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Laguna Honda reports revenue growth despite reduced census and operational challenges

December 19, 2023 | San Francisco City, San Francisco County, California


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Laguna Honda reports revenue growth despite reduced census and operational challenges
In a recent meeting, the City of San Francisco's Laguna Honda facility reported significant achievements in resident care despite a reduction in census numbers. Over the past year, the facility successfully served 849 individuals across 206,947 days, showcasing a strong commitment to providing high-quality, resident-centered care during challenging times.

Lily Conover, the Chief Financial Officer of Laguna Honda, presented a financial overview that highlighted a year-over-year revenue growth, even with a lower overall census. This increase was largely attributed to enhanced reimbursement rates for nursing facilities and a prior year settlement of $8 million, which helped offset the impact of fewer residents.

On the expenditure side, total costs rose due to recertification and registry expenses, which included consulting services and increased security and communication costs. The facility managed to cover these rising non-personnel costs through labor savings and a $24 million fund transfer from the Department of Public Health's network-wide savings.

Conover noted that Medi-Cal remains the primary payer source for the facility, with a slight shift observed in outpatient visits from Medi-Cal to Medicare, reflecting an increase in outpatient clinic volume. Despite the challenges, the facility anticipates maintaining a consistent payer mix for the upcoming fiscal year.

The discussions at this meeting underscore Laguna Honda's resilience and adaptability in providing essential services to the community, ensuring that even in the face of financial and operational challenges, the needs of residents remain a top priority. As the facility looks ahead, it aims to continue its focus on quality care and financial stability, aligning with broader community goals for health and well-being.

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