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HomeMy WebLinkAboutMINUTES - 12061983 - T.1 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA DATE: December 6, 1983 MATTER OF RECORD SUBJECT: Presentation by Donald L. Bouchet, County Auditor-Controller, relating to County finances. Donald L. Bouchet, County Auditor-Controller, appeared before the Board this day to discuss the impact of the Health Services Department deficit on the total County financial picture; and Mr. Bouchet reiterated the information .detailed in his November 28, 1983, memorandum to the Board (a copy of which is attached hereto and by reference incorporated herein) ; and ilr. A. P . Lomeli, County Treasurer-Tax Collector, appeared and explained how the County's credit rating could be affected by the County' s cash flow problems; and Following comments by Board members , the Board approved the recommendations of its Finance Committee as set forth in the following order. 002 RECEIVED Office of J ]D.P,,, COUNTY AUDITOR-CONTROLLER Contra Costa County „!r; Martinez, California U _? 1983 J. R. OLS:UN November 28, 1983 CLERK BOAPD 0.= SUPc'RVI CONTR COSTA CO. B .. TO: Supervisors Tom Powers, Nancy C. Fanden, Robert I. Schroder, Sunne Wright McPeak and Tom Torlakson FROM: Donald L. Bouchet, Auditor-Controller SUBJECT: Hospital Enterprise Fund Deficit This is a follow up to Mr. Wingett's memorandum to me dated November 18, 1983, subject "Projected Health Services Department Deficit". That memo states ". . . it is our intention to reduce expenditures and increase revenues to the extent necessary to achieve a balanced fiscal condition at the end of the fiscal year." It is extremely important that the County take immediate steps to eliminate the $10 to $11 million shortfall this fiscal year for two reasons: (1) cash flow problems, and (2) legal budget act requirements. (1) Cash flow. My staff has modified the monthly cash flow projection for F.Y. 1983-84 (which was developed for the rating agencies) to reflect the projected hospital enterprise funds "deficit" of $10 to $11 million which was discussed in Mr. Wingett's November 14, 1983 letter to the Board. Since that deficit arises because expenditures exceed revenues, the cash flow deficit increases accordingly. The revised cash flow indicates that unless action is taken to reduce expenditures and/or increase revenues, the Treasurer would probably have to register County warrants (instead of cashing them) in May 1984. At that time the County would have already intrifund borrowed all there is in the self-insurance reserve funds (approximately $18,000,000) and there is no other legal source of borrowing since the contracts for our $64,000,000 borrowing program forbid interfund borrowing (i.e. from other funds in the Treasury besides the County's own self-insurance reserves). Furthermore, such a condition would be fiscally unsound since it would eliminate any safety margin for unforseen fluctuations in cash flow and/or self-insurance payouts. (2) Legal Budget Act Requirements. The County Budget Act requires a balanced County Budget. It is not completely clear as to how the Budget Act requirements apply to enterprise fund financing. However, it is my "judgement that the same requirements -- i.e. for a balanced 'budget -- also apply to enterprise funds. Otherwise the logic and purpose of the budget act could be circumvented. with disastrous long range results. Although enterprise fund deficits can occur through failure to realize estimated revenue (as was the case in F.Y. 1982-83), an entity cannot knowingly have a deficit budget. This is why steps must be taken immediately to correct that deficit in the remaining months of this fiscal year. 003 • •Supervisors Tom Powers, .Nancy C. Fanden, November 28, 1983 Robert I. Schroder, Sunne Wright McPeak and Tom Torlakson Hospital Enterprise :Fund Deficit i Another reason for the urgency of taking corrective action relates to the County's ratings by the rating agencies for our short-term borrowing. We now. enjoy the top ratings from Moody's and Standard and Poors 'but those ratings have been tenuous due to the County's declining reserve balances in the last few years. After the final budget was adopted, I responded to Moody's request for updated information by pointing out how the Board had recognized the importance of an adequate reserve and had appropriated $5 million to the reserve for contingencies to start building the reserves to a safer level. If the County doesn't take positive steps to correct the fiscal situation, our ratings are in very serious jeopardy (they may be anyway). If 'our ratings are lowered, our borrowing costs will 'increase by 'hundreds of thousands of dollars this fiscal year alone. The only way the budget deficit can be eliminated is by increasing revenue (e.g. by raising rates or selling property) and/or by decreasing expenditures. If the deficit is not made up in the enterprise fund, it must be made up by increased contribution from the County General Fund -- which can come only from the reserve for contingencies, decreased General Fund expenditures, and/or increased General 'Fund revenues. If you have any questions regarding this information, please call me (372-2181). DLB:mp cc: M. G. Wingett John B. Clausen A. S. Leff, M.D. A. Lomeli i 004 4 + t fro: BOARD OF Sh ERVISORS / FROM: Finance Committee Contra Costa DATE: December 6, 1983 County SUBJECT: Health Services Deficit SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION Mr. D. L. Bouchet, County AuditoraController, was present at our December 5, 1983 meeting to discuss and explain the fiscal implications to the County of the Health Services Department projected deficit as outlined in his November 28, 1983 memorandum to Board members. This report to-the Board provides explanatory information with respect to the two major concerns linked to the deficit; namely, the cash flow projections and the legal requirements imposed by the County Budget Act. Cash Flow The County is borrowing $64 million on a short-term basis which must be repaid in fiscal year 1983-1984. This borrowing is necessary for cash flow purposes. A cash flow statement is furnished monthly to the rating agencies in order to maintain the county' s marketing position. Resolution No. 83/854 was adopted by the Board of Supervisors which specifies that self-insurance trust funds in the approximate amount of $18 million may be used only for the purpose for which established and may at the discretion of the Treasurer be loaned to the County General Fund to meet temporary cash flow needs. The County Auditor-Controller has reflected the total borrowing of the $18 million and a projected $11,0 million deficit in the last cash flow state- ment. It appears that with this scenario there will be a deficit balance of about $200 ,000 in the month of May, 1984. There is no margin for variances in cash receipts which is a very hazardous situation. As an example, if the State refuses to approve our AB 8 plan by January, 1984, payments under AB 8 (excluding the population component) and for MIA patient services may be withheld which could result in a cash shortage of about $12 million. Obviously, this would be a very serious cash flow problem. If there is no cash available in the County Treasury to cover warrants issued for payment of salaries and bills, the warrants would .be registered and returned for lack of sufficient funds to cover the payment. The Finance Committee recommends that the Board of Supervisors clearly indicate to all that such financial condition will not be tolerated and such measures as necessary will be implemented to maintain the fiscal integrity and reputation of this County. CONTINUED ON ATTACHMENT: XX YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR XX RECOMMENDATION OF BOARD COMMITTEE XX APPROVE OTHER SIGNATURE(S) Supervisor T. Torlakson Supervisor S. W. McPeak ACTION OF BOARD ON December 6 . 1983APPROVED AS RECOMMENDED OTHER 0J VOTE OF SUPERVISORS X UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. CC: County Auditor-Controller ATTESTED December 6 . 1983 County Administrator J.R. OLSSON, COUNTY CLERK Director Health Services AND EX OFFICIO CLERK OF THE BOARD County Treasurer-Tax Collector M2e2/7-e2 BY DEPUTY 2. Budget Act Legal Requirements As indicated by the County Auditor-Controller, the County cannot and- should not knowingly allow expenditures to be made exceeding revenues thereby resulting in a deficit budget. Consequently, early action must be taken to either increase revenues, decrease expenditures or a combination of both. Budgets are adjusted during the fiscal period to reflect changing conditions. Revenues may be increased to reflect actual collection experience. The County cannot, however, increase budgeted revenue through the use of borrowed funds when legally permitted. It is abundantly clear that the County is experiencing severe financial difficulties which must be addressed as soon as possible . All measures which offer some potential for revenue production and expenditure reduction must be considered. Recommendation It is recommended that the County Administrator be directed to complete or arrange for an analysis of the following alternatives to assist the Board in making such determinations as necessary: 1. Increasing rates charged for health services to produce revenue and increase cost recovery. 2. Reduction of expenditures of the Health Services Depart- ment in areas which will not have a detrimental impact on the delivery of health services. 3. Determine the fiscal impact of services being delivered to patients who are not the county's legal responsibility. 4. A proposal to develop revenue through disposition of surplus County Hospital beds , as per adopted policy. 5 . Review the amounts, period of time and reasons for delay in payment by the State and Federal agencies of County claims. 6 . The potential for production of additional revenue estimated at about $3.5 million from the sale of surplus lands--Blum Road, Glacier Drive and Pacheco. 7. The sale of buildings owned and used by the County, their remodel for new county use and their subsequent lease-back to the county. The Richmond Building is a candidate for this procedure. 8. The potential for a further reduction of the employer contribution for the employee retirement system for the remainder of fiscal year 1983-1984 . 9. Review of all county general fund .'revenue and expendi- ture experience to date to determine the potential for budget adjustments which may be of benefit. 10 . Investigate the potential savings which may be realized through curtailment of temporary help and overtime pay- ments. 11. Develop alternative plans for establishment of an employee work furlough program without pay for the remainder of fiscal year 1983-1984. 000' 3. It is recognized that development of information on these alternative scenarios will take some time to complete and that projected final deficits have not been validated as yet by the consultants who are being considered to develop this information. It is imperative, however, that various alternative strategies be developed which can be put rapidly in place. The Board may wish to consider the establishment of interim measures which will be subject to further modification or elimination once the numbers are validated. 007