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H H S Department of Health and Human Services
Health Resources and Services Administration
Primary Care: The Health Center Program

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Financial Costs

State Summary for Michigan for 2008

29 Grantees

ServicesAccrued Cost
(a)		Allocation of Facility and Administration
(b)		Total Cost After Allocation of Facility and Administration
(c)
Financial Costs for Medical Care
1.Medical Staff83,053,722 45,415,514 128,469,236 
2.Lab and X-ray4,836,840 2,239,290 7,076,130 
3.Medical/Other Direct16,221,416 8,156,538 24,377,954 
4.Total Medical Care Services (Sum lines 1-3)104,111,978 55,811,342 159,923,320 
Financial Costs for Other Clinical Services
5.Dental27,891,221 13,698,573 41,589,794 
6.Mental Health3,019,662 1,452,384 4,472,046 
7.Substance Abuse488,513 211,434 699,947 
8a.Pharmacy not including pharmaceuticals8,432,548 4,910,153 13,342,701 
8b.Pharmaceuticals17,736,951  17,736,951 
9.Other Professional6,671,356 2,272,372 8,943,728 
10.Total Other Clinical Services (Sum lines 5-9)64,240,251 22,544,916 86,785,167 
Financial Costs of Enabling and Other Program Related Services
11a.Case Management4,392,270  4,392,270 
11b.Transportation526,933  526,933 
11c.Outreach2,459,280  2,459,280 
11d.Patient and Community Education2,112,381  2,112,381 
11e.Eligibility Assistance1,480,357  1,480,357 
11f.Interpretation Services642,740  642,740 
11g.Other Enabling Services1,042,508  1,042,508 
11.Total Enabling Services Cost (Sum lines 11a-11g)12,656,469 6,607,741 19,264,210 
12.Other Related Services3,851,376 1,637,597 5,488,973 
13.Total Enabling and Other Services (Sum lines 11-12)16,507,845 8,245,338 24,753,183 
Overhead and Totals
14.Facility18,210,559   
15.Administration68,391,037   
16.Total Overhead (Sum lines 14-15)86,601,596   
17.Total Accrued Costs (Sum lines 4+10+13+16)271,461,670  271,461,670 
18.Value of Donated Facilities, Services and Supplies  6,889,499 
19.Grand Total including Donations (Sum lines 17-18)  278,351,169 


ServicesDirect Accrued Cost (a)Loaded Cost (c)
Includes Overhead
% of Category% of Total% of Total
Financial Costs for Medical Care
1.Medical Staff79.8% 30.6% 47.3% 
2.Lab and X-ray4.6% 1.8% 2.6% 
3.Medical/Other Direct15.6% 6.0% 9.0% 
4.Total Medical Care Services (Sum lines 1-3)100.0% 38.4% 58.9% 
Financial Costs for Other Clinical Services
5.Dental43.4% 10.3% 15.3% 
6.Mental Health4.7% 1.1% 1.6% 
7.Substance Abuse0.8% 0.2% 0.3% 
8a.Pharmacy not including pharmaceuticals13.1% 3.1% 4.9% 
8b.Pharmaceuticals27.6% 6.5% 6.5% 
9.Other Professional10.4% 2.5% 3.3% 
10.Total Other Clinical Services (Sum lines 5-9)100.0% 23.7% 32.0% 
Financial Costs of Enabling and Other Program Related Services
11a.Case Management26.6% 1.6% 1.6% 
11b.Transportation3.2% 0.2% 0.2% 
11c.Outreach14.9% 0.9% 0.9% 
11d.Patient and Community Education12.8% 0.8% 0.8% 
11e.Eligibility Assistance9.0% 0.5% 0.5% 
11f.Interpretation Services3.9% 0.2% 0.2% 
11g.Other Enabling Services6.3% 0.4% 0.4% 
11.Total Enabling Services Cost (Sum lines 11a-11g)76.7% 4.7% 7.1% 
12.Other Related Services23.3% 1.4% 2.0% 
13.Total Enabling and Other Services (Sum lines 11-12)100.0% 6.1% 9.1% 
Overhead and Totals
14.Facility21.0% 6.7%  
15.Administration79.0% 25.2%  
16.Total Overhead (Sum lines 14-15)100.0% 31.9%  
17.Total Accrued Costs (Sum lines 4+10+13+16)100.0% 100.0% 100.0% 
18.Value of Donated Facilities, Services and Supplies (as % of direct costs – line 17)  2.5% 

Percents may not equal 100% due to rounding