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November Election - Commissioners

Joseph T.

Posted 7:54 pm, 10/22/2014

Don't forget early voting starts tomorrow At the court house from 8AM to 7:30 PM

pointman

Posted 5:43 pm, 10/22/2014

Drain the swamp. Throw the bums out....pricks.

NSA Troll

Posted 1:21 pm, 10/22/2014

Personally I don't really care what they pay anyone over there so long as they are not taking county money. If I thought this was a one time bail out then that would be the end of it. However, our county manager has indicated that this may become a continuing expense for our county. I believe it is contingent on us, to hold the people that approve these expenses responsible for obtaining and reporting to the tax payers the financial validity of our investment. The entire group of "wanna-bes' seem to like to talk about transparency. Sands has already shown he doesn't believe in that. I will turn my attention to the incoming commissioners and next years budget. Been nice talking with you folks on this subject.

onlyinashe

Posted 6:45 am, 10/22/2014

Dog, all I can say is request the audited financials from the CEO or CFO at the hospital, as a 501(c)3 they are required to make those available upon request.


You'll have to wade through the fact that they are on an accrual accounting system, which is different than most people manage their own funds which are typically on a cash basis, but with the financials, notes and statement of cash flows you'll find what you are looking for.

underdog2

Posted 8:09 am, 10/21/2014

They along with many others watching this informative conversation want to see the true down to the dollar loss.

onlyinashe

Posted 7:04 am, 10/21/2014

Farmer, Troll;


The audited financial reports of AMH are available for public inspection by contacting the CEO. You'll not find the detail on compensation you are requesting for individuals in the corporation because as a private non-profit they are not required to release that information in the detail you are seeking, other than through the 990 and other tax filings, then you'll only get top employees and vendors as you have already seen.

You can ask but I doubt you'll get a copy of the General Ledger which provides all the detail you are seeking on some of the expense roll up accounts.

Should the County ask for that level of detail? If that is consistent with any other economic development investment then sure they should, what will it tell you once you have the information? Unless you have some sort of comparative data base to research then you'll only have raw data with no comparison for reasonableness.

Farmer28

Posted 9:14 pm, 10/20/2014

Actually there was another $15,507 listed as other compensation for Thore which was likely the benefit portion, I didn't see anything similar for Quorum.

And I'm with NSA, I would like to see a more thorough and up to date listing of the official's salaries as well as the revenue/expenses.

NSA Troll

Posted 5:45 pm, 10/20/2014

Only, the financials I have found so far tell me little. From their website there is an abbreviated report. Expenditures are shown as:

Wages, Salaries and Benefits : 15.2 M

Med. Supplies: 2.7M

Depreciation & Int.: 1.8M

Professional, Administrative & Other : 6.8M

(Note: rounding applied)

Now where do I find what Makes up Professional, Administrative & Other. I looked at their tax filings as to what was available and they are a few years out of date.

Overall they show a shortfall of just over 500k for the year 2013 and that looks like what the county is almost replacing for them.

Now did our county manager and commissioners check the books and see if those large expenditures categories shown above were in fact relevant to value received by the county? I know that Sands when asked that question simply answers with "we need a hospital". No real justification other than a gut feel.

I also looked at the report of the value of hospitals to counties that was provided by a link in this chain. That report showed a small increase in a county's economy over a two year period after closing of a hospital. That study like many is basically based on averaging techniques of the inputs provided. This methodology provides a general conclusion but is not necessarily applicable to specific cases. This is similar to the value provided by regional airport study that is a computer generated value for the secondary and tertiary benefits. Such studies just do not accurately provide specific case projections, only what must be considered as estimates.

Like I said, not necessarily opposed to hospital but would like to see an independent value analysis.

onlyinashe

Posted 3:26 pm, 10/20/2014

Farmer, the fee paid to Quorum for the management of the facility included the salary and benefits of the individual assigned to that facility during that time, I believe his name was R.D. Williams. the Salary quoted for Joe Thore would also include all benefits such as employer match for any retirement program and the employer portion of health insurance FICA and any other tax matches required.


The Organizing documents for AMH may be found at the NC Secretary of States website, you'll find that shares of stock in Ashe Memorial Hospital have no capital value and are not traded on any exchange, so the statement that if you own a share of AMH stock you own a piece of the organization is incorrect.

onlyinashe

Posted 2:05 pm, 10/20/2014

NSA Troll

Posted 6:47 pm, 10/13/2014

Only, you seem quite well versed in the operation of AMH. So name the board members.

Also how about speaking to the subject of uncompensated care. The law of the land requires EVERYONE to have insurance; therefore, we pay the price to provide vouchers to those in need and again pay the hospital.

I agree the hospital should be a benefit to the county in attracting second home and retiring people. However, I am tired of officials not doing their jobs and questioning the expenditures of county funds. Like the mule from Missouri, show me.

Troll I'm not able to name all the Board members, as I don't recall all 18 members, the ones I remember are

Jim Gambill
Tom Efford
Sue Hampton
Nancy Kautz
Stephen Shoemaker
E.J. Miller
Charles Jones
Jan Caddell
Dr. Summey
Bradley McNeill
Martin Little

True it is the law that if you have a household income in excess of 138% of poverty you must have health insurance, there are still quite a few folks who have not purchased insurance choosing to pay the minimal tax penalty instead, as the years of the ACA roll by and the penalty moves up then there might be an increase in the insured rate in the County.

There are a significant number of the population of Ashe County who fall below the 138% FPL which are not required to purchase insurance and do not qualify for medicaid That number is in excess of 10% of the population in Ashe County.

the financials of AMH are audited and published as required, what else do you want or need?

underdog2

Posted 8:08 pm, 10/13/2014

I blew right by that page and didnt see it. Liquor is the blame.
t

Farmer28

Posted 7:54 pm, 10/13/2014

They are on page 7, an entire list. Most are probably still on the board and most receive no compensation. A couple of Foundation members received small compensation amounts.

underdog2

Posted 7:51 pm, 10/13/2014

Seems the trustees are hidden well.

GoAshe

Posted 7:43 pm, 10/13/2014

I removed a few posts that were off topic and/or trolling.

Farmer28

Posted 7:41 pm, 10/13/2014

The last 990 for the Ashe memorial Hospital Foundation I could locate is also from 2012. It list Joe Thore's salary as $90,851 from the hospital and $15,507 from the foundation, a total of $106,358 (page 8). the link is http://990s.foundationcente...09_990.pdf

Tommy H.

Posted 7:35 pm, 10/13/2014

If you want qualified people, just elect a board comprised of all truckers....

Farmer28

Posted 7:34 pm, 10/13/2014

And as for Bruno, he's a nice enough good ole boy but not educated enough, nor intelligent enough, to provide adequate representation.

Farmer28

Posted 7:33 pm, 10/13/2014

The last 990 I could find for Ashe Memorial Hospital was from 2012. At that time, Quorum Health Resources was the management company and they were receiving $329,726 for management services (page 8). Other that that, he only key officials salaries listed appeared to be doctors and physicians assistants. Board members at that time are listed on page 7.

I only skimmed the document but found it interesting that they were paying $29,108 in rental storage space to a company owned by employee Joe Thore (page 50). The link for the document is http://990s.foundationcente...09_990.pdf

The hospital was operating in the red at that time and has done so for a number of years. The indigent population as well as the migrant workers tax the system as do a number of other things. the county also gave the hospital money back around 2007-2008 to the tune of $250,000. The signs were paid for by the hospital.

NSA Troll

Posted 6:47 pm, 10/13/2014

Only, you seem quite well versed in the operation of AMH. So name the board members.

Also how about speaking to the subject of uncompensated care. The law of the land requires EVERYONE to have insurance; therefore, we pay the price to provide vouchers to those in need and again pay the hospital.

I agree the hospital should be a benefit to the county in attracting second home and retiring people. However, I am tired of officials not doing their jobs and questioning the expenditures of county funds. Like the mule from Missouri, show me.

underdog2

Posted 6:08 pm, 10/13/2014

Are you a present or former board member Only?

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