In a recent government meeting, the financial challenges facing the Juan Francisco Louis Hospital and Medical Center were laid bare as interim CEO Hazel M. Philbert sought a budget allocation of $31.25 million. The discussions highlighted the hospital's pressing need for immediate operational funds, with Philbert revealing that the facility currently has only one day’s cash on hand following payroll obligations.

Senator Francis inquired about the hospital's access to emergency funds, to which Philbert responded that they have a credit card limit of $50,000 for urgent purchases, but no additional funding sources are available at this time. The hospital is facing a significant financial gap, with a proposed reappropriation of $2.5 million needed for operational expenses, while Philbert indicated that a total of $6 million would be necessary to cover ongoing costs.

Chris Lewis, the hospital's senior vice president of finance, elaborated on the financial strain caused by delayed Medicaid payments, which have compounded over several months. He noted that a recent influx of $1.6 million was already earmarked for vendor payments, leaving little flexibility for other operational needs. The hospital has also had to negotiate with locum tenens providers to prevent service disruptions due to unpaid bills.

The meeting further delved into the hospital's revenue cycle management, with Philbert outlining plans to improve billing processes and streamline operations. She emphasized the need for a comprehensive approach to address the hospital's financial woes, including a focus on enhancing the charge master system to better bill for outpatient procedures.

Senators raised concerns about the hospital's ability to track and manage uncompensated care effectively, with Philbert assuring that efforts are underway to reconcile payments and improve communication with self-paying patients. The hospital is also working on establishing an online payment portal to facilitate easier transactions for patients.

As the meeting concluded, the urgency of the hospital's financial situation was evident, with lawmakers recognizing the need for immediate action to ensure the facility can continue to provide essential services to the community. The discussions underscored the critical intersection of healthcare funding and operational sustainability, as the hospital navigates a challenging fiscal landscape.