Newspaper Page Text
PAGE 4A
LOOKING BACK
A look back at what the
people of Monroe County
were reading in the
Reporter 5, 10, 20 and
25 years ago this very
week:
2005
Declining SPLOST rev
enues forced the City of
Forsyth to dip into its
cash reserve to make a
bond payments. The
City Council knew
SPLOST revenues were
likely to fall, but the
decrease was larger
than expected, and the
city needed $176,953
more dollars than previ
ously alloted to make
the bond payment.
Monroe County
Courthouse security was
scrutinized in the wake
of a deadly courthouse
shooting in Atlanta. An
armed deputy was
assigned to the
Courthouse during busi
ness hours, and no one
was admitted without
passing through a metal
detector.
2000
Hubbard Elementary
School principal Dr.
Nancy Brunson decided
to retire after 34 years
in education. Brunson
served as Hubbard
Elementary principal
from 1994 to 2000.
Perry Slaughter won
the annual Forsythia
Festival 5K race with a
time of 17:38.
1995
As a member of the
Flint Judicial Circuit,
Monroe County will
receive a third judgeship
when Gov. Zell Miller
fills 14 vacant Superior
Court positions later in
1995.
Up to 5,000 people
attended the first ever
Culloden Highland
Games and Scottish
Festival. Games presi
dent Felton McLaughlin
declared the Games "a
smashing success."
1990
Torrential rainfall
resulted in the highest
creek and lake levels in
years, flooding dozens of
homes and causing hun
dreds of thousands of
dollars in property dam
age.
Despite rainfall,
Forsythia Festival plan
ners declared the 1990
edition "a success."
1980
County unemployment
dropped from 4.7 per
cent in December 1979
to 4.1 percent in
January 1980.
OPINION POLL
What did you think of the new layout of the
Forsythia Festival down Johnston Street?
Loved it. Easier to 41 votes
find everything. Sim- 51 percent
pie crowd flow.
40 votes
Didn't like it. It be- 49 percent
longs back on the
square.
GET IT OFF
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The comments featured on the opinion pages
are the sole creations of the writers, they do
not necessarily reflect the opinions of The Re
porter management.
Publication No. USPS 997-840)
1 Reporter
March 24, 2010
Opinion
Declare among the nations,
and publish, and set up a standard;
publish, and conceal not;
Jeremiah 50:2
On the Porch
‘There ain’t no rules around here’
F or great
moments in
Democratic gov
ernance, look no
further than last
week's pronouncement by
Congressman
Alcee Hastings.
Who is he? Well,
Hastings was a
federal judge from
Florida (appointed
by Jimmy Carter)
for 10 years before
he was impeached
and removed from
office for corrup
tion and perjury.
So then, he was,
of course, elected
to Congress. And
the Democrats put him on
the one of the most power
ful committees in the
House - the Rules
Committee, where, leading
up to Sunday’s healthcare
takeover vote, he said this:
"There ain’t no rules
around here — we’re trying
to accomplish something.
And therefore, when the
deal goes down, all this
talk about rules, we make
‘em up as we go along."
Let's thank Rep. Hastings
for his honesty.
People like to say, "there's
no difference between the
parties, throw them all
out." And it’s true -
Republicans can be as bad
with pork-barrel spending
and kick-back politics as
Democrats (usually only
Republicans pay a price for
it).
But this past week
reminded us that there
remain big differences.
Despite repeated
election setbacks
and widespread
opposition,
Speaker Pelosi
and her meddle
some band of
1960s radicals
rammed down our
throats their
2,500-page utopi
an dream: gov
ernment control
of healthcare. As
Hastings’ com
ments illustrate, liberals
stop at nothing - rules,
protests, blizzards, to
impose their vision on the
country. They live for politi
cal power. Conservatives, in
contrast, generally resist
the idea of a larger domes
tic role for federal power.
Yet, Gallup says there are
twice as many conserva
tives in the country as lib
erals. And still, by a fluke
of history, liberals have
found themselves in control
of two branches of govern
ment and are now hastily
dictating terms from
Washington. As a result,
under the bill the president
signed Tuesday, for the first
time our government will
take our hard-earned
money and use it to fund
abortions, something many
of us consider murder, at
community health centers
created by the legislation.
It will dictate that individ
uals must buy a product,
health insurance, under
the threat of a fine or jail.
It will dictate what the
product is and how much it
costs.
(As an aside, several of
our south Monroe County -
- 31210 - subscribers didn’t
get last week’s Reporter
until this week, Monday.
The post office assured me
the papers just got left
somewhere in their
Zebulon Road office. As I
told one caller on Monday,
don’t worry, I’m sure the
federal government will do
a better job than this with
healthcare. “Don’t get me
started!” she replied.)
This is a sad time in
America - this is how it
must have been as Chavez
rose in Venezuela or Castro
in Cuba, promising hope
and change for the masses
while amassing power for
themselves. Conservatives
necessarily must play by
the rules - we believe in
the rule of law. And so we
need to take a page from
the playbook of Martin
Luther King. When King
saw racism codified by
immoral laws, he marched,
he held sit-ins, he led digni
fied civil disobedience. And
because his movement was
peaceful, grounded in
moral and biblical truths
and anchored in American
traditions, he successfully
changed society.
There’s a new moral ugli
ness being thrust on
America - not racism but
statism. We are sinking in
debt, and yet Congress is
amassing monstrous
amounts of new debt for
unborn children to pay.
Congress is stealing more
and more bread earned by
the sweat of the worker’s
brow, and using it to
encourage things we find
harmful to society - lazi
ness, unwed pregnancy,
and now, abortion. The fed
eral behemoth, like out of
control kudzu, is choking
out healthy growth in soci
ety - strangling the bonds
of community and family
with its all-consuming lust
for resources and power.
Even so, conservatives
should cheer up. It’s becom
ing clearer every day that
we, like King, have the
moral high ground. I
believe as King said, “...
that unarmed truth and
unconditional love will
have the final word in real
ity.”
So onward, all you who
love liberty and hate tryan-
ny. November’s election is
just around the comer.
Hospital
continued from the front
released last week. The
hospital's operating loss
was actually $828,000, but
the hospital offset that
largely due to a $200,000
contribution from county
commissioners.
The overall $631,000 loss
in 2009 is considerably
greater than the $52,000
loss the hospital posted in
the 2008 fiscal year.
"It's a significant loss, but
it's not the end of the
world," Floyd said. "It
doesn't mean financial
ruin."
Floyd pointed to the hos
pital's stable revenue even
in a bad economy as evi
dence the hospital is suc
ceeding. The hospital's
total operating revenue
has exceeded $9 million in
2007, 2008 and 2009, and
it actually increased by
$170,000 in 2009, a two
percent increase from
2008.
Floyd said the hospital's
heavy losses in 2009 are
actually due to increased
expenses. The hospital's
total operating expense
was $679,000 higher in
2009 than 2008, an
increase of 7 percent.
Floyd said three new hos
pital projects were prima
rily responsible for the
substantial expense
increase in 2009. She said
start-up costs for the hos
pital's added Outpatient
Physical Therapy program
and new Rural Health
Center were financial bur
dens the hospital will not
face in coming years. In
fact, Floyd said the outpa
tient physical therapy pro
gram has shown early
profitability, and the rural
health center expenses are
being largely underwritten
by a federal grant intended
to support the clinic during
its first two years of opera
tion. Floyd said the grant
is paid on a reimburse
ment basis. She said both
new services have been
well-received in the com
munity, and patient vol
umes are so far at or above
projections.
Floyd also said the hospi
tal incurred an additional
expense with its new MRI
imaging capacity. She said
the hospital did not previ
ously have its own full
time MRI unit and instead
relied upon a mobile unit
that was brought in sever
al days per week.
Floyd said in regards to
the hospital's cash flow,
many of the hospital's larg
er payments are coming
from state and federal gov
ernment health plans, so
delays in payment do occur
and monthly traffic fluctu
ates. So the hospital has
borrowed money from
Monroe County Bank and
The Farmers Bank
through lines of credit to
bridge the lag in cash
receipts. She said as pay
ments are received, the
line of credit is paid down.
Floyd said that although
the audit shows a large
loss for the year, most of a
Critical Access Hospital
like Monroe County
Hospital's cost-based finan
cial "settlement payments
with Medicare and
Medicaid are not settled
up until after the year has
been completed. She said
the hospital currently
awaits $600,000 in pay
ments due to it from the
combined Medicare cost
settlement payment and
the state's Indigent Care
Trust Fund. Floyd said
when you factor things like
that, the bottom line does
not look nearly as bad.
Floyd added 2009 was a
"transitional year" for the
hospital, since the hospital
had three different CEOs.
O.J. Booker resigned after
fours years as hospital
CEO in February 2009.
Former administrator
Buzz Tanner took over the
position on an interim
basis until Floyd was hired
in July 2009.
The hospital continues to
have strong assets, Floyd
said. The hospital has over
$2.6 million in total cur
rent assets against over
$1.2 million in total cur
rent liabilities.
However, the hospital's
total net assets decreased
by $77,000 or just over 2
percent from 2008 to 2009
from $3.47 million to $3.39
million. The total net
asset figure factors in the
$554,000 that the hospital
received from capital
grants and sales tax funds
in 2009.
Floyd said much of the
hospital's financial strug
gles stems from the hospi
tal's treatment of indigent
care patients, particularly
in a weak economic cli
mate. Floyd said indigent
care is a particular issue at
a non-profit safety net hos
pital, such as Monroe
County Hospital. Floyd
said the hospital receives
some federal and state
money for indigent care
through the state's
Indigent Care Trust Fund,
but she said some services
for indigent patients
remain unpaid. Floyd said
the hospital has to pay sev
eral hundred thousand dol
lars annually out of its
own pocket for services to
patients that couldn't pay.
Floyd said the hospital
furnished $1,147 million in
charity and indigent care
in 2009, an increase of over
$200,000 from 2008. She
said this increase is indica
tive of the recession. Floyd
said she allocates the
money the hospital
receives from Monroe
County to help fund indi
gent care.
"I think our community
is as hard hit as anyone,"
Floyd said.
Floyd said one aspect the
hospital is really focusing
on and improving in is
becoming more outpatient
service driven.
"Shifting utilization to
outpatient services is cer
tainly on the rise here,"
Floyd said.
Floyd said that increas
ing the amount of general
surgery at the hospital is a
must for the hospital's
long-term financial suc
cess. She said that plans
are underway to grow the
medical staff once again to
replace several doctors
that have left in the last
two to three years. Family
practice physician, Dr.
William S. Taunton, joined
the hospital's active staff
already in 2010, and Floyd
said other primary and
specialty physicians are
being sought.
Floyd said she believes
more doctors will lead to
greater financial success
for the hospital.
"We improve our access
to care when we bring new
docs to town," Floyd said.
"The docs will send more
patients."
One important way Floyd
hopes to recruit new doc
tors is with a brand new
15,000 to 20,000 square
foot medical facility a few
hundred feet south of the
hospital's current location.
Floyd said the building,
which is tentatively sched
uled to open in late spring
of 2011, will house the
offices of three to five doc
tors. Floyd said the build
ing will be paid for using a
portion of the hospital's
$4.3 million in 2008-13
SPLOST proceeds.
SPLOST money must be
used for capital projects
and cannot be utilized to
resolve the hospital's oper
ating losses.
Monroe County Hospital
is not alone in its financial
struggles. A 2008 financial
study by the Georgia State
Office of Rural Health
evaluated 11 of Georgia's
34 Critical Access
Hospitals, including other
midstate hospitals located
in Putnam and Peach
counties. The report
showed 7 of the 11 CAH's
included in the study lost
money, and 5 of the 11
CAH's operated with a
negative total margin.
Kevin Bloye, spokesman
for the Georgia Hospital
Association (GHA), said
he's not surprised by the
losses. Bloye said the lat
est survey of rural hospital
finances showed that 60
percent of them lost money
annually.
"It's tough sledding out
there for rural hospitals,"
Bloye said. "Especially
with the economy and
growing uninsured and
declining Medicare and
Medicaid reimburse
ments."
Bloye said that is why it's
important that local citi
zens support their local
hospital, not just because it
provides health care 24-7,
but because it is a huge
economic engine in the
community.
"Citizens should rally
around their hospital,"
said Bloye.