Wednesday, September 29, 2010

The Pub's perspective on WMC being voted not tax-exempt

For those who want to start screaming at City Council and the new commissioner of the revenue, do some research and learn more about VHS and how profitable an organization they have been over the last 10 years.


But don’t be misled here, for-profit hospitals that pay taxes, has charity care too, bad debt and also gives back to respective local communities as well that they serve.

Wonder why Mr. Whitworth Jr. did not share nor the community benefit chart in The Winchester Star on September 24th display the excess of revenue over expenses figures for 2005-2009 last Thursday during the press conference when they discussed the VHS's 2009 Community Benefit?  To be more precise, profit/loss figures.

Based on information shared by a VHS official in December of 2009, Valley Health System's five year profit total for years 2004-2008 was a little over $218.6 million.

An internet poster on WincStar’s website Tuesday made a comment that the staff at WMC has not received at least a cost-of-living increase since 2007. Wonder if this is true?

Reference http://winchesterstar.com/articles/view/wmc_might_lose_tax_exemption  and post#2 which is below:

Well...for all those in favor of this...just remember it when you, your friend, neighbor or family member don't qualify for a write off or reduction, or there IS an increase in the rates....WMC is just like every other buisness...budget is already set for the year...AND they are behind budget...just like alot of businessess...

Are you aware staff have not had a cost of living raise since 2007? How many of you, in favor of this have rec'd a raise? Many positions have been reduced..so the next time you are a patient and feel like your nurse, aide or Dr aren't giving you enough attention...remember, they have to work HARDER just to maintain the income they have now....

tiredmom

The “Winchester Medical Center” has been very profitable for years 2001-2007 where their profits increased 460% but dropped off in 2008.

* 2001 - $11.8 million (Quad State Biz Journal)
* 2002 - ?
* 2003 - ?
* 2004 - ?
* 2005 - $54,346,679 (per IRS990)
* 2006 - $57,422,678 (per IRS990)
* 2007 - $66,617,961 (per IRS990)
* 2008 - $ 9,500,911 (per IRS990)
* 2009 - ?

Based on those figures, can anyone tell us why the staff at WMC has not received at least a cost-of-living increase since 2007 according to an individual who posted on WincStar’s website on Tuesday (if those comments are factual by tiredmom)?

For the record, The Pub has advocated that the nurses and blue collar workers are under compensated. Reference this link dated October 14, 2009 ...
thepibbsterspub.blogspot.com/2009/10/valley-health-has-made-epic-strides-in.html

A huge problem for the City of Winchester is that two of the top 5 employers are non-profit (VHS & SU) and that is not a good thing for the tax-base.

The perception is that previous city councils did not have a denied stamp when tax exempt applications came across the table. This present council group has a difficult task of cleaning it up and trying to get a solid tax base again before any further decisions are made about raising Winchester City resident’s taxes.

Is it not time for everyone start stating "regional community" for Valley Health Systems since VHS serves many counties outside of Winchester and Frederick County. VHS is no longer just Winchester and Frederick County.

VHS serves 18 counties to be exact in VA, MD and WV.

How many employees at the WMC campus live outside the City of Winchester?
How many live across the state line?

The charity care and bad debt are isolated benefits to those individuals in need.

The WMC campus is the home base of all of those 18 counties that VHS serves/resides in.

How many of those patients of charity care are actual Winchester and Frederick County residents?

Burkholder's memo challenges the report's "total community benefit and other measures" figure of $71.3 million for 2009. "... Over 63 [percent] consists of bad debt expense and Medicare Reimbursement Shortfall, both of which more accurately fall under the cost of doing business."

Reference the Community Benefit chart in The Winchester Star on September 24th. Maybe the more realistic "community benefit" number is the line labeled "total community benefit" for the 18 counties that VHS serves.
Valley Health System's 2009 Community Benefit Chart

Wonder if the folks with regular insurance are actually making up the majority of differences on Medicaid shortfalls, charity-care and bad-debt?

So really, how can anyone determine how much VHS is actually giving away locally in Winchester and Frederick County? One would think that with the technology and record keeping systems available today, VHS must be aware of that solely based on a zip code of the patients/customers.

The new Wellness & Fitness Center had $1.1 million in revenue during its first three months of operation when it opened their doors in September of 2008.

Wonder how much revenue it brought in for 2009 with their current 5,800 members?

Bottom-line, the perception is that those taxes will be very minimal to WMC overall once compared to the profits that WMC has turned out over the last 10 years. But will have a significant impact on the city’s tax base with hopes of getting it back to a respectable operating status so that City Council will not have to look into raising the city resident’s taxes in the future.

Unfortunately, this will not be an easy task for City officials as it will most likely end up being a long legal battle.
City Councilman Milt McInturff called the council's endorsement "appropriate," but said the issue includes "legal ramifications" that likely will be challenged in court.
"It's just the beginning of a long road," he said. "I think the commissioner of revenue is doing her job, and I respect the job she's doing."

Winchester Medical Center ruled not tax-exempt

City Council votes 7-0 to authorize first-half real estate tax bill of more than $1 million

By Vic Bradshaw
The Winchester Star
September 29, 2010


WINCHESTER- The not-for-profit Winchester Medical Center is not exempt from property taxation, according to a report prepared by the commissioner of the revenue and endorsed Tuesday by the City Council.

In a decision that likely is the first of its kind in Virginia, the council voted 7-0 to authorize Commissioner Ann Burkholder to prepare a first-half real estate tax bill for the portion of the WMC campus that has not been billed, unless compelling evidence is presented that the property is exempt.

That bill would total slightly more than $1 million, Burkholder said, and bills for personal property taxes and up to three years of back taxes could follow.

For the remainder of the story, click below ...
http://winchesterstar.com/articles/view/wmc_ruled_not_tax_exempt

Tuesday, September 28, 2010

Winchester Medical Center's financial comparison for years 2007 and 2008


Winchester Winchester

Medical Center Medical Center

Winchester, VA  Winchester, VA 

2007 2008
Licensed beds: 411 411
Staffed Beds: 411 411
Licensed NISU bassinets: 24 24
Staffed NISU bassinets: 24 24
Staffed normal newborn bassinets: 12 12
Patient Days: 110,115 110,475
Admissions: 25,318 25,040
Full-Time Equivalents - Payroll: 2,297 2,293
Full-Time Equivalents - Contract: 140 127



Gross Inpatient Revenue: 409,766,805 432,444,823
Gross Outpatient Revenue: 263,761,298 306,941,444
Gross Patient Revenue: 673,528,103 739,386,267
Contractual Allowance: 234,014,441 274,805,640
Charity Care: 25,752,576 32,784,775
Indigent Care Trust: 0 -150,000
Net Patient Revenue: 413,761,086 431,795,852
Other Operating Revenue: 13,788,825 12,202,410






Current Assets: 207,181,874 163,881,986
Net Fixed Assets: 276,623,250 310,687,613
Other Assets: 220,606,786 193,139,219
Total Assets: 704,411,910 667,708,818
Current Liabilities: 43,025,848 40,451,147
Long Term Liabilities: 207,765,314 264,403,642
Total Liabilities: 250,792,162 304,944,789
Fund Balance: 453,619,748 362,764,029



Labor Expense: 180,988,686 180,957,635
Non-Labor Expense: 145,327,697 155,439,049
Capital Expense: 37,317,267 42,785,264
Taxes: $162,362 $59,184
Bad-Debt Expense: 23,331,159 21,253,614
Total Operating Expense: 387,127,171 400,494,746
Operating Income: 40,422,740 43,503,516
Net Non-Operating gains: 26,195,223 -34,002,605



Revenue & Gains

in excess of expenses (profits): $66,617,963 $9,500,911


Source = Virginia Health Information, From Numbers to Knowledge


Non-operating gains and losses resulting from transactions incidental or peripheral to the hospital’s central ongoing operations. This may include such items as gifts received, tax support and subsidies, returns on investment of general funds, and gain or loss on sale of properties, as well as other items.

The 3rd Wal-Mart is coming to the local area!

It's official, a third Wal-Mart is under way, but what type of affect will this second Frederick County Wal-Mart have on Winchester's store?



Permit approved for area's third Walmart
September 28, 2010
By Cynthia Cather Burton

ARMEL- Site work has begun for the Winchester area's third Walmart store.

Frederick County officials recently approved a land-disturbance permit for the approximately 150,000-square-foot Superstore in Eastgate Commerce Center at Front Royal Pike (U.S. 522) and Tasker Road, according to Candice Perkins, the county's senior planner.

"Building permits have also been applied for," she said, "but they haven't been issued yet."

For the remainder of the story ...
http://winchesterstar.com/articles/view/permit_approved_for_area_s_third_walmart




Wal-Mart to open third store locally
By Lorraine Halsted
05/21/2008



Armel — Wal-Mart Stores Inc. will be submitting plans to Frederick County today for a new superstore to be built in Eastgate Commerce Center at U.S. 522 South and Tasker Road.


The southern Frederick County location will be the third Wal-Mart Superstore for the Winchester-Frederick County area, but will differ in its size and appearance, according to information provided by the company.

Friday, September 24, 2010

Is VHS's electronic medical records living up to the hype? Loading, please wait ...

One Winchester physician explains why, in his experience, electronic medical records are failing to live up to the hype.  To learn more about his experience, click on the following story by Les Sillars of The Frederick County Observer blog.

Is VHS's electronic medical records living up to the hype? Loading, please wait ...


As one reader shared their opinion with The Pub on the electronic medical records system after it was e-mailed out last night ...
"Big government wants to control all computer systems so they can track everyone for back taxes etc.  This health care bill is a lot more than meets the eye. It is a set up for further control of all citizens."

Another article of interest,  also by The Frederick County Observer on June 17, 2010:
Valley Health’s Updated Electronic Medical Records System Goes Online Next Month