Ashland Health Center Proposed Building Project
Do not overbuild. Right size the facility. Ensure all services provided are sustainable for what our community can support and afford. Those are the directives provided to us by the Ashland community. And that is precisely what we have done by minimizing areas of loss, expanding revenue generators and when possible, transferring the local tax payers cost to the state and federal levels. Below we have provided information to address the frequently asked questions. These efforts are to provide materials for an informed community. The decision to build a new Ashland Health Center will not be upon our Board of Directors, Administration or staff – only the voters. You will be the decision makers for the future of healthcare services within our shared community.
After completing a full assessment with much study, thought, and input from the design firm, construction manager, medical staff, a community building committee, and other patrons of the Health Center, a list of questions and concerns has been documented below to address the needs and expectations in our medical community. The Ashland Health Center looks forward to answering any additional questions and sharing more information with you throughout the process.
Town Hall Q&A - Financial (Updated 4/6/2015)
1) How will this project cash flow? Can you show the funding/income versus the expense/payment?
2) Explain the financing – how will it be paid for and what does it require of us versus the government?
3) How much of the mill levy will be used for building a new Health Center versus current operations?
4) With the Health Center’s current financial struggles, how can you afford a new facility – income is income, correct?
5) If the PBC is not approved by the voters, can the Health Center afford/continue to operate the current facility with the current tax levy?
6) How will we sustain the new Health Center financially?
7) How does this impact the entire district, even beyond Ashland?
8) Is there a guarantee that Medicare will continue to pay at the 80 percent reimbursement?
9) Who will buy homes within our community if taxes are too high?
10) What happens if there are fewer tax payers and lowered valuations?
11) What happens to those people and their homes who are unable to pay their property taxes?
12) Does the price include just the build, or equipment?
13) What happens to swing bed if Medicare payments dwindle to where the Health Center can no longer maintain quality care?
14) What is the strategy for grants from private foundations, and both state and federal to help with funding to build the new facility?
Town Hall Q&A - Facilities (Added 3/23/2015)
- What is the reasoning behind the current time table for this decision?
- Were there bids for the architect and construction manager? Are these groups related to anyone on the hospital Board of Directors or Great Plains Health Alliance?
- Has the current facility been properly maintained? Could updates and maintenance to our current facility solve the problems cost effectively?
- Where is the flooding from the heavy rains (in the photos/video) occurring?
- What will happen to the current facility? Suggested use of old building – apartments, housing, B&B, skate park, storage, etc. Is there a purchase agreement with someone?
New Facility Planning/Acquisition:
- How was the project location chosen?
- Why was there a down payment put on the property before a vote?
- Will the facility have an entrance to the highway?
- This plan will require many new utilities to be extended west. Does the price include that, or will the City of Ashland have to do it? Can our current water/sewer facilities handle this extra extension?
- What besides Medicare payments makes a swing bed facility more desirable for Ashland than a traditional nursing home?
New Facility Specifics:
- When do we get a hands on copy of detail plans?
- Is the new health center being built to federal guidelines?
- What are the square footage comparisons between current facility and new design? Why the difference in size?
- Why are there two dining rooms?
- Why are there three break rooms?
- Why do they need a separate nourish room?
- Why do they need two large nurse stations?
- How many new employees will be required to staff the new Health Center?
- Will the new facility be conducive to updating to meet new requirements?
- Will there be any additional services with a new facility?
- Any chance of doing minor surgeries here with the new facility?
- Will the new facility offer home health services to community members?
- How will Ashland Health Center deal with the increasing need for elderly services – and recognize the need for additional services?
- Will a new facility improve recruitment of staff, doctors, nurses, etc?
- Will this proposal and plan, if passed, meet our needs for the future?
Find Answers to Your Frequently Asked Questions by Clicking on the Links Below. Items in BOLD have been updated recently:
- What's wrong with our existing facility, and why can't we continue with it? (Updated 2/26/2015)
- Where did we get this information?
- How old is the current facility?
- Why is it so expensive to repair our current facility?
- Why can we not renovate our current facility? (Updated 2/26/2015)
- Can I tour the current facility to see the problems for myself?
- What other problems need to be addressed at Ashland Health Center?
- Why do we have to decide on this now?
- How do we know the correct size for a new facility?
- What is the cost of a new facility?
- How will the Public Commission bond (PBC) be paid for?
- Will it cost more to receive services at the new facility?
- How will a new health system improve health care for our community?
- What are the other benefits of having a new facility?
- What is the economic impact of Ashland Health Center (AHC) to the community?
- What is to become of the current facility?
- Where would the new facility be located? (Updated 3/23/2015)
- What would the new facility look like? (Updated 3/23/2015)
- Room Comparison, Present and Future (Updated 3/2/2015)
- What are the additional cost in phased construction?
- What happens if we don't build a new facility?
- What does a "No" vote mean?
- What have we been paying in taxes, and how much will they go up?
- Hospital District Boundaries
- Current Project Expenses Paid (Updated 2/26/2015)
If you have any questions, we encourage you to submit them to email@example.com.
Questions and Answers: Finance
1) How will this project cash flow? Can you show the funding/income versus the expense/payment? Attached is the Public Building . . .
Addendum Responses to Facility Questions
Half the respondents were predominately facility related and half were finance related. Below we are providing answers directly to . . .
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