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Health district budget assumptions include revenue, service increases

Lake District Hospital CEO Charlie Tveit outlined assumptions for the 2014/15 budget year during the April 3, Lake Health District board meeting.

Included in this discussion were census assumptions for service categories, along with revenue forecasts and anticipated expenditures for the new budget year.

Anticipated is a five to six percent increase in revenue in charges across the board, a factor historically that has come in at 6 percent. The charge increase most impacts business from commercial insurance payers, a total estimate of 30 percent of business in total.

In the hospital’s census assumptions, only acute care, surgeries and outpatient visits reflect anticipated change.  Acute care is forecast with a minimal one percent decrease from 1,528 days in 2013/14 to 1,513 in 2014/15.

Thanks to the availability of specialty surgeons, including orthopedics and urology, surgeries are expected to increase from 416 in the current year to 450 in 2014/15, while outpatient visits will also see an increase (from 21,389 to 22,458) for a variety of factors, including continued presence in Modoc County, the forthcoming permanent MRI unit installation, added specialty surgeries and more.

Expansion of the specialty surgery program and sleep lab program, along with the anticipation of increased MRI procedures once full-time equipment is in place are among the elements leading to a forecasted increase of revenue.

Expenditures include salaries, full-time equivalent employees, benefits and materials and services.

In salaries, the Oregon Nurses Association contract does not expire until June 30, 2016, with terms that include a two percent increase per annum.  The Teamster contract expires in December of this year.

Additional FTEs budgeted for in the new year include a chief operating officer, physical therapist, occupational therapist, maintenance worker and an MRI worker.

An increase of ten percent has been anticipated for health insurance, and materials and services will increase by four percent for supplies.

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