Coalinga Hospital

COALINGA REGIONAL MEDICAL DISTRICT MUNICIPAL SERVICE REVIEW AND SPHERE OF INFLUENCE UPDATE Report to the <b>Fresno Local Agency Formation Commission</b> Jeff Witte Candie Fleming Samantha Hendricks 2607 Fresno Street, Suite B Fresno, CA 93721 July 2012 COALINGA REGIONAL MEDICAL DISTRICT Hospital and Health Care Services Contact Information Manager: Sharon A. Spurgeon Address: 1191 Phelps Avenue Coalinga, CA 93210 Phone: (559) 935-6400 Website: http://www.coalingamedicalcenter.com/ Management Information Governing Body: Board of Directors <b>Board Members:</b> Sandy Beach Appointed in Lieu of Election 20010-Expires 2014 Catherine Underwood Appointed in Lieu of Election 2008-Expires 2012 Mark Gritton Appointed in Lieu of Election 20010-Expires 2014 William Lewis Appointed in Lieu of Election 2008-Expires 2012 Sandy McGlothlin Appointed in Lieu of Election 20010-Expires 2014 <b>Board Meetings:</b> Last Wednesday of Each Month at 5:30 pm Staffing: 259 employees Service Information <b>Empowered Services:</b> Hospital and Health Care Services Services Provided: Hospital and Health Care Services Area Served: Coalinga, Huron, Avenal and Surrounding Areas in Fresno and Kings Counties Population Served: 18,000 Acres Served: 561,124 acres Infrastructure: The Coalinga Regional Medical Center. Fiscal Information $26,000,000 <b>Budget:</b> Sources of Funding: Fees for services Rate Structure: Medical, Medicare, private insurance, and self-pay Administrative Policies Master Plan: Yes Policies/Procedures: Yes By-laws: Yes <b>Boundary Updated: 1946</b> SOI Updated: 2007 Other: No . 1. MUNICIPAL SERVICE REVIEW Description of District The Coalinga Regional Medical District was formed in 1938 and operates pursuant to Health and Safety Code, Sections 32000-32492. The District is located in southwest Fresno County. Its boundaries are similar to those of the Coalinga Unified School District. The District boundaries and Sphere of Influence are coterminous, as shown on the enclosed map. The District is governed by a five-member Board of Directors elected at large. A Chief Executive Officer administers the District. It has 162 full-time, 7 part-time, 10 contract and 80 per diem employees. District Services and Background The District provides hospital and health care services at its facility, the Coalinga Regional Medical Center. The facility provides care to 26,512 acute patients, 24,944 outpatients, and 1,600 skilled nursing patients a year. 2. MSR DETERMINATIONS This portion of the report addresses the factors specified in the governing statute for Municipal Service Reviews. <b>Growth and Population Projections</b> District services do not directly facilitate or affect the rate or location of population development, though the District responds to changes in the population by providing hospital and health care services based on actual needs. Location and Characteristics of any Disadvantaged Unincorporated Communities Disadvantaged communities receive services from the district however, district services do not affect or influence these communities in any way. Infrastructure Needs and Deficiencies The District's public hospital, the Coalinga Regional Medical Center, is situated on 21 acres in Coalinga. Financial Ability of Agencies to Provide Services The FY 2010-11 operating budget states that the total budgeted expenses were $25,496,000 and the net income was $868,000. The total operating budget is $26,364,000. MSR and Sphere Update Coalinga Regional Medical District The District is financed for services through service fees. The District regularly reviews fees and charges for services to recover expenses with recognition that many allowable fees are established by State and Federal regulations. Status of, and Opportunities for, Shared Facilities There are no obvious opportunities for shared facilities in current operations due partly to the distance between this Regional Medical Center and other communities. Governmental Structure and Operational Efficiencies A five-member Board of Directors elected at large governs the District. The Board meets monthly. The District website is www.coalingamedicalcenter.com. 3. SPHERE OF INFLUENCE REVIEW AND UPDATE Government Code Section 56076 defines Sphere of Influence as "A plan for the probable physical boundaries and service area of a local agency, as determined by the commission." Description of Current Sphere of Influence The District's Sphere of Influence encompasses approximately 561,124 acres. Proposed Sphere Changes The District proposes no changes in its Sphere of Influence or boundaries. Sphere of Influence Recommendations and Determinations It is recommended the Commission approve the following determinations and affirm the current Sphere of Influence. 1. Present and planned land uses in the area, including agriculture and open-space. Land uses within the District are a mix of residential, commercial, industrial, public uses, agriculture and open space. Planned uses include similar designations. 2. Present and probable need for public facilities and services in the area. The mixture of land uses within the District requires a broad array of public services and facilities including hospital and health care services. The probable need for services reflects land use plans of the Cities of Coalinga and Huron and the County. 3. Present capacity of public facilities and adequacy of public service that the agency provides or is authorized to provide. The capacity of District facilities is sufficient for services currently provided. MSR and Sphere Update Coalinga Regional Medical District 4. Existence of any social or economic communities of interest in the area if the Commission determines that they are relevant to the agency. Territory within the District represents a community of interest for District services. 4. ACKNOWLEDGEMENTS & REFERENCES This draft Municipal Service Review was prepared by Fresno LAFCo staff using information provided by the Coalinga Regional Medical District. Responsibility for any errors or omissions rests with those who provided information for the report. 5. RECOMMENDATIONS In consideration of information gathered and evaluated during the Municipal Service Review, it is recommended the Commission: 1. Accept public testimony regarding the proposed Municipal Service Review. 2. Approve the recommended Municipal Service Review determinations, together with any changes deemed appropriate. 3. Approve the recommended Sphere of Influence determinations and affirm the current Sphere of Influence. Coalinga Regional Medical District MSR and Sphere Update 33 1-5 San Benito County Fresno County 145 269 198 198 HURON <math>\tilde{l}_0</math> COALINGA 198 Monterey County 33 Kings County Ņ W 🤜 3.75 7.5 15 0 Miles Fresno Local Agency Formation Commission <b>Coalinga Hospital District</b> Legend District Formed: 1946 Map Date: October 2007 District Area and SOI SOI Adopted: 6/23/1976 District Area: 561,124 Acres SOI Updated: 10/10/2007 City Overlapping District Sphere Area: 561,124 Acres