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Operations

People, experience, and operational health across Impact Healthcare.

Budget Performance

Actual dollars and % of revenue vs. 2026 budget for each expense bucket. Portfolio budget is revenue-weighted across selected agencies.

Combined

7 agencies • $10,540,623 revenue in range

BucketActualBudgetVariance
Direct Labor$5,067,176 (48.1%)$4,786,722 (45.4%)$280,454 (+2.7 pp)
Direct Other$1,232,355 (11.7%)$922,244 (8.7%)$310,111 (+2.9 pp)
Indirect Labor$2,918,274 (27.7%)$2,698,206 (25.6%)$220,068 (+2.1 pp)
Indirect Other$886,027 (8.4%)$857,206 (8.1%)$28,821 (+0.3 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$1,902,151 / mo$1,740,605 / mo$161,545

A Plus

2 mo • $2,065,386 revenue

BucketActualBudgetVariance
Direct Labor$1,022,547 (49.5%)$960,404 (46.5%)$62,142 (+3.0 pp)
Direct Other$254,728 (12.3%)$227,192 (11%)$27,536 (+1.3 pp)
Indirect Labor$470,697 (22.8%)$444,058 (21.5%)$26,639 (+1.3 pp)
Indirect Other$144,502 (7.0%)$165,231 (8%)$20,729 (-1.0 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$307,599 / mo$359,001 / mo$51,401

Crossroads Bay Area

2 mo • $1,080,868 revenue

BucketActualBudgetVariance
Direct Labor$629,102 (58.2%)$508,008 (47%)$121,094 (+11.2 pp)
Direct Other$96,297 (8.9%)$75,661 (7%)$20,637 (+1.9 pp)
Indirect Labor$331,845 (30.7%)$291,834 (27%)$40,011 (+3.7 pp)
Indirect Other$114,416 (10.6%)$97,278 (9%)$17,138 (+1.6 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$223,131 / mo$171,857 / mo$51,274

Crossroads Vallejo

2 mo • $908,180 revenue

BucketActualBudgetVariance
Direct Labor$457,639 (50.4%)$417,763 (46%)$39,876 (+4.4 pp)
Direct Other$37,495 (4.1%)$63,573 (7%)$26,078 (-2.9 pp)
Indirect Labor$269,806 (29.7%)$236,127 (26%)$33,679 (+3.7 pp)
Indirect Other$77,903 (8.6%)$72,654 (8%)$5,249 (+0.6 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$173,854 / mo$170,631 / mo$3,223

Forest Park

2 mo • $979,260 revenue

BucketActualBudgetVariance
Direct Labor$425,083 (43.4%)$421,082 (43%)$4,001 (+0.4 pp)
Direct Other$133,077 (13.6%)$117,511 (12%)$15,566 (+1.6 pp)
Indirect Labor$254,639 (26.0%)$235,022 (24%)$19,616 (+2.0 pp)
Indirect Other$53,636 (5.5%)$78,341 (8%)$24,705 (-2.5 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$154,138 / mo$137,406 / mo$16,732

HCC

2 mo • $1,034,403 revenue

BucketActualBudgetVariance
Direct Labor$459,205 (44.4%)$444,793 (43%)$14,411 (+1.4 pp)
Direct Other$94,283 (9.1%)$93,096 (9%)$1,187 (+0.1 pp)
Indirect Labor$293,140 (28.3%)$299,977 (29%)$6,837 (-0.7 pp)
Indirect Other$68,321 (6.6%)$82,752 (8%)$14,431 (-1.4 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$180,731 / mo$165,036 / mo$15,695

Los Robles LA

2 mo • $4,157,744 revenue

BucketActualBudgetVariance
Direct Labor$1,899,474 (45.7%)$1,870,985 (45%)$28,489 (+0.7 pp)
Direct Other$604,689 (14.5%)$332,620 (8%)$272,070 (+6.5 pp)
Indirect Labor$1,092,377 (26.3%)$1,081,013 (26%)$11,363 (+0.3 pp)
Indirect Other$332,852 (8.0%)$332,620 (8%)$233 (+0.0 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$712,614 / mo$658,542 / mo$54,072

Los Robles San Diego

2 mo • $314,782 revenue

BucketActualBudgetVariance
Direct Labor$174,127 (55.3%)$163,687 (52%)$10,441 (+3.3 pp)
Direct Other$11,785 (3.7%)$12,591 (4%)$806 (-0.3 pp)
Indirect Labor$205,772 (65.4%)$110,174 (35%)$95,598 (+30.4 pp)
Indirect Other$94,396 (30.0%)$28,330 (9%)$66,066 (+21.0 pp)
Indirect Spend Ceiling2026-Q2 (Apr–Jun)$150,084 / mo$78,133 / mo$71,951

Rank of Opportunities

Sorted by largest unfavorable dollar variance vs. budget. Positive variance = over budget (opportunity). Negative variance = under budget (favorable).

#AgencyCategoryActualBudgetVariance
1Los Robles LADirect Other$604,689 (14.5%)$332,620 (8%)$272,070
2Crossroads Bay AreaDirect Labor$629,102 (58.2%)$508,008 (47%)$121,094
3Los Robles San DiegoIndirect Labor$205,772 (65.4%)$110,174 (35%)$95,598
4Los Robles San DiegoIndirect Other$94,396 (30.0%)$28,330 (9%)$66,066
5A PlusDirect Labor$1,022,547 (49.5%)$960,404 (46.5%)$62,142
6Crossroads Bay AreaIndirect Labor$331,845 (30.7%)$291,834 (27%)$40,011
7Crossroads VallejoDirect Labor$457,639 (50.4%)$417,763 (46%)$39,876
8Crossroads VallejoIndirect Labor$269,806 (29.7%)$236,127 (26%)$33,679
9Los Robles LADirect Labor$1,899,474 (45.7%)$1,870,985 (45%)$28,489
10A PlusDirect Other$254,728 (12.3%)$227,192 (11%)$27,536
11A PlusIndirect Labor$470,697 (22.8%)$444,058 (21.5%)$26,639
12Crossroads Bay AreaDirect Other$96,297 (8.9%)$75,661 (7%)$20,637
13Forest ParkIndirect Labor$254,639 (26.0%)$235,022 (24%)$19,616
14Crossroads Bay AreaIndirect Other$114,416 (10.6%)$97,278 (9%)$17,138
15Forest ParkDirect Other$133,077 (13.6%)$117,511 (12%)$15,566
16HCCDirect Labor$459,205 (44.4%)$444,793 (43%)$14,411
17Los Robles LAIndirect Labor$1,092,377 (26.3%)$1,081,013 (26%)$11,363
18Los Robles San DiegoDirect Labor$174,127 (55.3%)$163,687 (52%)$10,441
19Crossroads VallejoIndirect Other$77,903 (8.6%)$72,654 (8%)$5,249
20Forest ParkDirect Labor$425,083 (43.4%)$421,082 (43%)$4,001
21HCCDirect Other$94,283 (9.1%)$93,096 (9%)$1,187
22Los Robles LAIndirect Other$332,852 (8.0%)$332,620 (8%)$233
23Los Robles San DiegoDirect Other$11,785 (3.7%)$12,591 (4%)$806
24HCCIndirect Labor$293,140 (28.3%)$299,977 (29%)$6,837
25HCCIndirect Other$68,321 (6.6%)$82,752 (8%)$14,431
26A PlusIndirect Other$144,502 (7.0%)$165,231 (8%)$20,729
27Forest ParkIndirect Other$53,636 (5.5%)$78,341 (8%)$24,705
28Crossroads VallejoDirect Other$37,495 (4.1%)$63,573 (7%)$26,078