DCH Hospital strategizing in face of cuts in Medicaid and ACA

{}{}{}{} DCH Hospital in Tuscaloosa says it is having to get creative to remain financially sound.

{}{}{}{} Tuesday, President & CEO Bryan Kendrick discussed the hospital's 2014 outlook with city council members.{} Kendrick says they anticipate a drop in government reimbursements will make things worse.

{}{}{}{} Sequestration has already cut $4 million dollar and the hospital stands to lose $11-million in changes under the Affordable Care Act.{} However the hospital says charity care and bad debts have increased to $40 million dollars.{}

{}{}{}{} Kendrick says they're trying to save through attrition and cutting expenses but at the same time maintain adequate care. "2014 we're not going to be in the red.{} We're hoping that not to be the case at this point.{} We're budgeting to have a very small margin.{} And that number we're projecting to be smaller in 2015 and that's about all I can tell you at this point but it will be less."

{}{}{}{} However, Kendrick says the hospitals they operate in rural Fayette and Pickens counties are operating in the red.{} But, they're working to keep them open.