Mosaic Center for

Behavioral Health
Pima Medical Institute
January 20, 2016
Monique Foster

Mission Statement
Mosaic Behavioral Health
Center strives to provide the
best quality care in behavioral
health through individually
designed therapeutic
approaches and developing
the tools through treatment in
order to support the
masterpiece and the potential
of each human life.

Executive
Summary

 MCBHs focus: provide

behavioral health services

specialized in pediatric
care.

We will work to create a

therapeutic alliance with

clients and families, clinics,
CHCO free standing
hospital in COS, school
districts, Military base and
the community to improve
the mental health of
children.

S.W.O.T.
Analysis
Mosaic Center for Behavioral Health

The S.W.O.T Analysis will discuss the Strengths, Weaknesses,

Opportunities and Threats identified for MCBH. The business is in its
infant stages and the SWOT will allow us to strategically plan and
continue to grow.
Looking at the following slides it is important to understand what
makes Colorado Springs unique and in need of pediatric behavioral
health programs. The city has a large military presence that work
both for and against growth. With families constantly moving to the
three local military bases and also being transferred out, the
population is in a constant ebb and flow and services will be
accessed and transferred to other facilities outside of the region.
Making this both strength and weakness to business growth which is
illustrated in the next slide.

Strengths
Relatively untapped market
Behavioral health; increased focus
Increase market share delivering
seamless access models to providing the
right care at the right time and at the
right place
Increased access to care due to
Affordable Care Act.
Weaknesses
Payer mix is weighted to the
governmental sector and away from
private insurance.
Transient population
Accessibility limited due to
insurance or payer constraints.
Limited Board Specialized pediatric
mental health providers.

Colorado Springs is located in the southern region of CO and MCBH

will grow with the population and serve the outer communities as well.
There is opportunity to receive Foundational support to help offset the
revenue brought in by insurance reimbursements. With the current
state of limited resources, families will look to our services because
MCBH is the only facility solely working with pediatric behavioral
health diagnoses. MCBH is committed to working toward improving
the extremely high suicide rates that affect the communitys youth.
With the recent announcement of Childrens Hospital Colorado being
built and scheduled to open in 2018, MCBH has yet another
opportunity to receive referrals from a large pediatric provider. Our
largest threats are the constraints involving managed care insurance
programs, the Cedars Springs day program for youth and the
potential for other healthcare facilities expanding their services to
include behavioral health services to the pediatric population. The
next slide highlights our perceived Opportunities and Threats.

Opportunities
New Childrens Hospital being built
Untapped market
Southern Colorado region and
neighboring states such as New
Mexico
Colorado Springs is a continued
growing community with a growth
of 25% under the age of 18 years.
Identify foundational support for
reoccurring revenue to offset
Threats
decrease in insurance
reimbursement.
Other health care facilities offering

expanded mental health services.

Cedars Springs day facility
Transient and military population
Managed care and insurance
constraints

Healthcare Markets
Continue to Evolve:
Demand for specialized
care in Pediatric
Behavioral Health
Diversify the way
behavioral health care is
delivered
Develop new awareness
within the community
Optimize current
available resources
El Paso County Health Indicators Report 2012

Suicide is ranked as the second highest cause of death in

adolescence in the state of CO. Males being more
successful than females. Many either have made a plan,
had suicidal ideations, or engage in other risky behaviors.
What is the preceptor to suicide?
Several factors play into suicidal tendencies and
ideations. Many of our youth who have participated in the
Youth Risk Behavior Survey report that they suffered
from: a disciplinary crises, interpersonal loss,
interpersonal conflict, humiliation and shame. These
factors resulted in the feeling or being depressed,
isolating, acting impulsively, exhibiting aggression/anger,
feeling hopeless (Colorado Trust, 2015, pg 5), abusing
alcohol and drug along with other risky behaviors.

El Paso County Health Indicators Report 2012

Many of our youth go
undiagnosed and
untreated due to the lack
of available Behavioral
health care options.

Youth Risk Behavior Survey:

Personal Conflict
Anxiety
Depression
Isolating
Anger/aggression
Hopelessness

Organizational
Chart
Mosaic Center for Behavioral Health

Board of Directors

Chief Financial
Officer

Human Resources

Payroll

Employee Benefits

Accounts Payable/
Receivable

Chief Executive
Officer

Clinical General
Management

Clinic Supervisors

Clinical Staff

Client Services
Staff

Quality
Management

Privacy officer

HIPAA Compliance
Officer

Products and
Services

MCBH Incorporates various types of therapeutic treatment which allows

us to be patient focused and apply treatment options that work for the
individual. This approach sets MCBH apart from other options by placing
clientele together with others who suffer from the same diagnosis and are
in the same developmental stages. Individualized care also offers one on
one care and family therapeutic resources to strengthen the family unit
and broaden the tool parents need to support their child and their family.

Therapy

One on One talk therapy

Cognitive Behavioral Therapy
Interpersonal Therapy
Play Therapy
Art therapy
Sand play therapy
Directive Techniques
Developmental Play Therapy
Eye Movement Desensitization
Reprogramming

Family & Group Therapy

Interactive Child Group sessions
Sibling Support Groups
Family Sessions
Parent Support Groups
Adolescent Support Groups

Marketing
Strategies
Advertising Visual
Aids

Marketing and advertising strategies will include radio ads, the use of signage
and billboards as well as handing out free promotional items during youth
group outings, school assemblies, health fairs and when we meet with local
physician offices.
Roadside billboards will be strategically placed on highways, city street and
buses to provide a visual presence to the community. They will be placed on
routes which families may travel such as on main city streets that lead to
schools, parks and other recreational sites. Each billboard will emphasize our
motto, provide our location and website address, as well as our phone number.
We will use physician office visits or luncheons in the beginning to introduce
ourselves and the services the facility has to offer. Promotional items can be in
the form of pens, t-shirts, frisbees, bouncing balls, and lanyards etc. and these
items will be handed out at our advertising and marketing events.

Billboards, Radio spots, Google advertising, promotional items, health

fairs, luncheons with pediatric and family practice clinics, school
assemblies, Youth Group outreach.

Building
relationships with
Youth Groups
We will create relationships with
the YMCA, local youth groups
and Resource Officers to gain
more referrals and establish
trusting relationships with local
adolescents. Teaching the
importance of friendships,
recognizing when you might
need safe place to talk and a
safe person to talk to.

Visiting Schools
We will visit school and
participate in educational
assemblies about bullying, the
affects of bullying and teaching
ways to cope with feelings. We
will pass out goodies like: balls,
pens, tablets, pencils balloons
and t-shirts with our name and
contact information

Budget
Mosaic Center for Behavioral Health

The first years projected operating revenue shows an increase as the year goes
on and we grow in our patient numbers. The operating expenses compared
against the operating revenue shows a first year profit of $22,402. While this is
a minimal profit margin we are hopeful that it will increase as the facility gains
momentum and we continue to grow in patient volume into the second year of
business.
The next slide demonstrates this trend in growth and illustrates what revenue
looks like as we see maximum client numbers in November and December.

Jan
Operating Revenue
Payer #1 State Mental Health
Authority
Payer #2 Private Insurance
Payer #3 Other Insurance(tricare/
Federal funded)
Payer #4 Medicaid
Payer #5 Cash (co-pays; self
pay)
Total Operating Income

Feb

8280

8280

Mar

8280

Apr

May

8280

8280

20800 23088 27040 30160

34113

Jun

Sep

Oct

Nov

Dec

8280

8280

41184 44304 50440

56264

63544

66040

800

700

500

500

11076 12610

14066

15886

16510

16510 130754

11700 13050 14760 17820 19170 21825

24345

27495

28575

28575 226305

500

500

5200

5772

6760

7540

9000

9990

800

1600

8528 10296

1600

8280

Total

8280

300

8280

Aug

8280

8280

Jul

99360

66040 523017
500

8300

987736

 We make the assumption that the facility will continue to grow as

the population continues to grow along side us.
Colorado Springs has a deficit in providers for pediatric behavioral
health and MCBH works to fill this gap to meet the needs of the
community.
The need for behavioral health will increase as the population
continues to increase

Operating expenses include loan repayment in the amount of $1,389 over a

6 year term. A large expense occurs in marketing and advertising in the
beginning stages to ensure that we become a prominent facility and so that
we can brand our name. These expenses will lessen as we become better
known in the community. Office supplies will also be a costly expenditure
during the first month in order to create facility emblem, stationary and
business as well as flyers to be handed out at health fairs, school offices and
other child friendly environments. Projected expenses also includes wages
for staff and physicians based on an 8 hour work day and is set at the
maximum level of payout so that we offer ourselves the opportunity to save
in this area when scheduling of patients dictates when it is appropriate to
cut back on hours.
The next slide illustrates the first years budget for operating expenditures.

EXPENSES
Operating Expenses
Salaries and Wages
Contract Labor
Loan Payment (Must be filled
in)
Accounting and Legal Services
Advertising
Dues and Subscriptions
Employee Training
Housekeeping Expense
Insurance (malpractice
insurance)
Maintenance and Repairs
Office Supplies
Postage
Rent Expense - Building
Taxes and Licenses
Telephone/Internet Provider
Utilities (included in rent)
Total Operating Expenses

70,128 70,128 70,128 70,128 70,128 70,128 70,128 70,128 70,128 70,128 70,128 70,128 841,536
1,389
641
2,425
10
1,000
427

1,389
641
2,425
10
427

1,389
641
1,400
10
427

1,389
1,640
1,400
10
1,000
427

1,389
641
1,400
10
427

1,389
641
1,700
10
427

1,389
641
1,000
10
1,000
427

1,389
641
1,000
10
427

1,389
641
1,000
10
427

1,389
641
1,400
20
1,000
427

1,389
641
1,400
20
427

1,389
641
236
20
427

16,668
8,686
16,786
150
4,000
5,122

375
1,000
3,000
35
2,668
1,242
270

375
1,000
500
35
2,668
1,242
270

375
800
250
35
2,668
1,242
270

375
800
250
35
2,668
1,242
270

375
800
500
140
2,668
1,242
270

375
700
500
35
2,668
1,242
270

375
700
500
35
2,668
1,242
270

375
800
250
35
2,668
1,242
270

375
800
200
35
2,668
1,242
270

375
800
200
35
2,668
1,242
270

375
1,000
250
140
2,668
1,242
270

375
1,000
500
35
2,668
1,242
270

4,500
10,200
6,900
630
32,010
14,906
3,240
965,334

 Staffing
Amount of patients we are able to treat
Dependency on timely insurance reimbursement
Access to grants
Aggressive low cost marketing (using referrals from other clinics)

Summary

MCBH is equipped to see a maximum of 640 patients per

month. That means we have availability to schedule 32 patients
for 45 minutes per day with 2 psychiatrists and 2 psychologists.
Individual and family sessions will run for 45 minutes each and
evening group sessions will run for 60 minutes. Our approach is
individualized care meeting the needs of the patient and their
families. Amount of visits per week and month will be derived
from the needs of the patient and the complexity of the
diagnosis.
MCBH offers a unique approach to behavioral health and
estimates that we will meet our maximum scheduling
capabilities by the end of the first year of business.

MCBH limitations require that the staff work diligently in order to

use financial resources wisely. Marketing strategies will taper down
after the first three months and we will work aggressively from the
start to build connections and relationships with the surrounding
pediatric and family clinics as well as with community and outlying
youth groups, YMCAs, school districts and various health fairs to
continue to advertise and brand the facilitys name and services
provided. MCBH will also be aggressive in acquiring access to state
funded grants and other state funded programs so that we can
provide excellent behavioral health care, at the right time, in the
right place and for as many children and families as possible.

We project that in the beginning the clinic will have 200 total visits for the
month of January bringing in $43,280 in revenue and grant money. We also
anticipate that once we are established we will meet our maximum of 640
visits per month by November which will increase our revenue to $119,905.
This is dependent upon referrals, successful marketing and advertising, and
excellent patient care. These figures will increase in May and June because
our facility offers summer programs to include peer to peer groups, family
focused therapy, implementation of health fairs and specialized treatment
curriculums.

Mosaic Center for Behavioral Health will provide a brick and mortar
clinic specializing in pediatric behavioral services. The facility will
meet the needs of the vulnerable and underserved pediatric
population within Colorado Springs and its surrounding communities.
We aim to provide early intervention and decrease the number of
suicide attempts due to unrecognized behavioral health disorders.
With the high rates of teen suicide, depression, anxiety and feeling of
hopelessness MCBH aims to to provide early intervention and lower
these stats. Together with the community we can and will strengthen
families, have a positive affect on behavioral health and offer a safe
place to treat the right patients, at the right time and in the right
place. Together we will gain the tools to change the perception of
behavioral health.

LinkedIn
https://www.linkedin.com/in/
moniquefosterrmabshca

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Colorado Health Foundation. (2010). Workforce Colorado. Retrieved from
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bhWorkforceColorado2010.pdf

Reference:
Department of Public Health and Environment. (2014). Colorado
Secretary of State. Retrieved from
http://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=5698
Forbes/Leadership, & Morgan,J. (2015, July 8). The 5 Types Of
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Harris and Williams Middle Market. (2014, September). Harris and
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default/files/content/
hcls_behavioral_health_industry_overview.pdf
Health facilities licensure, certification and registration | Department of
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