1. (a) Population served. (Maximum sixty (60) points).

   1. (1) Uncompensated Care

      The Applicants shall be awarded points based on the amount of Uncompensated Care provided to patients, as reflected by the ratio between the number of Uncompensated Care encounters and the number of total patient encounters that were reported by each Applicant in its 2004 annual report on file with the Office of Statewide Health Planning and Development pursuant to Section 1216 of the Health and Safety Code.

      SCORING -- The Applicants shall be placed in one of three tiers based on the ratios as calculated by Authority Staff. The Applicants scoring in the upper tier shall receive fifteen (15) points. The Applicants scoring in the middle tier shall receive nine (9) points. The Applicants scoring in the lower tier shall receive zero (0) points.

   2. (2) Indigent Care

      The Applicants shall be awarded points based on the amount of care provided to Indigent patients (at or below 200% of the Federal poverty level) as reflected by the ratio between the number of Indigent patients and the number of total patients that are reported by each Applicant in its 2004 annual report on file with the Office of Statewide Health Planning and Development pursuant to Section 1216 of the Health and Safety Code.

      SCORING -- The Applicants shall be placed in one of three tiers based on the ratios as calculated by Authority Staff. The Applicants scoring in the upper tier shall receive fifteen (15) points. The Applicants scoring in the middle tier shall receive nine (9) points. The Applicants scoring in the lower tier shall receive zero (0) points.

   3. (3) Care to the Uninsured Populations

      The Applicants shall be awarded points based on the amount of care provided to the uninsured, as reflected by the ratio between the number of uninsured patient encounters and the number of total patient encounters that were reported by each Applicant in its 2004 annual report on file with the Office of Statewide Health Planning and Development pursuant to Section 1216 of the California Health and Safety Code.

      SCORING -- The Applicants shall be placed in one of three tiers based on the ratios as calculated by Authority Staff. The Applicants scoring in the upper tier shall receive fifteen (15) points. The Applicants scoring in the middle tier shall receive nine (9) points. The Applicants scoring in the lower tier shall receive zero (0) points.

   4. (4) Care to the Underserved Populations

      These areas include Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), or Medically Underserved Populations (MUPs).

      SCORING -- Applicants located in federally designated shortage areas shall receive ten (10) points.

   5. (5) Special Needs Populations

      Applicants must include third party statistical data to demonstrate the nature and severity of the special needs.

      SCORING -- Applicants who serve a Special Needs Population shall receive five (5) points.

2. (b) Proposed services. (Maximum fifty (50) points) (Points may be awarded under either (1) or (2) but not both.)

   1. (1) How well the proposed Project will expand services to the indigent, underinsured, and uninsured populations, which will be evaluated by the following:

      1. (A) Extent to which the proposed Project reflects a superior understanding and prioritization of community needs, community problems or barriers to accessing health care services within the community, that have been documented by third party sources. (Maximum twenty (20) points)
      2. (B) Amount and importance to community of new services that the Project proposes to provide. (Maximum twenty (20) points)
      3. (C) Extent to which Applicant justifies achievable and convincing outcomes, and methods that will effectively monitor and evaluate those outcomes. (Maximum ten (10) points)

   2. (2) If the Project will not result in net additional or new services to existing or new patients, how well the proposed Project will maintain or improve existing services to indigent, underinsured, and uninsured populations, which will be evaluated by the following: (Maximum forty (40) points)

      1. (A) Extent to which the proposed Project reflects a superior understanding and prioritization of community needs, community problems or barriers to accessing health care services within the community that have been documented by third party sources. (Maximum fifteen (15) points)
      2. (B) Amount and importance to community of services that the Project proposes to maintain that otherwise might be eliminated, or extent to which the proposed Project will improve existing services. (Maximum fifteen (15) points)
      3. (C) Extent to which Applicant demonstrates achievable and convincing outcomes, and methods that will effectively monitor and evaluate those outcomes. (Maximum ten (10) points)

   Each Applicant shall describe the proposed Project and provide supporting documentation that explains:

3. (c) Financial capacity. (Maximum 20 points).

   1. (1) The Total Net Assets of each Applicant shall be evaluated as follows:

      Total Net Assets

      Points

      Less than or equal to $250,000

      10

      $250,000-$500,000

      5

      $500,000-$750,000

      3

      $750,000 and above

      0

   2. (2) The Working Capital of each Applicant shall be evaluated as follows:

      Percent Of Project

      Points

      Less than or equal to 10%

      10

      11%-30%

      5

      31%-40%

      3

      41% and above

      0

   Authority Staff shall review each Applicant's 2004 Audited Financial Statements (or 2004 Federal Tax Form 990) and shall assign points based on the Total Net Assets and Working Capital of the Applicant.

4. (d) Project timeline/readiness/feasibility (Maximum of 35 points).

   1. (1) Authority Staff shall determine how well each Applicant demonstrates project timelines/readiness and feasibility based upon the following:

      1. (A) A Project timeline that includes the following (not scored, but required):

         1. 1. An expected start date (e.g., construction start date(s) and/or equipment purchase date(s)).
         2. 2. An expected completion date (e.g., construction completion date(s), acquisition completion dates, and/or equipment installation date(s)).
         3. 3. Problems anticipated in implementing the Project and how problems will be managed to ensure timely completion.

      2. (B) Project readiness after a review of all of the following: (Maximum twenty (20) points)

         1. 1. For all Projects with the exception of equipment acquisition Projects, each Applicant shall submit estimates of Project costs and evidence of property ownership or, if the property is leased by a Clinic, a copy of the lease agreement extends at least 5 years from the Completed Project date. The Applicant shall also provide building permits and/or executed construction contracts, if available. An Applicant with a Project that does not yet have an executed construction contract or building permit, but is actively in the process of obtaining one, shall provide a detailed statement that explains the status of obtaining the document.
         2. 2. For Projects that include the acquisition of real property, each Applicant shall submit a copy of an executed purchase and sale agreement/option agreement (or status of obtaining one) or other evidence of site control to the satisfaction of the Authority.
         3. 3. For equipment acquisition Projects, each Applicant shall submit a specific list of items and cost estimates of equipment or copies of invoices, and if applicable, cost estimates of equipment removal, installation and implementation.
         4. 4. If funding sources other than the Grant are required to complete the Project, each Applicant shall provide approval or commitment letters from the other funding sources, confirming that the funding is secured and available in accordance with the Project timeline and budget.

      3. (C) Whether implementation of the Project is feasible (Maximum 15 points.)

         1. 1. Each Applicant shall submit plans for Project implementation that includes credible staffing, operations and reimbursement figures. If the Project will result in an expansion of services, the Applicant shall provide an organization chart identifying key personnel for the expanded services.
         2. 2. Each Applicant shall submit a prepared feasibility study, funding letters or other documentation, such as the minutes of the Board of Director meeting in which the project was approved, to demonstrate that the Project will generate sufficient revenues to provide on-going support for new or expanded services and/or research programs. If revenues generated by the Project will be insufficient, the Applicant's revenues shall be sufficient as determined by Authority Staff to provide on-going support.
      4. (D) If the Authority Staff determines at its discretion that the Applicant does not demonstrate timeliness, readiness, or feasibility, applicant MAY NOT be eligible for grant funding.

5. (e) The sources and uses of funds (not scored but required):

   1. (1) The Applicant shall detail all sources of funds required to complete the proposed Project. Sources may include, but are not limited to, the total Grant request, borrowed funds, internal assets, and other sources. If the Project, or a portion of the Project, has been or will be submitted to other lenders or grantors for funding, the Applicant shall list them and the status of their consideration.
   2. (2) The Applicant shall detail the uses of all funds required to complete the proposed Project. The total uses shall not exceed the total of all available fund sources.

Authority Staff using a point system, with a maximum of 165 points, will evaluate Grant Applications. Authority Staff shall evaluate each Application Form based on the following criteria:

Note: Authority cited: Sections 15437 and 15438(d), Government Code. Reference: Sections 15438(q) and 15438.6, Government Code.

History

1. New section filed 11-28-2005 as an emergency; operative 11-28-2005 (Register 2005, No. 48). A Certificate of Compliance must be transmitted to OAL by 3-28-2006 or emergency language will be repealed by operation of law on the following day.

2. Amendment of subsections (a)(2) and (d)(1)(D) filed 12-14-2005 as an emergency; operative 12-14-2005 (Register 2005, No. 50). A Certificate of Compliance must be transmitted to OAL by 4-13-2006 or emergency language will be repealed by operation of law on the following day.

3. Repealed by operation of Government Code section 11346.1(g) (Register 2007, No. 11).

4. New section filed 3-13-2007; operative 3-13-2007 pursuant to Government Code section 11343.4 (Register 2007, No. 11).