HomeMy WebLinkAboutPACKET Family Advisory Board 2022-12-01
December 1, 2022
3:30 p.m.
Room 202/203
1. Public Comment.
2. Liaison Report. Trustee Younglund
3. Minutes dated November 3, 2022. Board Consideration
4. Debrief and discussion on Family Listening
Sessions.
Board Discussion
5. EP Health Presentation. (Rescheduled from 11/03) EP Health Chairman Batey
and CEO Carda
6. Chair Report. Chair Brown
7. Key Takeaways & Follow Up. Board Discussion
Adjourn.
AGENDA
FAMILY ADVISORY BOARD
REGULAR MEETING
Town of Estes Park, Larimer County, Colorado, November 3, 2022
Minutes of a meeting of the FAMILY ADVISORY BOARD of the Town of
Estes Park, Larimer County, Colorado. Meeting held in Rooms 202/203 of
the Estes Park Town Hall in said Town of Estes Park on the 3rd day of
November, 2022.
Board: Chair Patti Brown, Vice Chair Nancy Almond, Members
Deanna Ferrell, Aleta Kazadi, Rut Miller, Jessica Moffett,
Nicole White, and Sue Yowell
Also Attending: Town Board Liaison Younglund, Assistant Town Administrator
Damweber, Interim Captain Life and Town Clerk Williamson
Absent: Rut Miller and Sue Yowell
Chair Brown called the meeting to order at 3:30 p.m.
PUBLIC COMMENT.
None.
LIAISON REPORT.
Trustee Younglund provided the Family Advisory Board with a brief update from the Town
Board meeting on October 25, 2022 stating the Board approved the rezoning of 21.8
acres of Town owned Fish Hatchery property from A-1 – Accommodations to RM –
Residential Multi-Family. The rezoning would allow the developer to bring forward a
development plan for a proposed workforce housing project. The Town Board heard a
proposal by the Fine Arts Guild for a performing arts complex on Town owned property
at the corner of Elm and Moraine.
MEETING MINUTES DATED SEPTEMBER 1, 2022 AND SPECIAL MEETING
MINUTES DATED SEPTEMBER 27, 2022.
It was moved and seconded (White/Almond) to approve the meeting minutes dated
September 1, 2022 and Special Meeting Minutes dated September 27, 2022, and it
passed unanimously.
CHAIR REPORT.
a. Member Recruitment: The Board discussed the two vacancies and the need to reach
out to segments of the community to diversify the membership, including working
with the American Legion, School District, EDC, Crossroads, Salud, Estes Park
Health, and the Latino community. Chair Brown would work with Terry
Rizzuti/American Legion and Vice Chair Almond to work with Brian
Schaffer/Crossroads to identify possible members from their organization. Chair
Brown to review translation options to assist with the involvement of the Latino
community.
b. Mental Health Article: The article completed by Member Ferrell was sent out through
the Town’s public information office. Discussion ensued on how to circulate the
article further, including sending it to those she spoke with for the article and through
the School District to parents. Member White would send the article to the School
District for dissemination.
c. The ARC of Larimer County Event: Chair Brown stated she attended the event;
however, it was not well attended. The Board discussed setting up a table at the
school to provide another community venue.
d. Mental Health Summit: Chair Brown stated Larimer County would hold a Mental
Health Summit on November 16, 2022 to discuss eliminating barriers, illuminating
partnerships, and preventing and responding to anxiety and depression with school
leadership, counselors and social workers, county and municipal leadership, and
community providers. Members were encouraged to attend the full day event in
Loveland.
Family Advisory Board – November 3, 2022 – Page 2
e. Miscellaneous Reports: 1) Interim Captain Polucha investigated a grant to fund a
co-responder and was not successful; however, he continues to meet with
SummitStone to discuss mental health issues. Assistant Town Administrator stated
he has been appointed to the Regional Opioid Abatement Council which plans to
direct funds to communities for co-responders. 2) SummitStone has hired a
replacement for the co-responder in Estes Park with a start date in December. 3)
OmniSalud, a new Salud program, that provides undocumented Coloradans with
affordable health insurance plans with income limitations through Colorado Option.
Member Ferrell would bringing additional information forward to the December
meeting. 4) EVICS to provide Spanish learning for K-5 on Thursdays from 3:45 pm
to 4:45 pm. 5) Mountaintop has begun a Spanish immersion program.
FAMILY LISTENING SESSIONS.
Chair Brown requested Members send out a message through their social media
channels to ensure participation by community members at the November 13, 2022
(English) and November 15, 2022 (Spanish) listening sessions at Falcon Ridge
Apartments Family Room. The discussions would focus on what are the things that make
Estes Park a strong community for families, and what could work better to make Estes
Park a stronger community for families. A brochure would be developed by Chair Brown.
EP HEALTH PRESENTATION.
Chair Brown stated the presentation would be rescheduled for the December meeting.
There being no further business Chair Brown adjourned the meeting at 4:50 p.m.
Jackie Williamson, Town Clerk
1
DRAFT
Estes Park Health Strategic Plan:
Providing Excellent Healthcare &
Preparing for a Sustainable Future
December 01, 2022
2
We Depend Upon Each Other
1. EPH Depends Upon Our Estes Valley Community
•To Come to EPH for Excellent Healthcare
•To Support EPH through EPH Foundation
•Property Tax Support Offsets About 6% of Operating
Expenses
2. Our Estes Valley Community Depends Upon EPH
•For Excellent Healthcare –Emergencies and Ongoing
•For Good Jobs and Economic Contributions
•Important Community Asset
3
National & EPH Healthcare Challenges
1. COVID Pandemic Impact
2. Severe Staffing Shortages
3. Dramatic Increases in Staffing and Contractor Costs
4. Inflation and Supply Chain Escalated Cost of Supplies
5. Ongoing Changes in Healthcare Services and Reimbursement
4
EPH 2022 Budget & 2023 Financial Outlook
Overall Budget Goals
1. Operating Income (Loss)
1.1 Target break-even on Operations
1.2 Aspire to three (3) percent positive margin
2. Non-Operating Income (Loss)
2.1 Target three (3) million-dollar contribution to capital
5
2022 Budget Forecast on Dec 2021
Projected 2022 Operating Loss of $7,055,192 Versus Goal of Break-Even
After Non-Operating Income Offsets, Projected Loss of $1,075,389 Remains
2021
Approved
Budget
2021 Actual
Projected
2022 Draft
Budget
Draft 2022
minus 2021
Actual
Projected
Total Patient Revenue 86,985,687 87,192,909 95,026,061 7,833,152
Contractual Adjustments & Bad Debt (37,838,774)(39,677,186)(42,999,293)(3,322,107)
Net Patient Revenue 49,146,913 47,515,723 52,026,768 4,511,045
Other Operating Revenue 469,650 655,682 629,500 (26,182)
Total Operating Revenue 49,616,563 48,171,405 52,656,268 4,484,863
Total Operating Expenses 53,789,224 54,553,446 59,711,461 5,158,015
Net Operating Income (Loss)(4,172,661)(6,382,041)(7,055,192)(673,151)
Net Non-Operating Income (Loss)2,922,600 14,058,982 5,979,903 (8,079,079)
Net Operating and Non-Operating Income (Loss)(1,250,061)7,676,941 (1,075,389)(8,752,230)
Gifts to Purchase Capital Assets 300,000 255,888 450,000 194,112
Increase (Descrease) in Net Assets (950,061)7,932,830 (625,289)(8,558,119)
ESTES PARK HEALTH
2022 DRAFT OPERATING BUDGET @ December 2021
6
2022 Budget Forecast on Dec 2021
Projected 2022 Federal Government COVID-19 Relief Funding is $2,752,500
Federal Government COVID-19 Relief Funding Is Ending and
Will Not Be Available to Offset Operations Loss in 2023
2021
Approved
Budget
2021 Actual
Projected
2022 Draft
Budget
Draft 2022
minus 2021
Actual
Projected
Non-Operating Revenues and Expenses
Property Tax Revenues 3,137,600 3,137,599 3,499,500 361,901
Interest Expense (396,000)(414,524)(402,597)11,927
Investment Income 88,500 43,131 55,500 12,369
Gain on Disposal of Capital Assets (10,000)(10,000)10,000
Noncapital Grants and Contributions 100,000 74,735 75,000 265
Other Net Non Operating (COVID Relief)2,500 11,228,041 2,752,500 (8,475,541)
Net Non-Operating Income (Loss)2,922,600 14,058,982 5,979,903 (8,079,079)
ESTES PARK HEALTH
2022 DRAFT OPERATING BUDGET @ December 2021
7
EPH’s Current Challenges
Financial Summary
1. Projected $7 Million Operations Loss in 2022
2. In 2023 COVID Relief Funds End, So Larger Losses Expected
3. Costs Increasing:
Increased Compensation To Be Competitive For Staff
Increasing Contract Staff Costs
Increasing Costs of Supplies
4. Result:Projected Financial Losses not Sustainable
Must Increase Revenues and Reduce Expenses
8
Strategic Planning Process, Objectives,
& Considerations
Process
Input from Medical Staff, Department Leaders,
Senior Leadership Team, Board of Directors
Strategic Planning Objectives:
Provide Excellent Healthcare Services Our Community Needs.
Programs Need to Support a Sustainable Future
Considerations:
High-Quality, Sustainable Healthcare
Community Healthcare Needs
Services in Successful Critical Access Hospitals
Assess Services Utilization, Best Practice Volumes & Staffing
Assess Positive Financial Contribution of Services
9
Proposed Strategic Actions
Administrative Support Function
1.Information Technology (IT) Optimization
2.Chargemaster Update
3.Revenue Cycle Process Optimization
4.On Call Housing
5.Workforce/Organization Optimization
10
Proposed Strategic Actions
Service Line Changes
6.Inpatient Pediatric Service Transition to a Partner
7.Obstetric Deliveries Service Transfer to a Partner
8.Home Health/Home Care/Hospice Transfer to a Partner
9.Chemotherapy Services Restart
11
Proposed Strategic Actions
Service Line Additions
10.Cardiac Rehabilitation Addition
11.Cardiopulmonary Rehabilitation Addition
12.Diabetic/Nutrition Education Service Addition
13. Electronic Intensive Care Unit (eICU) Service Addition
14.Medical Staff Development Planning
Outpatient Specialty Clinic & Community Needs
12
Mitigation Measures Impact Summary
Min Most Likely Max
1,031,000 1,401,320 2,474,896
2,880,000 3,835,000 4,646,000
3,911,000 5,236,320 7,120,896
Estimated EPH Revenue Increase and Expense Reduction Measures
Next 12 to 18 Months
Total All
Single Program Estimated Annual Financial
Impact
Total Revenue Increases
Total Expense Reductions
2022 & 2023
13
Background Materials
14
2014 to 2018 Financial Summary
1 2 3 4 5
Audited
End 2014
Audited
End 2015
Audited
End 2016
Audited
End 2017
Audited
End 2018
Total Operating Revenue 38,882,210 43,716,657 41,009,015 44,637,204 49,312,741
Total Operating Expenses 38,600,553 40,268,626 40,883,072 44,522,953 49,744,240
Net Operating Income (Loss)281,657 3,448,031 125,943 114,251 (431,499)
Net Non-Operating Income (Loss)1,892,941 1,697,562 2,090,817 2,540,049 2,888,666
Net Operating and Non-Operating Income (Loss)2,174,598 5,145,593 2,216,760 2,654,300 2,457,167
In Net Non-Operating Income (Loss)
Property Taxes 2,525,194 2,450,474 2,680,268 2,725,660 2,890,593
ESTES PARK HEALTH
Draft End-Year Financials
15
2019 to 2022 Financial Summary
6 7 8 9
Audited
End 2019
Audited
End 2020
Audited
End 2021
Draft Budget
2022
Total Operating Revenue 49,064,751 48,208,652 51,849,580 52,656,268
Total Operating Expenses 52,294,310 55,294,472 56,712,435 59,711,461
Net Operating Income (Loss)(3,229,559)(7,085,820)(4,862,855)(7,055,192)
Net Non-Operating Income (Loss)2,879,426 3,073,471 14,403,553 5,979,903
Net Operating and Non-Operating Income (Loss)(350,133)(4,012,349)9,540,698 (1,075,389)
In Net Non-Operating Income (Loss)
Property Taxes 2,896,027 3,254,488 3,284,513 3,499,500
Other (COVID Relief Funds)93,181 11,466,054 2,752,500
ESTES PARK HEALTH
Draft Edd-Year Financials