Mt. Diablo Health Care District—dissolve Now! To: Mt. Diablo Health Care District Board

Published: June 15, 2011 3 pages

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⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.

⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.

Findings and Recommendations 3 findings

The District has made a few small grants totaling $243,823, amounting to less than 10 percent of the total revenues collected from property taxes and contributions, while accumulating a fund balance in excess of $800,000 which is available for health related programs.

Related Recommendations (1)

The Board should promptly develop a plan to allocate funds to health programs for District residents.

Over 10 percent of the District’s annual income is expended for health care insurance for one current Board member and one former Board member and their spouses. This payment may be a lifetime District obligation to these individuals.

Related Recommendations (1)

The Board should promptly review the current health insurance coverage for qualified current or former Board members to assure compliance with District policy. Health insurance premiums should be approved by the Board. a. If the recipients are eligible for Medicare, the Board should require enrollment in Medicare making it the primary provider. If District policy provides for supplemental coverage, the Board should undertake a competitive bid process for such coverage. b. If recipients are not Medicare eligible, the Board should initiate competitive bidding for the primary insurance.

The District has outlived its useful purpose and is no longer needed.

Related Recommendations (1)

Mt. Diablo Health Care District should initiate dissolution proceedings promptly.

Agency Responses 1

Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.

Mt. Diablo Health Care District

September 01, 2011 • 3 pages • 6 responses • Score: -1 (+1, 3, -2) View Details ▾

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6 responses to findings and recommendations

Response: Disagree Partially Score: 0

The Districtpartially disagrees with thefinding. The District would update the numbers to include 2010 by adding $241,804 in property tax revenue and $127,827 in Community Outreach. Since corrective action began in 2008, the District's Outreach vs. Revenue percentage is 48.1%. The findings of "small" and the "less than 10% are a function of going backwards in accounting, not an analysis of the corrective action time period. The District has a fund balance in excess of $800,000 available for health related programs.

The Board should promptly develop a plan to allocate funds to health programs for District residents.

Response: Implemented

Score: 0

The Board agrees with recommendation. . The Board has established a more proactive approach to the grant program and notes the following implementation: The Board has established protocols for project submission. The project submission committee has been established Chaired by Jeffrey Kasper. Project request forms have been made available on the web site. Community diict outreach has been made to request solicitations for grant funding.

Response: Agree Score: +1

The District agrees with thefinding. The OPEB health care is in accordance with California Government Code Section 53201 and was instituted during the time when the Mt. Diablo Hospital was being run by the District. This policy was rescinded before the merger in 1992 and health care insurance has not been offered to any Board member since that time, but it is a tax payer lifetime obligation and cannot be extinguished.

Response: Requires Analysis

Scheduled: over the next six months Score: 0

The recommendation has been partially implemented and requires Jirrther analysis. The Board is reviewing the OPEB health insurance coverage to see if there is any way to mitigate the costs. One group has been contacted and the District is awaiting their documentation and costs. All other avenues will be researched over the next six months and will include competitive bidding if applicable.

The District has outlived its useful purpose and is no longer needed.

Response: Disagree Score: -1

The District disagrees with thefinding. The Board believes that the district has not outlived its useful purpose and is needed now more than ever in the past. a. The Board is currently giving grants and sponsoring programs that directly benefit the community as per its mission statement. The amounts in the last three years have showed a marked increase in those efforts.

Mt. Diablo Health Care District should initiate dissolution proceedings promptly.

Response: Will Not Implement

Score: -1

The recommendation will not be implemented because it is not warranted The Board placed the issue of dissolution on its August 4th2 01 1 Agenda as recommended and the motion to dissolve did not get a Second and was therefore rejected. This complies with the request for proceedings as directly stated. As it appears that the intention of the recommendation was that the dissolution proceedings be completed with an agreement to dissolve, the Board disagreed with that extension of the recommendation.