Loading...
HomeMy WebLinkAbout20013401.tiff I ; • LIND, LAWRENCE & OTTENHOFF LLP ATTORNEYS AT LAW • THE LAW BUILDING 1011 ELEVENTH AVENUE P.O.BOX 326 - - - GREELEY,COLORADO 80632 WEB PAGE:LLOLAW.COM GEORGE H.OTTENHOFF TELEPHONE KENNETH F.LIND (970)353-2323 KIM R.LAWRENCE (970)356-9160 LECOPIER P.ANDREW JONES TE)356-111 RICHARD T.LiPUMA (970)ken@llolaw.com ken�llolaw.wm December 20, 2001 Mike Geile, Chairman Board of County Commissioners of Weld County 915 10`h Street Greeley, CO 80631 Dear Chairman Geile and Commissioners: I want to personally thank all of you for taking the time to meet with the NCMC, Inc. Board and Weld County Board of Trustees on December 11, 2001. I am quite cognizant of your busy schedules but I also believe that the meeting was important to help re-open lines of communications between all three entities. While the NCMC, Inc. Board has attempted to act in a unified manner, there are occasions that do not lend to unanimity even after much review and discussion. Such was the case in relation to our vote on October 4`1 to go forward with further negotiations with Banner. As you know, I was the only dissenting vote in the public session but that vote was made after long and careful deliberation. At the meeting of December 11, 2001, I found it very interesting that the Commissioner's concerns were primarily focused upon (1) the community hospital and regional tertiary facility; (2) local control and management; and (3) financial issues, especially related to dollars "leaving" the community. At the time of our Board vote on October 4, 2001, it was my presumption that my vote would be a minority position. Accordingly, I prepared a written statement that was submitted as part of the minutes of that meeting which was for the purpose of making a public record of my vote. While that written response was and is a public record, I am also aware that it was not widely disseminated. Accordingly, I am providing to you five copies of my written statement, and I would request that you take the time to read this report at your convenience. F:\KFL\LETTERS\COMMISSION ERS.LTR i2-a6 Nsaool az71-- Mike Geile, Chairman Board of County Commissioners of Weld County December 20, 2001 Page 2 Additionally, now that we have received the written report and conclusions of Mr. Figa (special counsel), I think it is interesting to note that some of his conclusions regarding a review of alternatives was similar to my conclusions. In closing, I hope that this report provides some information to you regarding this matter. Very truly yours, LIND, LAWRE E ''O ENHOFF LLP fir Ken r et . Ind KFUcg Enclosure F:\KFL\LETTERS\COMMISSION ERS.LTR I. INTRODUCTION For sixteen years I have had the honor, duty and privilege of serving upon the Board of Directors for what was originally North Colorado Medical Center, Inc. and is now called NCMC, Inc. During these sixteen years I also served on the Weld County Commissioner appointed Board of Trustees for seven years, I was elected to serve on the Colorado Hospital Association Board of Trustees for four years, and I was appointed by Governor Romer and confirmed by the Colorado State Senate for a four year term on the State of Colorado Cooperative Health Care Agreements Board. The time that I have devoted to health care issues in general, and to North Colorado Medical Center specifically, total thousands of hours. At all times my goal has been to assist in maintaining the highest quality of health care available at a competitive price in reference to North Colorado Medical Center, Northeastern Colorado and Weld County in particular. II. HISTORY During these sixteen years the changes in the health care industry as well as at North Colorado Medical Center have been continual, rapid, demanding and substantial. Our own local medical center went from a local County hospital (Weld County Hospital) to a restructured organization in 1986(North Colorado Medical Center, Inc.)which was locally controlled and managed. In 1995 it became affiliated with Lutheran Health Systems ("LHS")which then merged and became Banner Health System("Banner")which maintains its corporate offices in Phoenix, Arizona. At the present time, North Colorado Medical Center ("NCMC") is operated and managed by Banner pursuant to the terms of an Operating Agreement which became effective January 1, 1995. Under the terms of this Operating Agreement, NCMC has leased to Banner the Greeley hospital and equipment (as well as being involved in other affiliated operations). Under the terms of this Operating Agreement, Banner is responsible for providing employees as well as administrative and management services. This Operating Agreement provides for several forms of payment and essentially, NCMC, Inc. receives a minimum basic rent payment plus a certain amount of additional rent. Banner, on the other hand, receives an administrative fee in the amount of 1.4% of net operating revenues as well as 60% of other funds which are generally called operating cash. The Operating Agreement is a very complicated document which has been amended on numerous occasions to reflect changing circumstances. It is obvious that there is much confusion in the community concerning the Operating Agreement and arrangement between NCMC, Inc. and Banner. It is also obvious that in letters, articles, editorials, columns and opinions, financial figures and other information have been discussed, some of which are correct and some of which are in error. While it is very difficult to explain all of the intricacies of the Operating Agreement and financial impacts, there is some pertinent base information. From January 1, 1995 through December 31, 2000 NCMC, Inc. has earned approximately 84 million dollars from F:\KFL\LINO\NCMC.OPINION 1 hospital operations under Banner's management. However, during that same six year time period NCMC, Inc. has spent 56 million dollars for capital improvements, approximately 6 million dollars for repayment of debt principal and approximately 16 million dollars for debt interest. This means that only 7 million dollars has been earned by NCMC, Inc. from Banner operations which has gone into cash reserves. During that same time period, however, Banner has received and taken approximately 48 million dollars. It is important to realize that it is NCMC, Inc., and not Banner, that provides virtually all capital funding for equipment and facilities. These funds are provided by NCMC, Inc. from hospital operations and from our cash reserves. Simply stated, Banner operates the hospital and receives a fee, but Banner does not purchase equipment or construct facilities. Providing the necessary equipment and facilities is the sole obligation of NCMC, Inc. In a recent article, a Banner representative noted that NCMC, Inc's. cash reserves have increased from 45 million dollars (as of January 1, 1995)to approximately 123 Million Dollars (as of December 31, 2000). It was implied that this 78 million dollar increase was due to Banner's hospital operations. This implication is not correct. During the six years of Banner operations, NCMC, Inc. cash reserves increased only 7 million dollars due to Banner operations; approximately 61 million dollars came from careful and prudent investments made through the NCMC, Inc. Board and its financial advisors, and 10 million dollars from other sources also not attributable to Banner operations. It is mistakenly believed by many that Banner has or will fund a portion of future capital improvements consisting of equipment and/or buildings. This is not correct as NCMC, Inc. will be required to provide all of the proposed 105 million dollars for improvements, with no money from Banner. When the Board of Directors of North Colorado Medical Center, Inc. initially entered into the 1995 Operating Agreement with LHS, it was entered into with specific goals. The most important aspect of those goals was to have North Colorado Medical Center as the major regional tertiary health care facility providing both basic and specialized services for a large region. LHS (now Banner) was to assist in creating this regional health care network commonly referred to as an integrated health care delivery system ("system"). Three critical components of this system were to consist of(1) better quality, (2) a system of referrals, and (3) lower costs. Underlying these goals was the main premise of providing quality health care and competitive pricing with NCMC being the referral facility for specialized services and physicians. We have now had six years of experience under the 1995 Operating Agreement and there are two key questions which can and must be answered. F:\KFL\LINO\NCMC.OPINION 2 III. IS NORTH COLORADO MEDICAL CENTER BETTER OFF TODAY THAN SIX YEARS AGO? In my opinion the answer is"No". Before providing further response to this answer, let me first state that Banner has generally provided adequate administration and management in a very complex and difficult situation. All aspects of health care are extremely complicated and intricate. I do appreciate the hard work and performance of Banner over the last six years. However, I do not believe that the goals of the 1995 Operating Agreement have been met. Over the past six years the network or integrated health care delivery system that was contemplated has not been established. While patient numbers have increased, our market share in the Northeast region has remained stagnant or declined. Banner has not been effective in creating the system nor in referring speciality treatments and patients to Greeley. Initially, it was my impression that a large organization like Banner could change certain practice and referral patterns, however, I have learned that it is really the efforts of our many fine local physicians that have resulted in the referrals coming to NCMC. While Banner has assisted in this effort, the referral patterns and numbers are virtually the same today as they were six years ago. Quality of care is also a prime concern. Again, I compliment Banner on its efforts and work as Banner has done a good job in overall management. However, I again do not believe that quality of care has increased or been better under the management and administration of Banner. In fact, there is a large segment of our patient and physician community that believe that the quality of care is not as good as it was six years ago and, unfortunately, some of these physicians have left and others plan to follow. In all fairness, there are also a large number of physicians who believe that Banner has operated and managed the hospital in an exemplary fashion and quality has been maintained or even improved. During these past six years I have also seen increased turmoil and dissatisfaction from our medical staff. Unquestionably, the physicians at North Colorado Medical Center are all highly qualified and dedicated individuals but there have been numerous times when members of the medical staff have expressed concern and dissatisfaction with Banner management and operations. That has again come to the forefront as evidenced by letters and comments, some of which have been provided and published by local media and others expressed in phone calls and correspondence to Board members. Unfortunately, I believe that we will see more medical staff departing if the affiliation with Banner continues. The third component of the integrated delivery system was to provide lower costs. Information and data from the Colorado Health and Hospital Association does not indicate that NCMC has been successful in maintaining or stabilizing costs in relation to similar facilities. In fact, much of the data would seem to indicate that costs at NCMC are generally higher than those at Poudre Valley and even at an affiliated facility, McKee Hospital in Loveland. Of significance is the fact that over the last six years 48 million dollars has left the local community and been transferred to Fargo and now Phoenix. Banner can argue that this is a fair sum in return for their expertise in information systems, accounting, billing, managed care contracting, purchase savings, and overall management. F:\KFL\LINDWCMC.OPINION 3 However, I personally do not believe that those services have been worth the 48 million dollars. Another important factor in the original affiliation between NCMC and LHS six years ago was similarities in corporate culture and outlook. Six years ago, LHS was headquartered in Fargo, North Dakota and owned and managed many rural oriented health care facilities. It was believed that LHS would be able to create the referral system oriented to these general health care facilities and direct the specialized services to NCMC. That all changed within the past year when LHS merged and became Banner. Just recently, Banner announced that it was selling or transferring ten rural hospitals in seven states and closing numerous other health care facilities. The stated purpose was for Banner to strengthen its position in Arizona and Colorado. If you talk to the residents of Fargo, North Dakota and those formerly associated with LHS, you can determine that most of these former LHS employees and facilities feel somewhat betrayed and they have now been discarded. The direction, corporate culture and similarities that were so important to the original affiliation with LHS no longer exist. I believe that NCMC is nothing more than one cog in the Banner corporate structure that can be as easily discarded in the future as is now being done with the former LHS facilities. Additionally, six years of experience have convinced me that the 48 million dollars that has been transferred to Fargo and Phoenix could have been earned with local control and management and those funds could have been better utilized and paid for services in Northeastern Colorado rather than being sent out of state and used by Banner to fund its other operations. The loss of local control is a significant concern to this community and neither the existing nor proposed new arrangement with Banner provide for local control. I believe that much dissatisfaction from medical staff and patients is due to the loss of this local control. IV. WILL NORTH COLORADO MEDICAL CENTER BE BETTER OFF TEN YEARS FROM NOW UNDER CONTINUED AFFILIATION WITH BANNER? In my opinion, the answer is "No". Over the past several months, NCMC, Inc. has entered into negotiations with Banner to modify the 1995 Operating Agreement. A key element of the 1995 Operating Agreement was a provision that either party could terminate the Agreement with one year notice. Now, Banner is negotiating for a ten year or longer affiliation that can be terminated only"for cause"which would be better for the community. I must respectfully disagree. As most people know, determining "for cause", which is a very expensive and lengthy litigation process,would be very detrimental to the hospital and community. The proposal currently under review also does not adequately enhance the financial position of NCMC. It is my opinion that if the proposed agreement is entered into, NCMC will not be in a position in the future to adequately finance capital improvements. At that time we would be solely at the mercy of Banner and, in effect, Banner will have taken over the local hospital by default. F:\KFL\LIND\NCMC.0PINI0N 4 The proposed agreement further provides inadequate local control over operations and management. While Banner can argue that they have substantial expertise in management and operations and that they are "local", the fact remains that policy and decisions are directed from Phoenix; North Colorado Medical Center is merely a cog in a large health care organization. I believe we have the financial ability and can retain operational expertise to locally manage and control this hospital operation. I also believe it can be done on a more cost effective basis than paying huge sums of money to Banner every year. As to future quality of care and referrals, numerous promises have been made that quality will be improved and that Banner will work harder in creating NCMC as the hub of a referral system. This is exactly what was promised six years ago but history does not indicate that Banner can or will be able to modify that experience. As to lower costs, Banner's own ten year financial projections (provided to NCMC in May) indicate that Banner will receive and take from various hospital operations approximately 180 million dollars. This is money that will leave the local community over these ten years and can be used by Banner in any of its other operations. During that same ten year time frame, the projection is that NCMC, Inc. will receive approximately 77 million dollars. We all know that ten year financial predictions may not be very accurate but I am using the figures provided to NCMC by Banner. The projected 180 million dollars is excessive and I continue to believe that NCMC, Inc. could operate the hospital for less money, NCMC, Inc. would realize a greater return from operations, and NCMC, Inc. would thus have more funds for future expansion or renovation as well as providing lower cost services. The financial arrangements as provided in the proposed agreement are not fiscally responsible. V. CONCLUSION. Ethically I can no longer remain silent and allow the perception to continue that all Board members are in agreement and in support of the existing (or proposed) agreement with Banner. Both the current and proposed agreement with Banner have a direct impact upon tens of thousands of citizens in Northeastern Colorado involving hundreds of millions of dollars. Under the existing and proposed arrangement with Banner, we are missing an opportunity to provide better quality health care, competitively priced, under local control and management, and with tens of millions more dollars remaining in our community. We have not received 48 million dollars of value or service from Banner in the past six years, and we are paying far too much for what we are receiving. We are feeding the Banner Hospital System and not getting an adequate return on the investment in our local hospital or community. Banner will argue that our relationship has and will result in substantial cost savings and also allow NCMC to have better access to new and expensive technology and markets. Fortunately, all of that and more is available to us with or without Banner, and by keeping more revenues in our community, this will benefit the local economy and result in cost savings. F:\KFL\LIND\NCMC.OPINION 5 1 We have spent over six months in various negotiations with Banner as to the existing and proposed new agreement. Only in the last two weeks have we started to review alternatives and look at other data. Clearly, two weeks to review other alternatives is inadequate. I believe it is necessary that we take the time to further research these alternatives and go forward with further review and analysis, especially regarding possible opportunities with Poudre Valley Health System. Effective regional collaboration is really the only way to create a true regional health care delivery network and it offers the best possibility of better quality, lower costs, and effective referral system with local control and management. Until we further review and analyze these alternatives, it is not the time to go forward with a new agreement with Banner. Undoubtedly there are risks and expenses associated with this but we should not forego an opportunity for effective regional cooperation and organization. While there are deficiencies, a lack of information, and analysis in the Tiber report, it was noted that a detailed marketing study analyzing the respective medical staffs, key community leaders and patients should be completed. That has not been done either in relation to the Tiber report or as to our own Banner affiliation. Our review of the Tiber report also indicates that data and analysis that was missing or incomplete could be prepared over the next few months and that should be done in a cooperative effort between NCMC, Inc., Poudre Valley Health System,the Tiber Group and our consulting firm, BKD, LLP. Further review and analysis could be of substantial benefit in creating a regional health care delivery system but we have elected not to go forward with further study and analysis. I believe this is a mistake. Furthermore, I believe that a new arrangement with Banner will end further efforts to collaborate and cooperate with the Poudre Valley Health System. Naturally, this then dooms any further efforts between NCMC and Poudre Valley that could result in a true regional health care delivery system, elimination of extremely expensive duplicative facilities, substantial cost savings in the northern front range concerning health care, and creation of cost effective specialized facilities. In closing, I sincerely hope that my analysis and conclusions are wrong and that Banner will be able to effectively create what has been promised but which has not been delivered over the past six years. I deeply care for this community and NCMC, and I wish the best of luck to NCMC and Banner with future operations. Kenneth F. ind F:\KFL\LIN0\NCMC.OPINION 6 Hello