HomeMy WebLinkAboutMINUTES - 03271984 - F.1 /= l
TO: BOARD OF SUPERVISORS �
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FROM: Finance Committeey0
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DATE: March 26, 1984 +1' n r � -J
SUBJECT: Status Report -- Health Services'Department Def c1t: ,.�
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
1. Accept March 26, 1984 financial report on the Health Services Depart-
ment prepared by Nu-Med and concurred on by County staff. The
financial report indicates that based upon the results of the first
eight months of operations, the financial deficit will be $10 .0 million
including the deficit beginning fund balance of $3. 0 million; however,
with the application of proposed revenue increases of $1.7 million and
expenditure decreases of $0. 3 million the projected year-end deficit
will be about $8. 0 million.
2. The Board adopt as a policy statement that the County subsidy to the
Health Services Enterprise Fund for fiscal year 1984-1985 is not to
exceed the current adjusted subsidy--$14. 3 million.
3. Recognizing the County subsidy limitation, direct that Nu-Med present
its proposed plan for health service operations for fiscal year
1984-1985. The plan is to include a prioritization of programs
describing such changes as may be necessary to accomplish the goal of
providing health services within this fiscal limit. This information
is to be presented to the Finance Committee at its meeting on
April 16, 1984 ,
4. Authorize Nu-Med to negotiate for a new patient billing and accounts
receivable computer system subject to review and approval of the
Office of County Administrator.
BACKGROUND:
The Committee discussed with Nu-Med representatives its projections and the
actions which have been taken. We were pleased to hear that a number of
management actions have been taken which have been estimated to reduce the
deficit by several million dollars. It was pointed out that the County will
not have the financial resources in fiscal year 1984-1985 to provide an
increase in the subsidy to the Health Services Department Enterprise Fund.
As a result of the fiscal constraints faced by the Department, it is
imperative that an early action plan be developed which will describe in
some detail the service and program impact of this funding level.
Consequently, the Finance Committee proposes that Nu-Med report back its
proposed plan to the Finance Committee on April 16, 1984 .
CONTINUED ON ATTACHMENT: YE SIGNATURE:
RECOMMENDATION OF COUNT A INIS R xx RECOMMENDATION OF BOARD COMMITTEE
xx APPROVE T R
SIGNATURE(S) SuLi I. Sc r Supervisor WMcPeak
ACTION OF BOARD ON -March 27, 1984 APPROVED AS RECOMMENDED _� OTHER
VOTE OF SUPERVISORS
XUNANIMOUS (ABSENT III ) 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. tij-';0®2 yy
CC: County Administrator ATTESTED March 27, 1984 �J
Acting Health Services Director J.R. OLSSON. COUNTY CLERK
Auditor-Controller AND EX OFFICIO CLERK OF THE BOARD
M382/7-88 BY .� �- --�'��Y• ��- rG-��`� DEPUTY
eat Maglio