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18
<br /> 1 Travis Myren said that is the peer living space and the coordinated discharge and it is
<br /> 2 included in A2.
<br /> 3 Commissioner McKee clarified that the tax impact would be an increase over what is
<br /> 4 already budgeted.
<br /> 5 Travis Myren said yes.
<br /> 6 Commissioner Carter said looking at the EMS transports, it comes to about 1.4 transports
<br /> 7 a day. She asked how the estimate of daily needs were made.
<br /> 8 Travis Myren said EMS transports are one source of admission, and there are other drop
<br /> 9 offs such as from law enforcement as well as walk-ins. He said they looked at all the 911 calls
<br /> 10 and crisis calls to Chapel Hill Police to create a measure of demand.
<br /> 11 Commissioner Carter said some of the design options half the number of BHUC beds and
<br /> 12 facility-based care beds. She asked if that would severely impact their ability to serve the known
<br /> 13 needs.
<br /> 14 Travis Myren said based on the estimates, there would be occasions where they would
<br /> 15 turn people away. He said they would also want to have a steady flow of patients especially in
<br /> 16 the facility-based care because operating costs and revenue rely on keeping beds full most of the
<br /> 17 time.
<br /> 18
<br /> 19 Slide #18
<br /> OPERATING COST COMPARISON
<br /> Revenue 116 Bed FBC 112 BHUC Bays 16 BHUC Says
<br /> Medicaid,IPRS,3"d Party $3,061,846 $320,416 $217,816
<br /> TOTALREVENUE $3,061,846 $320,416 $217,816
<br /> •.
<br /> Labor $1,960,782 $2,003,289 $1,453,610
<br /> Contract Labor $435,413 $301,600 $301,600
<br /> Non-Labor $359,467 $446,656 $433,736
<br /> TOTAL Operating Expense $2,755,662 $2,751,545 $2,188,946
<br /> Rent $0 $0 $0
<br /> Administrative Costs $306,185 $305,727 $243,216
<br /> TOTAL EXPENSES $3,061,847 $3,057,727 $2,432,162
<br /> Non-UCR(County Responsibility) $0 $2,736,856 $2,214,346
<br /> $522,510 difference
<br /> ORANGE COUNTY
<br /> NORTH CAROLINA
<br /> 20
<br /> 21 Commissioner Carter said the youth will be served in the behavioral health crisis side, but
<br /> 22 they won't be served in the facility-based care side. She said that feels like a gap for the
<br /> 23 community and asked if that is on the radar for how that need will be filled.
<br /> 24 Travis Myren said to analyze that they would need to go through a sequential intercept
<br /> 25 mapping project for youth involving juvenile justice, the schools, and everyone who serves youth.
<br /> 26 He said they would want to define the need first, and Caitlin Fenhagen offered to begin that
<br /> 27 project.
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