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Minutes August 10, 1987City Council Minutes August 10, 19~7 The Council convened into an Emergency Meeting at 7:30 a.m. in the City Council Chambers. PRES ENT: Mayor Stephens; Mayor Pro Tem McAdams; Council Members Ayer, Gorton, and Hopkins. ABSENT: Council Members Alexander and Boyd. 1. The Council held a discussion and determined possible action to be taken with respect to the future of Flow ~emorial Hospital. Mayor Stephens stated that the election had not gone as the Council hoped and it was now necessary to consider possible future actions to institute as far as the Denton City Council was concerned. The people had spoken on the matter and the majority had opposed the creation of a hospital district. Yhe Council Members had a draft of a letter to the Commissioners Court in which there were suggestions as to what the Council's next possible action might be. Stephens asked for suggestions concerning the draft letter. Council Member Alexander joinea the meeting. Council Member Hopkins stated t~]at she was in agreement with the major intent of the letter but did not think that the Council should start out discussions Dy being too restrictive on the County. She asked if the Attorney General would agree to a transfer of the asset. _ Debra Drayovitch, City Attorney, replied that there was no way of knowing) as no discussions had been held yet on the transfer. However, since the Attorney General's office had agreed to a long term lease, it did seem quite possible that they would agree to a transfer to another governmental entity. Mayor Stephens stated that the draft suggestion before the Council was to have the City of Denton transfer its ownership of the Hospital to the County of Denton so that there would be a single owner. But at the same time, the City needed guarantees that the Hospital would continue to exist as a public hospital and that the various community programs now operated by the Hospital would be retained. Council Member Ayer stated that he was in agreement With t~le concept. He felt that there was a difference of opinion concerning the meaning of the vote, was it a vote of no confidence in a public hospital. He ~elt that the preservation of Flow Hospital as a not-for-profit public facility was essential to the welfare of the people of Denton County ~or Doth 213 214 City of Denton City Council Minutes August 10, 1987 Page 2 economic reasons and health reasons. Therefore, he was prepared to consider all possibilities for the preservation of Flow Hospital. The one represented in the letter was perhaps the most viable and he had no objection to negotiate with the County but hoped that minds would not be closed to any other possible alternatives. He agreed that if the facility was transferred, the City must 'have some 9uarantees that the Hospital would continue as a public facility. He suggested that the Council consider pursuing the idea of transmitting the letter to the County. Mayor Pro Tem McAdams supported Council Member Ayer and felt that it was important that when the Council started to talk about a possible transfer, to be aware that in previous conversations with the Attorney General's office about the possibility of a transfer, they were emphatic about the City continuing to shoulder the responsibility for providing health care in the community no matter what Kind of transfer or lease took place. For that reason, the Council needed to be concerned about, in the event of such a transfer, that there had to be a guarantee that the hospital would continue to operate as a public hospital. Because by transferring the hospital, the City would not necessarily be relieved of that responsibility. Senate Bill I seemed to suggest that the City as a governmental entity had a financial responsibility for indigent care which placed a significant burden on the City as a taxing entity. Somehow the City had to insure that the facility it now had, if transferred, in some way continued to satisfy the responsibility it had. In beginning to pursue the possibility of discussions with the Commissioners Court about the transfer, it was important to note that the Council nad to look at the budget with an eye towar~ increasing taxes in the event that the Count decision was that the City was responsible for indigent care. Having lost revenue sharing, having aad other federal funds cut and having had a significant decrease in the amount of sales tax revenue that the City ha~ been receiving, the City was in a position of trying to cover at least the same level of services with Local funds that ~t once was able to cover with some outside funds. That meant that there was no extra money to try and cover the additional indigent care which the City might find itself responsible for by the Court. Some funds were necessary in the budget that would be used for that need. Mayor Stephens stated that the draft letter was an invitation to begin negotiations with the County Commissioners Court if the Court was interested in the idea of being the sole owner with guarantees for continued health care being given. City of Denton City Council Minutes August 10, 1987 Page 3 215 Council Member Gorton pointed out that even in the event that any entity chose to try and decrease the number of services provided by Flow Hospital or to try and close it down, there was a 90 day period of notification with subsequent public hearings. That would allow the public one more time to perhaps clarify the issue of whether the vote was a vote against taxation or a vote against the Hospital. He also agreed with entering into discussions with the County as to the possibility of transferring the City's assets and agreed with Mayor Pro Tem McAdams to continue to look at the budget. Taxes could be raised $.01 and still be exempt under S.B. 1 which would raise approximately $200,000. The fund reserve was still a possibility for extra money for Flow as was an increase in taxes which might subject the City to a rollbacK. He wanted to continue to work for the viability of Flow Memorial Hospital so that the staff of the Hospital would not resign. Council Member Alexander agreed with Council ~ember Ayer that it was difficult to interpret the meaning of the election results. He felt that a great number o~ people were in £avor of Flow Hospital but were against the establishment o~ a hospital taxin9 district. He felt ~or that reason, the Council should provide every opportunity available to maintain Flow as a viable public hospital within that context. ~ne Council needed to express its willingness to negotiate all possible alternatives toward the solution of the problem. ~e urged that the Council ~ollow through with the draft letter. Mayor Pro Tem McAdams added that it was important to understand that even when it was talked about transferring the asset to the County, it was needed to recognize that the proposed budget to the upcoming year requested by Flow was ~1,U00,000 each from the County and the City. It did tare a significant amount of money for an institution such as a hospital to operate and that by transferring the Hospital did not diminish the need ~or money. Did the citizens not want a separate taxing entity or were they unwilling to provide the tax dollars to support a public hospital? Either the City or the County would have to provide tax dollar to support the Hospital. McAdams motion, Gorton second to transmit the letter immediately to the County Commissioners Court for their consideration. On roll call vote, McAdams "aye," Alexander "aye," Hopkins "aye," Gorton "aye,' Ayer "aye," Boyd "aye," ana Mayor Stephens "aye." Motion carried unanimously. City of Denton City Council Minutes August 10, 1987 Page 4 Council Member Gorton urged that a copy of the letter be sent to the Hospital Board of Directors. Gorton motion, McAdams second for adjournment. Motion carried unanimously. JENNIFER ~LTERS CI~ SECR~;fARY CITY OF DENTON, TEXAS 2724C