Instructions:
An outpatient safety net provider can use this worksheet to evaluate its financial risk relative to our sample of outpatient safety net providers. To complete it, acquire all the financial data shown in Table 1 and Table 2. Fill in each box with the information requested and do the calculations. If information is missing, either use an informed judgment as to the actual value or assume that the benchmark is met (i.e., the provider gets full points for that measure). If the resulting calculation yields more points than maximum in that category, only the maximum points are given.
NOTE: This financial risk assessment model does not substitute for informed professional judgment. The model serves only as an indicator of risk and does not consider the full range of issues that can affect a provider's financial viability. The financial reviewer bears ultimate responsibility for evaluating risk, and the model is only one of many tools for making that determination.
Return to Introduction
Return to Application and Modification of the Model
Return to Financial Risk Assessment Worksheet and Required Data