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Hospital reports finances and building projects; county reports tentative CSEA contract with retro pay and wage increases
Summary
Hospital leadership reported monthly volumes and capital projects, and the county administrator summarized a tentative two‑year collective‑bargaining agreement with CSEA including retro pay, year‑one and year‑two increases, market adjustments, and changes to casual‑employee hours and sick‑leave family care provisions.
Hospital leadership reported financial and volume figures and outlined capital projects and staffing developments; county staff also described a tentative contract agreement with the Civil Service Employees Association (CSEA).
Hospital report: A hospital representative reported year‑to‑date and monthly patient volumes and revenue figures: for August (reported as the month covered) the hospital showed a gain of approximately $12,600 versus a budgeted gain of $265,000, and a year‑to‑date loss of $1,680,000 versus a budgeted loss of $53,000. The hospital reported emergency‑room visits, observation and outpatient visits with specific variances versus budget (ER visits 1,037 — 43 above budget; outpatient visits 6,700 — 90 above budget). The speaker also said there are five students currently enrolled in the hospital’s LPN program.
Building projects: A presenter identified as Mr. Kayer said the county is finalizing a podiatry clinic (the podiatrist has started seeing patients) and will rebuild a residential health‑care facility family room. Architectural drawings for the kitchen and cafeteria are arriving; the buildings and grounds committee will review them. The presenter also said work will begin soon to restore a chapel area that had been repurposed during the COVID‑19 response.
CSEA tentative agreement: County staff summarized a tentative two‑year agreement with the Civil Service Employees Association (CSEA). The contract had expired on Dec. 31, 2024, and negotiations lasted about 18 months. Key provisions described on the record: - Year 1 (retroactive): total increase of 3.5% (2% retroactive January–September plus an additional 1.5% effective the day the union ratified the contract; ratification was reported as Sept. 16). - Year 2: a 4% adjustment beginning Jan. 1 of the second contract year. - Market‑rate adjustments for selected job classes (examples given: computer programmer, surgical technician, lactation consultant, electrician, ward clerks, patient access clerks). - Increased casual‑employee threshold to qualify as casual from prior level to 288 hours per year. - Expanded stipend eligibility for continuing‑education and health‑care certifications. - Sick‑time family care: employees may use up to 48 hours of sick time per year to care for immediate family (spouse, children, parents).
From a budget perspective, county staff said the original FY2025 budget had planned $1,300,000 for contract costs; actual projected year‑one cost came in at $1,100,000. The draft budget for year two estimates $1,200,000 for the contract and will be included in upcoming budget materials.
The board was given the update and the presenter took no further questions on the items at that time.
Sources: on‑the‑record hospital report and buildings & grounds committee update; county staff summary of the tentative CSEA agreement presented to the board.
