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Pahrump Mirror
Pahrump, Nevada
February 13, 1997     Pahrump Mirror
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February 13, 1997

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Service Forum Are you having problems wading through government red tape7 Q4Jil/.i, Cm*kmlp, iimFle boece, Eecurity reement4 anB a variet V < olltcr ,'en, ice, I Can Help! Phone 751307 DiAnne E. Knudsen, G.P.C. Attention All Pahrumpians hduding Realtors,  Home Dealers, Etc. Ooyou ndhdp  Heavy Duty or Light House keeping? Cam Mrs. Clean 727-1623 Reasonable Rates Free Estimates Licens & Bonded Pahmmp HousesittJng Seice We provide housesitting services while you are away from your home. We: = Check your house 1 " Feed your animals q" Water your plants S'N dayu weda Go on :aUon ,! your hou in "*"''"' Give us a Call 751-2159 Personal Income Taxes Pwpared Corporation Taxes Done Bookkeeping by appt. only Income taxes can be done by mail if desired Lee J. Fellows 1-(702) 727-0297 Pahrump Valley Insurance Life * Group Medical 727-5700 Phone & Fax Roger W. Burnley C.LU. Is Your Business Lost In Cybempace? The Interne can work for you when you know HOW to use it. Ph. (70} 7SI-OS6S Fax (702) 727-1606 FY 95-96 audit - Wake up call Among the rather startling information beginning to un- fold by reviewing the FY 95-96 audits made available at the February 4, 1997 Nye County Commission meeting is hard data concerning the Nye Regional Medical Center (NRMC) in Tonopah. Even after becoming somewhat inured to the misinforma- tion decimated on a continuous basis at commission meetings I still find myself falling into the trap of believing that at least once in a while, some of the time, we are being told the truth. NRMC and the problems underlying it present finan- This Man's Opinion cial crisis position is a case in point, by Brent Mathewson We have been told con- tinuously over the last few years that a rural hospital cannot expect to run at a profit for three key reasons. 1. The expense of operating an emergency room facility is prohibitive and cannot be overcome by potential profits that may be made in other departments, 2. Ditto the labor-delivery room facili- ties. 3. Some people just don't pay their bills. The NRMC audit reveals the lie behind this fallacy that has been preached to us like a mantra. NRMC had revenues in FY 95-96 totaling $6,303,422. This figure was adjusted down- ward from a regional total of $7,717,407 to reflect the fact that Medicare, Medicaid and insurance firms do not pay the full amount billed. There are 16 different departments at NRMC and combined they generated this total 6 million dollar revenue figure. The emergency room did run at a loss but it was a loss of a mere $192,666 and the labor-delivery depart- ment lost an additional $24,648. Altogether the 16 departments paid for all their expenses, all the doctors' fees (which are paid and determined by contract) and all the expenses of 9 other non-revenue gener- ating departments of the hospital which are necessary to operate a facility of this type. After they paid for all these things there was still a profit left over and the plant was running in the black to the tune of $1,413,975. So where did all the money go? I'll tell you where it went. It went fight out the door and into the pockets of the hospital administration which ran almost a million dollars over budget during the fiscal year involved. By the way, the county manager at the time, Bill Offutt, was the CEO at the hospital until he was fired on March 5, 1996 and replaced by Les Bradshaw. The CEO was the person primarily responsible for seeing to it that the administration operate within its PFEPLES SCHOOL - Certificate of Completion - Job Placement/sistonce Available Upon request - 4 vVk - 4 hr-s Per Day - leible hedulin8 - Limited enrollment SPlZCI/00I_ First 10 students enrol! will receive 1/5 off budget. The audit also shows a highly deceiving figure of $1,531,280 as a write-off figure of people who haven't paid their bills to the hospital. The audit states that 25.75% of the hospital's income is billed to patients without insurance. The auditor verbally stated about 35% of these bills go uncol- lected. The 1 1/2 million dollar write off cannot possibly reflect accurately the uncollected private patient fees of the fiscal year involved. To reach the 1 1/2 million dollar figure all private patient fees billed for the [l year would have had to go uncol- lected. The write off obviously represents fees that have gone un- collected going back many years past. Yet in spite of this the county coughed up 996,096 dollars through a questionable i nterfund transfer out of PET'I" monies without.the p lics or even most of the commission's knowledge to suppos- edly cover this expense. This illegal transfer out of the PET]" money account was revealed to the public for the first time on February 4, 1997 when the auditor, Dan MacArthur, men- tioned it to the commission in a verbal presentation of his report. Most in the audience, including the commission did not fully comprehend what was being explained at the time. NRMC's fiscal problems in FY 95-96 were nothing when compared to FY 96-97 which will end on June 30 of this year. The high priced management that has been brought on board has only managed to accelerate the financial destruction of Nye Regional that will surely take place if not brought to an immediate halt. NRMC is leaking money like an open faucet and has lost an additional 2 million dollars since last June. The hard numbers are plainly visible to anyone who cares enough to open their eyes and see. There is another figure that is somewhat more camou- flaged but should be of equal interest to the Nye County citizen. This figure can be found in the Nye County audit and has to do with the ending fund balance in the Nye County general fund on June 30, 1996. The projected budget balance on that date was to be $440,998. The audit states that the actual balance ended being a negative $34,754 in the hole. The negative $34,000 figure is highly misleading. The fund is supposedly backed up with assets of $1,228,729 owed to it from another government agency. Which government agency? None other, of course, than the Nye Regional Medical Center " For more information Coil > in Tonop otherwise known as NRMC. The true Nye County general fund balance on that date was minus $1.3 million in the red and county records bear this out. " For those who are inter- ested, Nye County govern- ment expenditures exceeded revenue by about $6 million in FY 95-96. It is still going on and if there has been any change at all it has only been to accelerate the pace of fi- nancial irresponsibility. The commission is now spending FY 97-98 PETT fund mon- eys that will not be received until September of this year at the earliest. A million and a half of these monies are already out the door. All other funds have been spent or are rigidly encumbered. Someone in authority in this county had better wake up and smell the bacon." It's burning. That is this man's opinio% (702) 751._5262