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Wal-Mart/Nexcare to Donate Ambulance to Claiborne County Hospital

Claiborne Progress

September 27,2006

The Claiborne County Hospital Board gathered on Tuesday evening Sept. 19, to review hospital operations during the previous month and to hear the good news that Claiborne County was the co-winner of the Wal-Mart/Nexcare bandage competition.

As many local readers are aware, Nexcare and Wal-Mart agreed to provide a fully equipped ambulance to the community that purchased the most Nexcare bandages at the community Wal-Mart. One of the provisions of the competition was that the promotion could not be advertised except by word of mouth.

The competition was designed to keep things equal in rural communities by choosing the winner based on the percentage of sales of the local Wal-Mart. While Nexcare bandage sales increased though-out the U.S., two communities stood out by tripling sales in comparison to the rest of the country. In the end, Wal-Mart and Nexcare decided that Claiborne County Hospital and a community hospital in Indiana would both be given an ambulance. The New Tazewell Wal-Mart sold 37,000 boxes of bandages.

The hospital board expressed gratitude to local residents and organizations that purchased bandages and particularly the employees and management of the New Tazewell Wal-Mart for their efforts to support hospital health care and emergency services.

The board also heard a presentation from Mark Garrett, an investment banker and a partner with Wiley Brothers. Garret presented an analysis that showed the relative costs of issuing bonds to support the construction of a medical office building. While recognizing that the hospital is financially sound, bonds are eventually guaranteed by the county government unless the hospital chooses to issue a stand-alone bond. He admitted that review of county finances may make the board reluctant to ask the county to guarantee an additional debt load. He estimated that the true cost of issuing the necessary bonds would be 5.9 percent to 5.95 percent.

The board also opened sealed proposals from four local banks who responded to the hospital's advertised request for bids. After analyzing the proposals, the board voted unanimously to accept the proposal from First Century Bank and to authorize Tim Brown, hospital administrator, to negotiate closing costs with the bank. First Century Bank proposed a 5.65 percent fixed 15 or 20 year loan. Citizens Bank provided the next closest bid but the potential costs of their five year variable rate loan added long term interest rate risk that board members were reluctant to shoulder.

Brown also discussed a county physician's need analysis that showed that Claiborne County needed to be more proactive in recruiting and supporting the local medical community. The county population estimate now stands at just over 32,000 residents. Compared to many rural counties, Claiborne does not have enough family practice/internal medicine physicians or many of the specialists needed to support a population of this size. Brown asked the board to consider possible actions to recruit additional physicians to the area.

Among other items of business, the board reviewed and approved the minutes of the previous meeting and heard the financial report. The hospital was in the black during the month of August although hospital admissions were lower than expected. Board members also heard that the new CTI scanner (part of the recently installed MRI scanner) should be online by the end of the month. This last component was expected to be up and running in late August but delivery problems slowed the process.

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