[PPT] - DRAFT 2017 1 We are your Safety Net for Emergency Services PowerPoint Presentation

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DRAFT

Community Outreach Community Outreach & & Gaining Your Input Gaining Your Input

2017 1

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We are your Safety Net for Emergency Services

(Treating 10,400 patients per year).

We are your ‘go to’ for Emergency Surgery

(131 patients had emergency surgery last year).

We deliver your babies, close to home.
We are your Ambulance Service provider

(doing 1,689 transfers per year).

We are your Home Health & Hospice provider

(having more that 100 patients on our list).

We are a 25 bed Hospital.
We provide care through 94,000 outpatient

encounters (i.e. visits) per year.

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In this location for more than 46 years.
We always have the doors open for you, 24/7/365.
We have 70 Physicians on Staff.
When you needed a specialist.
When you needed immediate Care instead of an ER

visit.

When our Community Health Needs Assessment

led us to improve cancer screening.

Recognizing our responsibility to address the

OPIOID crisis.

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Volunteering to be Accredited by the Joint

Commission.

Asking our Physicians to be in charge of Quality

Improvements.

Performing better than UVMC on recent healthcare

metrics.

Achieving a 3 Star CMS rating in 2017.
Naming North Coast Family Health Center (NCFHC)

a high performer in quality outcomes.

Improving our Patient Experience scores over 20%

in the past 24 months.

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Providing $2 million dollars of payroll to the

community every month.

Employing 320 of your neighbors.
Making a Positive Difference in health care on the

Mendocino Coast.

Working hard to improve all aspects of our

Emergency Department.

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80% of our patients’ insurance (MediCal/Medicare)

does not pay the cost of their care.

Unfortunately, the cost of providing care will

always be higher than what we are reimbursed by Medicare, Medi-Cal and Uninsured Patients.

Emergency Department shortfall was $728,000 last

year and $1.7 million the year prior.

Shortfall for OBGYN was over $1.5 million last year

and $1.2 million the year prior.

Only 4 departments in the Hospital have revenue

greater than expenses.

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MCDH Future “Big Ticket” Items
Existing Debt

12,056,294

Capital Needs

19,495,884

Geo Technical Study

75,000

Architect & Professional fees for Building

8,000,000

OSHPD fees for Building

1,280,000

Replacement Facility

80,000,000

TOTAL

120,857,178

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Mendocin cino Co Coast D District rict Ho Hospital ital So Sonoma Va Valley lley Ho Hospit ital al He Heald aldsburg D rg District rict Ho Hospital ital MCDH MCDH SVH SVH HDH DH $0 $0 Parcel Parcel Tax Tax $195 $195 Parcel Parcel Tax Tax $150 $150 Parcel Parcel Tax Tax

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9 2017 2017

MCDH - MCDH - Estimat stimate SVH VH - Estima stimate HDH DH - Estim stimate Net Revenues $ 53,403,299 $ 57,359,132 $ 45,000,000 Operating Expenses $ (53,928,768) $ (61,720,170) $ (47,000,000) Operating Income (Loss) $ (525,469) $ (4,361,038) $ (2,000,000)

0.98%
7.60%
4.44%

PARCEL TAX INCOME $ - $ 2,949,529 $ 3,375,000

2016 2016

MCDH - MCDH - Audit udit SVH SVH - Audit Audit HDH DH - Audit udit Net Revenues $ 53,856,371 $ 55,013,096 $ 44,095,112 Operating Expenses $ (51,740,800) $ (58,352,771) $ (45,809,315) Operating Income (Loss) $ 2,115,571 $ (3,339,675) $ (1,714,203) 3.93%

6.07%
3.89%

PARCEL TAX INCOME $ - $ 2,967,517 $ 3,358,819

2015 2015

MCDH - MCDH - Audi udit SVH SVH - Audi Audit Audi udit-201 015 Net Revenues $ 47,655,251 $ 51,394,060 $ 41,757,093 Operating Expenses $ (51,016,118) $ (55,073,510) $ (43,494,172) Operating Income (Loss) $ (3,360,867) $ (4,679,450) $ (1,737,079)

7.05%
9.11%
4.16%

PARCEL TAX INCOME $ - $ 2,924,785 $ 3,383,671

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PARCEL TAX
Approximately 12,000 Parcels, estimated revenue,

potentially limited number of years (requires 66.7% voter approval)

BOND FINANCING
$80 Million total authorization, projected annual

tax rate of $100 per $100,000 of taxable value (requires 66.7% voter approval)

AFFILIATION
Strengths/Weaknesses
Significant community engagement and a vote of

the District required

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11 (1) Open E nded Parcel Tax (2) S ingle Parcel Tax for S pecific Uses (3) Multiple Parcel Tax Measures (4) '$10-$10-$60' GO Bond Voter Approval Required Amount of Proceeds To be determined $80 Million from 2018 to 2024 Cost to Taxpayers To be determined $100 per $100,000

f Assessed Value annually

Timing of Funds First series could be issued approximately six months after election Potential Uses Many Potentially E R AND OB Many Capital facilities Benefits Revenue supplement to

perating budget

S ustain and improve E R AND OB To be determined Offset expected and unexpected capital needs, short and long term Other Considerations Challenging without specifying services to be funded Potentially too high of a required tax rate to meet needs Diminished enthusiasm for each measure and more challenging for voters to vote 'YE S ' twice May be too large a number AND does not directly create revenue Two-Thirds Likely received twice a year, after tax has been levied, typically beginning in December $1,080,000 to $1,800,000 annually $90 to $150 per parcel annually

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PROCESS
Planning committee work
Community meetings with stakeholders and

local organizations

Gauge opinion of residents up and down the

Mendocino Coast

District Survey (support for parcel tax, bond)
Board makes decision

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Ongoing Community Contact Potential Plans are Shared with Board & Community Prepare & Conduct Additional, More Detailed Voter Opinion Survey Board Submits Ballot Argument & Rebuttal, if Required Volunteer Committee Conducts Campaign County Issues Vote by Mail (VBM) Ballots Election Day: J une 5th, 2018

Oct Nov Dec J an Feb Mar April May J une

*Certain ballot measures require additional public notice and hearing prior to adoption of the Resolution. Also, Mendocino County Registrar of Voters often requires the Resolution itself at least 10 days in advance of E-88, and should be consulted the moment the District officially begins considering calling an election

Board Adopts Resolution Calling Election (Due to County at Least 88 Days Prior to Election Day: March 9th, 2018*)

MENDOCINO COAST DISTRICT HOSPITAL UPDATED Potential Ballot Measure Election Timeline: J une 5th, 2018 2017 2018

Series of Press Releases about the Hospital Presentations to Community Groups About Challenges & Options Conversations with Major Stakeholders & Other Residents Continue Assessing Fiscal Needs (Budgetary & Capital) & Options (Parcel Tax, Bond, Both, Etc.) Develop Potential Plans Finalize Plan Present to Board & Community Conduct Further Community Meetings to Review & Gather Input Present Voter Opinion Survey Results to Board Amend and Refine Plan, if Required

Already Ongoing