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Alameda Health System FY20 Budget Update

Get the latest updates on the FY20 budget process for Alameda Health System, including internal discussions, budget preparation, revenue assumptions, and progress updates.

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Alameda Health System FY20 Budget Update

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  1. Alameda Health System FY20 Budget Update

  2. FY20 Budget Process - Timeline Jan -Feb 8: Internal volume projections, discussions (with dyad leaders and staff) and review of key budget assumptions. Feb 14: Present Proposed Budget process and timeline to AHS Finance committee Feb 19-Mar 8: Internal Budget preparation and deep dive with departments March 12: Half Day Leadership retreat of key AHS Staff and clinical leaders March 14: Present Key Revenue assumptions and forecast to AHS Finance Committee Mar 15-April 15: Internal Budget discussions with Dyad Leaders, SBUs and support services April 11: Present Budget progress update to Finance Committee April 26: Present Budget draft (Budget workshop- deep dive) AHS BOT retreat May 9: Final Budget to AHS Finance Committee May 23: FY 2020 AHS budget for approval to AHS Board

  3. FY 20 Budget Principles and Process Budget Principles: • Develop a balanced budget that enables AHS to provide the highest quality of services for the population of Alameda County, while fueling AHS’s journey to population health and addresses community need. • Budget is reflective and supportive of FY2020 AHS Operational plan developed with input and feedback from staff and clinicians. Budget Process: • Budget baseline volume model takes a regression analysis of prior year actual historical trends and adjusts based on qualitative input from department leaders. • Inclusive of all areas of AHS and involves input from physician leadership (Dyad) and operation leaders. • The Budget Oversight Committee is the vehicle by which justified adjustments are reviewed.

  4. FY20 Budget Target

  5. FY20 Budget – Income Statement as of 4/8/19

  6. Options for Trustees’ Consideration • Wage freezes to staff of various levels. • Benefits restructure • Furloughs (administrative, executive, etc.) • Eliminate all discretionary spending (meals, travel, etc.) • Continued efforts to standardize staffing • Reduction of SAPPHIRE scope (elimination of Post Acute sites) • Security coverage across campuses • Evaluate Sheriff’s contract • Review requested resources to support homeless shelter and difficult patient placement • Service reductions/eliminations of lower margin programs: • Alameda Primary care • Ob/Gyn • NICU • Other

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