting with advertising professionals.  He says new business opportunities are being explored, and that more revenue can be expected from existing programs, such as dental care.

Links to the financial report can be found here.

2 Responses to Sunshine Clinic Financial Report Shows Red

  1. mary gunderson

    Mr. Bryant’s expectation’s that the Clinic will rebound with out- reach, expanding marketing etc. is misguided. There has been a dramatic loss of trust in the clinic’s management. The mismanagement has created instability in staffing at all levels. Patients no longer have any idea whom they will be seeing, who is securing/overseeing patients records etc. The clinic will begin to rebound only when the ED steps down, and lots of good folks step up to the plate and help to rebuild it once again, restore stability and regain the trust of the community.

  2. Ann Yadon

    Mr. Bryant’s comment regarding the drop in patient encounters is disingenous at best, and at worst fatuous. Patient encounters have not been dropping since 2009. Summer is the time when one expects the encounters to rise because of tourism in the area. In 2010 the numbers were lower than expected as that was a particularly bad year for tourism, and had little to do with what was going on otherwise.
    He further attributes the lower numbers to the Affordable Care Act, which should have had little or no effect on patient encounters until most recently. In fact, in many places, encounters are up as patients try to take care of various illnesses before their insurance carriers change or insurance lapses.
    Provider turnover, as Mr. Bryant admits, and the resulting lack of trust in management at the clinic is far more likely to be the root cause of the downturn. Interestingly enough, summer should be the time when patient encounters do increase — and yet, this year they didn’t. This should logically lead one to look at the real problem — lack of providers and lack of trust in management.

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