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Home My WebLink About05132019 City Council Work Session Laydown - Providence SewardProvidence Seward Medical & Care Center Presentation to Seward City Council Work Session May 13, 2019 1 Agenda Financial & Operational Challenges Mitigating Strategies Ongoing Challenges Debt Funding Requirements Facility Capital Needs 2 Financial & Operational Challenges Greenhouse criteria limits admissions Staffing challenges Salary concerns Affordable housing Physician shortage Medicaid challenges Authorization Cash Flow 3 Mitigating Strategies Central Intake & Eligibility Additional medical complexity Physician team fully staffed Assessing compensation strategy Medicaid Small Facility Agreement 4 Highlights Central intake process began mid-2017 – significant impact on census Adding eligibility assistance May 2019 to combat lag in Medicaid eligibility New Administrator starts 5.28.19 Providence is not collecting interest on outstanding liability 5 Ongoing Challenges Staff needs Training Housing Compensation New LTC facilities opening in 2019 Medicaid authorization & eligibility Medicaid budget uncertainty Capital Availability 6 Debt Funding Requirements SMH Revenue Bonds Outstanding Balance $16.9M Cash on Hand 6.9M Remaining balance $ 10.0M Providence Liability Balance @ 4/30/19 $ 6.8M 7 Facility Capital Needs 8