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ITEM 1-SEQUOIA HOSPITAL ISSUES <br /> Sequoia Hospital Board of Directors President Brent Britschgi discussed the <br /> many issues facing Sequoia Hospital at this time. He announced that 20-30 <br /> people are being laid off this week due to the economic situation at the <br /> facility. The hospital was originally licensed 45 years ago for 438 beds and was <br /> previously averaging 220 patients per day, but is currently servicing only <br /> 140-160 patients per day. The revenue has been steadily dropping and they <br /> lost $1.5 million just last year. Sequoia Hospital is a $120 million per year <br /> operation and expenses are continuing to increase and revenue is decreasing. <br /> He mentioned that many hospitals are finding it very difficult to operate. <br /> Kaiser Hospital in Redwood City is assessing their future and Sequoia is <br /> currently talking to Kaiser Hospital about taking some of their patients. <br /> In order to look for a resolution to Sequoia's economic problems, the Board of <br /> Directors commissioned a study by an outside consultant to look at the <br /> options available. The study recommended looking for a partnership, <br /> affiliation or sale. As a result, a request for proposal (RFP) was sent out to 105 <br /> hospitals throughout the United States and three major responses were <br /> received. From these proposals, the Board is considering an affiliation with <br /> Catholic Healthcare West, who also owns Seton, St. Mary's and Mercy <br /> hospitals; or a sale to Columbia, who just purchased Good Samaritan in San <br /> Jose. The Board is now in a "due diligence" or fact finding period. They <br /> recently visited Mercy Hospital in Sacramento (a Catholic Healthcare West <br /> facility) and are planning to travel to Florida to look at a Columbia facility. <br /> They are touring various facilities and interviewing their doctors, nurses, and <br /> board members. Mr. Britschgi mentioned the Board is looking for <br /> community input on this matter and will be holding several community <br /> forums for this purpose. The meetings are scheduled for: February 27 at <br /> Carrington Hall, 6:00pm; March 4 in San Carlos; and March 5 in Belmont. <br /> He noted that during the past 2 months, many groups have spoken at the <br /> Board of Directors' meetings regarding the sale or affiliation with both <br /> organizations. The Board has also received a petition from Sequoia Hospital <br /> employees recommending the affiliation with Catholic Healthcare West. The <br /> employee unions have also made the same recommendation. <br /> Mr. Britschgi stated the Board needs to make a decision as soon as possible. <br /> He explained that Sequoia is a district hospital which is governed by a law <br /> which states that if you affiliate with a non-profit organization which <br /> amounts to a change of 50% or more, it requires the vote of the district. The <br /> population of the district is approximately 250,000 people and $3 million of <br /> Sequoia's budget comes from those taxpayers. He noted there is no law <br /> regarding a sale to a for-profit hospital. Columbia's original sale offer is <br /> approximately $100 million. Of that figure, approximately $50 million would <br /> pay off hospital debit and the remainder would go to a foundation and the <br />