Auditor: 6 rural public hospitals struggling in Mississippi

Six of the 19 rural, county-owned hospitals in Mississippi were in poor financial condition in the budget year that ended in June 2016, state Auditor Stacey Pickering said in a report Wednesday.

Posted: Dec 14, 2017 8:35 AM
Updated: Dec 14, 2017 11:25 PM

JACKSON, Miss. (AP) — Six of the 19 rural, county-owned hospitals in Mississippi were in poor financial condition in the budget year that ended in June 2016, state Auditor Stacey Pickering said in a report Wednesday.

The report says three of those listed in poor condition are in the Delta: Greenwood Leflore and Tallahatchie General hospitals, and North Sunflower Medical Center.

Two are in the northeastern part of the state: Tippah County Hospital and Magnolia Regional Health Center in Alcorn County. One, Franklin County Memorial Hospital, is in the southwest.

The report says two of the 19 rural, public hospitals were in excellent financial condition. They are Jasper General and Neshoba County General.

Three were in good financial condition, and eight were in fair condition.

"Our federal delegation — our congressmen, our senators — as well as our state Legislature, all need to know where our high-risk areas are when it comes to health care in the rural community," Pickering told reporters.

Since 2010, five rural public hospitals in Mississippi have closed.

Communities can be hit hard by a hospital closing, with loss of emergency services and primary care, Pickering said. The lack of a hospital can make job creation more difficult because executives want to develop companies where their employees have access to health care. A closing also wipes out hospital jobs and could force physicians or other health providers to move away, hurting the local tax base.

Mississippi has 113 hospitals, private and public. Pickering said his office used federal guidelines to define which of the county-owned hospitals are considered rural, and the 19 in the report are not leased or managed by any other entity.

The list of 19 includes OCH Regional Medical Center in Oktibbeha County. In a November election, local residents rejected a proposal to sell the 96-bed hospital. The auditor's report lists the hospital in fair financial condition.

For each of the 19 hospitals, the auditor's office evaluated profitability, the number of days of cash on hand, debt financing and the age of the facilities. Pickering said that since 2015, hospitals that participate in the Mississippi Public Employees Retirement System have had to list their pension obligations as part of their financial picture.

Statement from Magnolia Regional Health Center:

“In response to the assessment of public rural hospitals’ financials by the Office of the State Auditor, we feel like it is important to elaborate on the factors that contributed to Magnolia Regional Health Center’s “poor” financial rating for fiscal year 2016. The Office of the State Auditor based their review on audited financial statements that took into account the effects of regulations mandated by Governmental Accounting Standards Board 68 (GASB 68),” said Ronny Humes, Chief Executive Officer at Magnolia Regional Health Center. “These regulations were initiated in 2014, requiring public hospitals to record on their financials their portion of the unfunded liability of the Public Employees’ Retirement System (PERS). Although these liabilities appear on our financial statements, we have paid all of our contributions required by PERS . Removing the impact of GASB 68, our financial strength index score would reflect an “excellent” score for 2015 and a “good” score for 2016. The decline from fiscal year 2015 to fiscal year 2016 reflects a major IT upgrade the hospital underwent to better enhance the continuum of care for the patients we serve and to better compete in the changing healthcare arena. We are confident our current financial position will allow us to continue to provide care in Alcorn County and the surrounding region for years to come.”

Mississippi Coronavirus Cases

Data is updated nightly.

Cases: 512632

Reported Deaths: 10262
CountyCasesDeaths
Harrison34853555
DeSoto33162432
Hinds32556641
Jackson24830389
Rankin22442402
Lee16238242
Madison14874283
Jones14086247
Forrest13741259
Lauderdale12249324
Lowndes11286193
Lamar10644140
Pearl River9707244
Lafayette8827143
Hancock7835132
Washington7550169
Oktibbeha7204138
Monroe6989179
Pontotoc6970109
Warren6849178
Panola6746134
Neshoba6726210
Marshall6653141
Bolivar6440151
Union633897
Pike5924156
Alcorn5862107
Lincoln5525136
George510180
Prentiss500884
Tippah490282
Itawamba4829107
Scott477499
Adams4766125
Tate4748116
Leflore4723144
Copiah455895
Yazoo455591
Simpson4543117
Wayne442772
Covington432895
Sunflower4299106
Marion4265112
Coahoma4227109
Leake413790
Newton395581
Tishomingo381793
Grenada3775109
Stone365666
Jasper340166
Attala337790
Winston317792
Chickasaw313367
Clay311878
Clarke301195
Calhoun284449
Holmes271289
Smith268952
Yalobusha243747
Tallahatchie231453
Greene224749
Walthall221366
Lawrence217840
Perry213356
Amite209557
Webster205148
Noxubee188642
Montgomery181557
Carroll174441
Jefferson Davis173643
Tunica163239
Benton152639
Kemper144941
Choctaw136527
Claiborne134238
Humphreys131139
Franklin124929
Quitman107528
Wilkinson105939
Jefferson96834
Sharkey65121
Issaquena1957
Unassigned00

Alabama Coronavirus Cases

Cases: 844951

Reported Deaths: 16115
CountyCasesDeaths
Jefferson1161002006
Mobile741871379
Madison53279732
Shelby38325368
Baldwin38068589
Tuscaloosa36009641
Montgomery34482781
Lee25550263
Calhoun22585518
Morgan22451406
Etowah20013517
Marshall18777316
Houston17727425
St. Clair16875358
Limestone16135218
Cullman16044303
Elmore15904294
Lauderdale14968306
Talladega14189299
DeKalb12967269
Walker12020380
Blount10714192
Autauga10517157
Jackson10157194
Coffee9414192
Colbert9334208
Dale9018191
Tallapoosa7254201
Russell707765
Chilton7018170
Escambia6955143
Covington6932195
Franklin6340108
Chambers5783142
Marion5401130
Dallas5285209
Pike5118109
Clarke484986
Lawrence4826129
Winston4780110
Geneva4642136
Bibb434094
Barbour369480
Butler3434100
Marengo342393
Monroe337066
Randolph334367
Pickens333188
Fayette330085
Henry320666
Hale318189
Cherokee317563
Crenshaw260477
Washington256952
Cleburne254460
Lamar251253
Clay250869
Macon244764
Conecuh192762
Coosa184947
Lowndes178168
Wilcox177438
Bullock152645
Perry141840
Sumter139241
Greene130245
Choctaw93228
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