Ballan District Health and Care would not be drawn on potential changes to services as it continues to rebuild from massive debts.
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The bush nursing hospital, which is community-owned, was provided a $500,000 loan and a Letter of Comfort from the state government last year, but the new interim chief executive, Rowena Clift, said in a statement the board is continuing to work closely with the Department of Health and Human Services.
"An independent review highlighting a range of opportunities for improvement is being considered by the Board," she said.
"The Board of Governance and I are completely committed to ensuring community access to health and wellbeing services into the future. However, changes must be made to ensure viability of the health services and that's what we are working on right now.
"The Board and I will ensure any changes to services here are shared with the community. This includes in my regular staff update which is made publically available."
State Health Minister Jenny Mikakos confirmed the government was working with the board, providing support "while they consider a range of options to ensure appropriate health service provision to their local community".
"We are advised the Board is currently considering a range of opportunities to improve its financial position following an Independent Review," she said in a statement.
As well as hospital beds and residential aged care, the hospital also offers specialist services like dentistry and social work, and community services like Meals on Wheels and exercise physiology.
The hospital's GP clinic had an additional 14,000 visits in the 2017-18 financial year, an increase of 35.4 per cent from the previous year, and the net deficit was reduced by more than $3 million, though it remains at $2.26 million.
However, hospital board member and Moorabool Shire mayor Paul Tatchell said there was a lot more work to be done to ensure services aren't cut.
"The reality is, it's not a public hospital, it's like every other country hospital, it's battling to keep up financially," he said.
"It's just got massive growing pains, it's a very large facility in a relatively small catchment.
"They've got all the ducks in the right place, but the only thing that matters is money."
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