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San Joaquin County clinics report lower billable visits, favorable payroll variance in year-to-date finances

3027770 · April 17, 2025
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Summary

County clinics reported February billable visits below budget and year-to-date net income ahead of plan largely because payroll costs trended under budget; managers said hiring providers remains the key to improving patient-revenue performance.

At a meeting of the San Joaquin County Health Care Services Review Project Committee, clinic finance staff said billable visits for the county-run clinics were below budget for February and year to date, while overall net income was better than budget because of lower payroll costs.

Roshna Sharma, controller for SJ Health Centers, told the committee that February billable visits totaled 9,813 compared with a budgeted 13,049, an unfavorable monthly variance of 3,236 visits. Year to date through February, actual visits were 79,871 versus a budgeted 103,773, an unfavorable variance of 23,902 visits. Sharma said the budget includes about 24,215 visits attributable to positions that are budgeted but remain vacant; excluding those embedded visits would bring year-to-date visits roughly in line with budgeted productivity.

The net-income…

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