Economy, lower reimbursements lead to hospital layoffs





SIERRA VISTA — The staff of the Sierra Vista Regional Health Center was reduced by slightly more than 13.3 percent Friday.

Of the 94 positions eliminated, 59 were active employees and 35 were open and unfilled, according to Jeff Atwood, the vice president of communications for RegionalCare Hospital Partners, the Tennessee-based for-profit medical group with which the former non-profit SVRHC Board of Trustees partnered in January to build a new 100-bed hospital.

The economy, and especially the turmoil in Medicare and state-operated Medicaid programs, as well a federal sequestration, were the major factors in the decision-making process to reduce the current workforce, which totaled 706 people at the time of the force reduction, Atwood said.

The majority of affected employees will receive severance pay and are eligible for continued benefit coverage through COBRA, the federal government’s continued health care coverage program, he said, adding the hospital is providing for outplacement assistance as appropriate for those terminated Friday.

According to Sierra Vista Regional Health Center interim CEO Tom Pemberton, “We made a reduction in force at Sierra Vista Regional Health Center. As you are no doubt aware, hospitals and other health care providers across the state of Arizona and the country are facing unprecedented challenges from the national health care policy changes resulting in reduction in payments and the increase in bad debt.”

Pemberton added, “In planning these changes, which impacted most departments across the hospital, we have been very cautious to make sure that our ability to provide our typical high level of care and compassion to our patients is not impacted.”

Atwood noted of the 59 affected employees, three were registered nurses, of which two were involved in patient care, adding some others were part-time employes or on call workers.

Pemberton said, “Our commitment to serving the people of Sierra Vista and southeast Arizona is not changed; it is simply that we are reacting to the economic pressures felt by all healthcare organizations. We believe that the changes we made today will better position us to meet the challenges that lay ahead.”

Bruce Dockter, Chairman of SVRHC Board of Trustees said: “The last few years have been challenging for hospitals across the state and ours is no exception. As we have said many times actions taken by the State Legislature on AHCCCS (Arizona Health Care Cost Containment System) reimbursement and coverage are putting many rural hospitals and some urban hospitals under financial stress.”

According to Republican Gov. Jan Brewer Spokesman Matt Benson the recent approval of the governor’s Medicaid expansion plan will provide more money for reimbursing hospital stays, which were hit by a 10 percent reduction in payments.

In a June 14 Arizona Capitol Times article, a press statement by Brewer said while the expansion plan doesn’t solve all of the state’s health care challenges “it will extend cost-effective care to Arizona’s working poor, using the very tax dollars our citizens already pay to the federal government.”

The expansion program will help rural hospitals from closing and boost the economy by the eventual creation of jobs, she said.

On Friday, Benson told the Herald/Review the estimated new jobs which will be created in the medical arena is about 21,000.

As part of the savings the state enacted in the past AHCCS reimbursements were cut by 10 percent and the governor’s expansion plan, in which the federal government will provide $8 billion during a three year period, or 100 percent of the cost to add 300,000 Arizonans, currently not covered will also mean the AHCCCS cuts made two yeas ago will be restored, according to the Arizona Capitol Times article.

Benson said since the law has yet to take effect, exactly how increased AHCCCS payments will play out has to wait, but the governor understands the financial crisis facing many hospitals in the state.

While the federal government has agreed to pay the full cost — 100 percent — for three years, and then slowly reduce the amount over a few years to 90 percent, and if the reductions go to 80 percent or below, the state has an opt out provision in the law, Benson said.

However, there is a move afoot to take the new law to the voters in 2014 which could delay the start of the program, he said.

Friday, Arizona legislator Republican Rep. Warren Petersen announced that Saturday morning, a grass root group of conservative legislators and others will kick off a campaign to “put Obamacare expansion to a state-wide voter referendum.”

Benson said such a signature gathering may come to nothing as there is amble state precedence disallowing voter approval of a bill which benefits citizens of Arizona.

When it comes to the employment quandary which was addressed Friday with the staff reductions, Dockter said, “As a local board, we have periodically reviewed the staffing at the hospital and considered changes. It is clear that given the reimbursement and regulatory challenges ahead of us that we had to make these business changes now. These actions are budget driven and not related to the partnership with RegionalCare, but having the support of a partner like RegionalCare is vital in challenging times like this.”

And the SVHRC Board of Trustees “… remains fully committed to the development and construction of the 100-bed replacement hospital. We expect to break ground this fall, begin construction in December, and move in early 2015,” he said.

Atwood said the new hospital has the potential of needing more employees once it is open.

Until then financial realities dictated the need to cut employees, he said.

Plans continue to add medical staff, such as physicians, as a way to provide quality rural health care so people will not go to larger urban areas for their health needs, Atwood said.

The decision to make the cuts was difficult, he said.

Providing the needed health care services is RegionalCare’s mission, Atwood said noting reducing staff is not part of the corporation’s plan.

However, in today’s world of economic reality, reducing hospital staffs is not unusual, he said.

In May, 16 hospitals or medical health groups in the nation cut staffs, according to Becker’s Health Review, an organization which tracts the medical industry.

Atwood said, “You cannot cut your way to success.”





Huachuca Henry on Sat, 06/22/2013 - 8:40am

We need to slash costs to make more money. I know…lets blame Obamacare!
Isn’t giving our hospital away to a out of state corporation working out
 great!

LocalCynic on Sat, 06/22/2013 - 4:39pm

Yep, absolutely coincidental that the local non-profit just turned everything
over to the out-of-state for-profit corporation a little bit ago.

Justthefacts on Sat, 06/22/2013 - 7:21pm

Hardly gave it away. I recall reading the community is getting well over
$100M, including the new hospital and a privately funded foundation. And I
read recently where the hospitals net revenue loss in two years is close to
$14M, almost all attributed to actions the state legislature has taken to cut
AHCCCS, not due to Obamacare. Until that problem is corrected, probably at
the ballot box, hospitals in the state are going to suffer financially and
the result will impact the populace with less availability of healthcare.

Myron Jaworsky on Sat, 06/22/2013 - 9:48pm

One of my favorite quotes is from Kenny Rogers’ the Gambler: “Don’t count
your money while you’re sitting at the table….There’ll time enough for
countin’ when the dealin’s done.” It seems especially appropriate in the case
of the hospital. We’ll see if the community gets the “well over $100M,
including the new hospital and a privately funded foundation” that
Justthefacts believes. Everyone else should be aware that the power lies not
with RegionalCare or any local SV board, but with Warburg,Pincus, a private
equity fund. In general private equity firms seek to get a 10 to 1 return on
their investment within a short time by cashing out assets and loading debt
onto their investment, which they use to pay themselves a “dividend.” If that
is what they plan to do, the details are probably buried in the rules and
regulations associated with Obamacare

Dumb Herb on Sat, 06/22/2013 - 11:01pm

I don’t count on SVRHC for health care for the same reason I don’t count on
the SV Herald for accurate well investigated information. Anyone can do a web
search and determine why private equity firms and venture capitalists like
Warburg Pincus are buying hospitals and what they do to them once they own
them. The first thing on the agenda is cutting costs and jobs. The
acquisition of SVRHC is not coincidental to payments insured by Obama Care
implementation any more than Bain Capital was incidental to Mitt Romney. Stop
feeding us crap!

Justthefacts on Sun, 06/23/2013 - 9:47am

All the money has already been deposited in an account belonging to the newly
formed foundation. So the community already has the “well over $100M”

Justthefacts on Sun, 06/23/2013 - 9:52am

Lets get the facts straight. Warburg Pincus hasn’t “bought” the hospital.
They have loaned money to RegionalCare to lease the hospital, which is owned
by the local foundation, and operate it. The reduction in personnel was in
the planning for months before the agreement was even signed. Some folks just
don’t want to admit the obvious, the actions taken by the state legislature
to cut reimbursements for AHCCCS, remove people from eligibility and increase
volumes of charity care are the cause. Ergo Douglas on the verge of closing,
the hospital in Mesa closing, Carondelet announcing a big lay off on Friday.
This cut was budget driven, nothing to do with RegionalCare.

Dumb Herb on Sun, 06/23/2013 - 3:03pm

From Warburg’s website: “RegionalCare was formed in 2009 by Warburg Pincus
and senior healthcare executive Martin S. Rash. Mr. Rash is the former
Chairman and Chief Executive Officer of Province Healthcare Company, which
was acquired by LifePoint Hospitals, Inc. in 2005. In 2010, Warburg Pincus
helped RegionalCare acquire three hospital systems located in Ottumwa, Iowa;
Florence, Alabama; and Wilmington, Ohio. In 2011, RegionalCare acquired
Essent Healthcare, an operator of three market-leading, non-urban acute care
hospitals located in Sharon, Connecticut; Waynesburg, Pennsylvania; and
Paris, Texas. Lastly, in 2013, RegionalCare acquired a leading acute-care
hospital in Sierra Vista, AZ.”

Myron Jaworsky on Sun, 06/23/2013 - 7:02pm

REF: Justthefacts, “All the money….” You appear to claim to know a good
deal about what is going on. But how much do you really know? Where is the
account, who has signature authority, etc.? Based on my experience, it is
likely that the account is held in a financial institution under the control
of Warburg, or that disbursements must be authorized by Warburg before any
funds are released. Which party has the security interest in the assets
hypothecated for the $100 M, and what are the assets?

Myron Jaworsky on Sun, 06/23/2013 - 7:21pm

REF: Justthefacts, “Lets[sic] get the facts….” Sure, but why don’t we look
for what in New Jersey would be called “the true facts?” A forty year lease,
coupled with operating control, is effectively equivalent to a purchase of
the hospital for about two human generations. As DumbHerb pointed out in the
other thread related to the hospital, Warburg considers it an acquisition. I
guess it’s because they’re from the New York metropolitan area and are
therefore well-versed in the concept of “true facts,” as opposed to the empty
verbalisms that captivate provincials. As for the RIF: if true, then what the
hospital administrators and board of trustees have done is a good reason for
repealing the so-called “right-to-work” provisions in Arizona law.

Myron Jaworsky on Sun, 06/23/2013 - 7:40pm

REF: Justthefacts, “Hardly gave it away…” Just what does the phrase, “the
hospitals[sic] net revenue loss in two years is close to $14M,” mean? Does it
mean that the hospital suffered an operating loss in that amount, or that the
hospital’s revenues would have been $14M higher without the AHCCCS cuts? If
the latter, then the hospital revenue over expenditures would have been $14M
higher than it was, which could mean either an increased surplus or a reduced
 loss.

FreeThinker on Sun, 06/23/2013 - 7:50pm

LOL! Hey Warburg Pincus, why are you investing your capital in a town that
frowns down on a profit motive? LOL! bring your money here to the “Chikin
Shak” and let SV be solely dependent upon the federal government for the
resources needed to fund their demand in health care. That town has it’s over
abundance of drama with water issues, poor educational institutions,
homosexual discrimination, protestor’s against Drones, inflated real estate
costs, over built tract housing developments, RedFlex cameras, run down
properties adding to the cost side of the cities ledger sheet, and a military
installation base that is going to build a hotel, funded by the tax payers,
so it can compete financially with the existing hotels currently going out of
business.
LOL! That town is best defined with one word….
“Dysfunctional”
Build that hospital & open a market for better physicians anywhere but SV and
let that town maintain their own health care industry the way they want too.

Sumtingwong on Sun, 06/23/2013 - 8:26pm

I think just the facts, is staring his opinion, without any facts.

Justthefacts on Sun, 06/23/2013 - 9:01pm

Yep, and it hasd been pointed out thst is in error. Will be corrected in a
few days.

Justthefacts on Sun, 06/23/2013 - 9:15pm

Not sure what your experience is, but in this case if RegionalCare goes out
of business tomorrow, the community foundation retains control of the money.
That was reported in the newspaper and the public hearing. Beyond that you
are asking questions that haven’t been made public. Guess you won’t be a
believer until the doors of the new hospital are opened in 2015.

Myron Jaworsky on Sun, 06/23/2013 - 10:15pm

REF: Free Thinker, “LOL! Hey Warburg….” Have you considered spending some
time in self-reflection? If you did, you might come to realize that much of
the “dysfunction” you cite stems directly from things you value:
Profit-seeking: water issues, inflated real estate, overbuilt tract housing,
Redflex. Religious fundamentalism: homophobia. Poor educational institutions
(although I don’t think Cochise belongs in that group; and certain faculty at
BHS and UASV are very good): anti-intellectualism and state funding policies.
As for the hotels: the message is that DoD funding coming to SV will be
reduced in the future, so the overbuilt hospitality industry will be
 downsized.

Myron Jaworsky on Mon, 06/24/2013 - 7:46am

REF: Justthefacts, “Not sure what your….” My experience? Former assistant
to the CFO/Treasurer of a major international architect/engineering firm.
(What’s yours?) That’s why I seriously doubt, despite the reports “in the
newspaper and the public hearing,” that the community foundation retains
“control of the money” if RegionalCare goes out of business. Construction
loans don’t work that way. Whether the hospital opens in 2015 or not is not
my issue. My concern is that, once again, the assets of a public institution
have effectively been transferred to private hands, to the detriment of its
employees, who end up losing their jobs, and the public, who end up paying
more than they otherwise would have. This is just another version of the
demutualization of insurance companies that occurred under Reagan.

Justthefacts on Mon, 06/24/2013 - 7:54am

This is what the Warburg Pincus site says: In 2010, Warburg Pincus helped
RegionalCare acquire three hospital systems located in Ottumwa, Iowa;
Florence, Alabama; and Wilmington, Ohio. In 2011, RegionalCare acquired
Essent Healthcare, an operator of three market-leading, non-urban acute care
hospitals located in Sharon, Connecticut; Waynesburg, Pennsylvania; and
Paris, Texas. Lastly, in 2013, RegionalCare partnered with a leading
acute-care hospital in Sierra Vista, AZ.

Sumtingwong on Mon, 06/24/2013 - 1:25pm

Didn’t take long. From a Jan 15, 2013 Q&A on SVRHC website that has since
been removed. “Founded in 2009 with a $300 million investment from Warburg
Pincus. … RegionalCare purchases services for multiple hospitals, giving
SVRHC … There are no plans to reduce staff at SVRHC as a result of this
 agreement”.

Myron Jaworsky on Mon, 06/24/2013 - 2:42pm

REF: Justthefacts, “This is what the Warburg….” Unfortunately, I did not
check the quote Dumb Herb supplied, although I did verify your version.
Perhaps DH will enlighten us. It’s puzzling that his citation seems to match
your version virtually word-for-word except for the partnering business. In
any event, the wording does not affect the core of my reservation about the
privatization of public assets.

Justthefacts on Mon, 06/24/2013 - 3:56pm

And that remains true. Except for two Foundation emplyees, no staff were
reduced because of the agreement. The other were the result of downsizing
that had been in the planning stages since last fall due to revenue cuts and
would have occurred even it the agreement had not been signed. Now you may
choose not to believe that, your that is yourprerogative.

Justthefacts on Mon, 06/24/2013 - 6:55pm

Myron, I understand your concern about the privatization of public assets.
That is a concern. I recall reading that the hospital went out to several
not-for-profit systems for expressions of interest and none of them were able
to meet the basic requirement - e.g. build a new hospital and retain some
degree of local control. The community sorely needs a new hospital so this
appeared to be the best alternative. Hopefully, over time, as you see the new
hospital being built and the legacy foundation making a mark on the
community, you will understand this was as good a deal as could be gotten in
this time and under these circumstances. Have a good day.

Sumtingwong on Mon, 06/24/2013 - 8:02pm

Justhefacts, Being your such an expert and know it all, how many other
companies, that do the same thing that Warburg Pincus does, did the elite at
SVRMC, take bids from?

goodmorning on Mon, 06/24/2013 - 8:08pm

Can’t really see what the big problem is here. Let’s go back a few months
when it was in the paper that Fort Huachuca was building a Holiday Inn. Lots
of people will/are losing their job and their business in Sierra Vista.
Nobody seem to care on that one. But hey the SHOE IS ON THE OTHER FOOT AND IT
HURTS DOESN’T IT!!!!!!! There HQ’s for managing the hotels at ALL
installation are managed by a OUT OF COUNTRY COMPANY, try the U.K is where
the HQ’s are. So don’t complain, the money is staying in the U.S. maybe. Call
me cold hearted, but this doesn’t bother me at all! See what happen’s when
you only care about yourself and the heck with others and now your one of the
others, hurts now doesn’t it.

FreeThinker on Tue, 06/25/2013 - 6:35am

“Have you considered spending some time in self-reflection? If you did, you
might come to realize that much of the “dysfunction” you cite stems
directly from things you value:”

LOL! When did SV become a self sufficient town with the absence of federal
resources(a.k.a working class Americans confiscated capital)? If only SV
functioned on real sound capital created by industries that produced a goods
-n- service that possessed value due to a consumer, not government, demand
for such product. OMG! That town complains about the industry (Military) that
pays for it! Now you guy’s have an opportunity to improve your medical
industry and your complaining it’s profit driven and privately owned.
Tell me, does’ government have to be the sole proprietor of everything?
LOL! Like I said, you don’t want Warburg Pincus capital? Good! We here at the
“Chikin Shak” would love to have it!

FreeThinker on Tue, 06/25/2013 - 7:00am

“Can’t really see what the big problem is here.”

Hello goodmorning
The problem exists with the government minded residents in SV. You see they
despise private owned, profit driven industries and they have been
conditioned to believe only government may be the proprietor of all
properties, industries, capital, and yes…. human beings also.
They only know one way, one path & that is government.
They refuse to believe quality products & innovations come from the person’s
mind, integrity, & willing to take a risk. They believe that all comes from
government and they secure their beliefs by prohibiting the person’s mind to
operate within their community. They firmly believe in the idea of a
government not utilizing their force (legislation/regulations) to prohibit
you from creating a goods –n- service is the equivalent of a government
responsible for the creation of a goods –n- service.

Welcome to the “Allegory of the Cave” of Sierra Vista

Myron Jaworsky on Tue, 06/25/2013 - 7:45am

REF: Free Thinker, “‘Have you considered…’” You must have a problem
reading. I have repeatedly called Sierra Vista a socialist city because its
economy is based on DoD spending. Most of the people living here do not
complain about the military—and that includes me. You know as much about the
“medical industry” as you do about economics and finance, which is to say,
virtually nothing. (It’s hard to take someone seriously who still can’t grasp
the difference between it’s and its, or the use of the apostrophe.) My
complaint is about the conversion of the assets of a not-for-profit
organization for the benefit of a for-profit organization under what is
tantamount to a legal charade. Warburg Pincus isn’t about to come to the
Chikin Shak until it has something of value, which will be a long time
coming. And, in fact, you embody most of the dysfunctionality you decry.

Dumb Herb on Tue, 06/25/2013 - 9:56am

Just the facts is omitting the facts. Here is the link.
http://www.warburgpincus.com/portfolio/ViewCompany,id,435.asp The “golden
rule”, capitalist version. He who has the gold makes the rules.

Dumb Herb on Tue, 06/25/2013 - 12:22pm

Sean D. Carney, Managing Director, Healthcare, Warburg Pincus, L.L.C.; Eric
Liu Principal, Healthcare, Warburg Pincus, L.L.C.; Martin S. Rash Chairman
and CEO, RegionalCare Hospital Partners all also on the Board of Directors
for Rural/Metro Corporation which provide for profit Fire and Ambulance
services. http://www.ruralmetro.com/home/board-of-directors.html

Dumb Herb on Tue, 06/25/2013 - 1:51pm

Maybe I need to provide a link to help connect the
 dots.http://www.warburgpincus.com/portfolio/ViewCompany,id,560.aspx

FreeThinker on Tue, 06/25/2013 - 7:05pm

“You know as much about the “medical industry” as you do about economics
and finance, which is to say, virtually nothing.”

LOL! This coming from a professor who can’t define the origin of capital LOL!

“My complaint is about the conversion of the assets of a not-for-profit
organization for the benefit of a for-profit organization under what is
tantamount to a legal charade.”

Well professor, isn’t that why we have a judicial system? If you think this
deal is a corrupt one then take it to the courts. Your first post was/is
dripping with disdain over a “10 to 1” profit ratio Warburg Pincus would
capitalize on from simply taking full & legal advantage of the laws in this
investment endeavor.

Hey bud like I told you, if SV doesn’t want Warburg Pincus then go hire some
protestors to stand in front of the new construction location while you
petition the courts and demonstrate the illegal negotiations that were
 committed.

C’mon professor! “Lawyer Up” bud!

Myron Jaworsky on Tue, 06/25/2013 - 8:18pm

REF: Free Thinker, “‘You know as much…’” Your phrase,”who can’t define
the origin of capital,” demonstrates how little you know and understand.
(Hint to you: Despite what you think, capital is not what’s left over in your
coffee can after you’ve paid all your bills for the period.)That Warburg can
get a 10 to 1 return on its investment by taking “full & legal advantage of
the laws” is why some people, perhaps even you, are running on fumes. As for
protesting: My health care has been, is, and will be out of Tucson. My
concern is theoretical, not practical, since what happens to the hospital
will most probably not affect me personally. Here’s my suggestion to you: If
you haven’t started your GED yet, get it done soon! Next year the test will
be more difficult than it’s now, and its costs will go up. Another hint,
Grasshopper: See the correct use of it’s and its in the previous sentence.

FreeThinker on Wed, 06/26/2013 - 7:00pm

Now professor attacking my grammar, punctuation, and spelling, all of which
you clearly understood, along with your cheap insults does not break the
substance of the argument I have challenged you on.
Now sir, there is no need for you to behave like a juvenile towards me when I
question your posts. Those actions you demonstrate only strengthens my belief
in your fear of confrontation in this general topic of private funded
industry Vs. Public funded industry.
Tell me sir, are you afraid to see this new private funded, profit driven
hospital achieve great results with the intention to accommodate improved
health care, more than qualified physicians, & and advanced medical
 technologies?

I bet you are when you are confronted with the truth that public funded
health care CANNOT compete against the incentive for a superior health care
motivated by the lust for capital nurturing the demand for enhanced health
 care.

Myron Jaworsky on Wed, 06/26/2013 - 9:33pm

REF: Free Thinker, “Now professor attacking…” I see that you accept without
any reservation the claims made by those who put together the RegionalCare
takeover of SV community hospital. Are these likely to be true? Or were they
puff and fluff to make the deal go down more easily? The facts are that (1)
US healthcare is basically profit driven to begin with in comparison with
healthcare systems in other developed countries; (2)the interjection of
private equity investors in community hospitals is relatively new, an
interest apparently spawned by Obamacare; there is no evidence one way or
another whether this is good or bad; however,(3) private equity investors are
interested in fast financial rewards, not in anything substantive connected
with the investment; (4)anything that increases profit-seeking privatization
in medicine will only further increase the cost to patients; (5)US healthcare
already costs much more than that in comparable countries and produces
inferior results.

goodmorning on Thu, 06/27/2013 - 9:02am

Guess I was the one that needed a GED! First I thought Myron was a woman and
second I agree with Free Thinker, third you don’t need a GED to have a
opinion. I’ve heard people’s comments that have every kind of education you
can have that are dumber than a rock! A piece of paper means you have a
education and doesn’t mean your smart. Also what do you house train a dog
with PAPER! So a college degree doesn’t mean your smart! Seen people that
have no education on the job they do, but have hands on knowledge that do a
better job than the one with the education. So Myron that’s what I think
about your GED you might have a education, but it doesn’t mean your smart.
Bottom line a piece of paper doesn’t mean your smart, just means you have a
piece of paper that says you went to school!

Myron Jaworsky on Thu, 06/27/2013 - 12:52pm

REF: goodmorning, “Guess I was the one that…” Sorry to disappoint you, but
I am a male and have been happily married for three decades. With a few
reservations I agree with some of what you’ve posted, primarily that degrees
tend to be overvalued, and that they don’t necessarily signal competence.
Although anyone can have an opinion, not all opinions are equal. Some are
better than others; and a few are much, much better than others. Just as
having a degree does not make a person smart, neither does its absence
guarantee intelligence. True knowledge combines theory and practice; that is,
it requires a combination of theory and what you call hands-on. I don’t know
what you know or don’t know. But I’ll bet that you would not take kindly to
someone with neither the theoretical nor practical knowledge that you have
lecturing you on something you know quite well.

weinna on Thu, 06/27/2013 - 1:33pm

“Anyone can do a web search and determine why private equity firms and
venture capitalists like Warburg Pincus are buying hospitals & what they do
to them once they own them. The first thing on the agenda is cutting costs &
jobs.”, quoting Dumb Herb. Perfectly said. “Founded in 2009 with a $300
million investment from Warburg Pincus…RegionalCare purchases services for
multiple hospitals, giving SVRHC … There are no plans to reduce staff at
SVRHC as a result of this agreement”. quoting Sumtingwrong. I read that as
well & I laughed. It seems to me that SVRVC could have been planned a 1,000
changes prior to the acquisition & none needed doing after Regional took
over, especially when Regional did declare there would be no lay offs. We’d
better be wary of Regional, lying right off the bat doesn’t fare well. Sadly,
not for profit hospitals are being forced to follow the take over trend as a
result of government regulations, reduced reimbursements & indigents.

weinna on Thu, 06/27/2013 - 2:06pm

For profits have many ways of reducing costs, things that the not for profit
are not allowed to do. They do have a reputation for layoffs & skeleton
crews. I suspect that Regional was thrilled that the layoffs were already in
the works & that they supported them. But I suspect they had the power to
prevent them. For profits can cancel contracts with lower paying insurances.
If you have HealthNet & your only hospital in town does not you find one that
does or you end up paying non network fees. The for profit gets the whole fee
& not the reduced payment from a contracted insurance. This is an example of
how for profits hurt the community. The cost trickles down to us & the profit
goes to you know who. They also offer higher reimbursed services(cardiology)
& eliminate the lower paying ones, such as mental health & substance abuse.
This causes a tremendous affect on the community. Do they provide good or
equal healthcare? The jury is out and we will soon see. I pray that they do.

goodmorning on Thu, 06/27/2013 - 4:15pm

Myron, congrats on the 30 years. I did quite well for just having a GED, of
course I’m not up to your knowledge on everything, I’m just me that leads a
simple life. All that other stuff is for you all not me. Just a country boy,
retired for 6 years and doing quite well by my standards. I don’t have all
your knowledge Myron, but I do have common sense, which has got me through
the years quite well. As for not taking kindly to, well Myron only one person
on this earth can make me have a bad day and that’s me and no one else. I
meant no harm on not knowing if your name was male or female, just sometimes
people have that Boy name Sue name that’s all. And you just gave me a lecture
on something you know quite well, just haven’t figured it out yet! Is it
paper framed on the walls called degree’s in everything?

Myron Jaworsky on Thu, 06/27/2013 - 9:30pm

REF: goodmorning, “Myron, congrats on the 30…” Thanks for the nice
response. I’d like to answer your last question, and I will, but not on this
thread since it would take us too far off topic.

goodmorning on Fri, 06/28/2013 - 6:54pm

Myron, no need to do that. Found out many years ago teachers are never WRONG
not all but some! I have NEVER heard a teacher say I was wrong on that and I
know it won’t start now. Congrat on all the years at CC. I’m sure you were
never wrong there either. Your knowledge is way over my head, I live a simple
life, so don’t waste your time on this simple person that understands how to
live my life and you understand how to live yours. I’m sure I wouldn’t
understand it anyway. I just think you got lost in your profession and became
a I’m right your wrong, which there is nothing wrong with that. I can man up
when I’m wrong . Again thank you for your job you have done for Cochise
College and the your education you passed on to the students.

TrusteeVictim on Mon, 07/01/2013 - 9:13am

Hazed starry eyes and playing into corporate America is what the Board of
Trustees has fallen victim to. A board run by individuals out of touch to
today’s world and inept in managing for our communities’ benefit without
the capability to truly evaluate the impact this buyout would cause. The
local hospital is no longer the communities’, but rather a corporation
based far from our little town of Sierra Vista. It’s obvious the
board,headed by Mr. D., is incapable of successfully accomplishing a Google
search on this company to see what they have done to other regional
healthcare facilities they are buying up. Flashy sales pitches, lofty
promises, white lies, half truths and slick legalese jargon completely
buffaloed a group headed by a poli sci and business major that have become
numb to the real impact this would have on our town’s people, charitable
programs, and community involvement. Continued…

TrusteeVictim on Mon, 07/01/2013 - 9:39am

The previous CEO could see the writing on the wall and graciously stepped
down to head the Legacy program knowing corporate America would not want her
dedication, commitment and loyalties to our small community to get in the way
of a profit margin. Many of the hospital’s dedicated staff have, are and
will be cut due to functions being consolidated back to Tennessee because the
folks in Tennessee know what’s best for the people of Sierra Vista, isn’t
that correct Chairman and Board? It’s nice to know we have a Board of
Trustees that has decided RegionalCare knows what’s best for us and have
sold our community, many of its sons and daughters, and community pride to a
corporation solely centered on the bottom line. Makes me wonder, do any of
the trustees have family, friends or acquaintances employed at the hospital?
Are they getting downsized? Thank you Board, you really did a number on a
bunch of us this time. Maybe you should have just stayed

TrusteeVictim on Mon, 07/01/2013 - 4:45pm

Should have stayed “retired”. I’ve seen where they are blaming Sequestration.
Common’, please stop…! RegionalCare is a private company, not part of the
Federal government in any way. Sequestration just recently “really” started,
and Ft. Huachuca is just beginning their furloughs on 8 July. RegionalCare is
just trying to find excuses for their actions and jumping on the “what’s hot”
bandwagon for blame. RegionalCare took the bull by the horns on this one and
started cutting. Some of the Trustees didn’t even know who was cut until a
considerable time later. If they were looking out for our community, and had
a clue prior to their agreeing on the purchase, they would have ensured they
had a voice in the decision making process on who and what positions would be
cut. Well, that ended up not being the case. Once again, inept leadership by
the Board hurt our little community. The one who’s name is similar to Doctor
but isn’t, would rather put his head in the sand and hope it works out.

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