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Quincy, California
February 17, 2010     Feather River Bulletin
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February 17, 2010

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12A Wednesday, Feb. 17, 2070 Feather River Bulletin EPHC gets clean audit, needs more cash on hand Diana Jorgenson Portola Editor djorgenson@plu Discussion of Eastern Plumas Health Care's finan- cial audit for 2008-09 occupied more than half of the Jan. 28 meeting of the board. Jerrell Tucker of TCA Part- ners, who gave the presenta- tion, began with an introduc- tion to his Fresno firm, whose distinction is that it only audits hospitals. The firm audits 28 districts in California, as well as nu- merous other hospitals throughout the western states, he told board mem- bers. Of the 28 districts, 19 of them are critical access hos- pitals, like EPHC. Tucker said this was valuable for two reasons: "First, it gives us a unique perspective on hospitals_ that's all we do, that's all we see year around, and second, with all the districts that we do, it gives us the ability to understand what issues dis- tricts like Eastern Plumas are facing." This allowed the firm to "be a resource for our clients" as well. Since this was the first au- dit performed at EPHC by the firm, which meant that it re- lied upon the prior year's in- formation by another firm, TCA Partners gave EPHC a "qualified opinion." The qualification arose be- cause the financial standings. of neither the hospital auxil- iary nor the hospital founda- tion were included in the au- dit. The auxiliary, formerly a community organization, be- came a discrete part of EPHC under the board of directors in 2004. The EPHC Founda- tion was set up by the hospi- tal to handle bequests and large donations. The auxil- iary gives financial reports at each monthly meeting of the board: "Next year, based on our findings, we're going to take out the 'qualified opinion' and put in a detailed explana- tion in the notes of the finan- Cial statement where we iden- tify the component units-- the auxiliary and the founda- tion-and we put in a sum- mary of their financial infor- mation," he said. In regard to the accuracy of the financial information, Tucker called his audit opin- ion "unqualified" and said that his firm had issued 12 or 13 qualified opinions to small districts this year, based on valid ongoing concerns as to whether they would survive another year. He was happy to say ,that EPHC was not at that point. Small, rural, critical access hospitals were exempted from the 10 percent Medicare cuts enacted to help balance the state's budget. These cuts on top of a policy that already only reimbursed a portion of hospital costs were severely affecting other California hospitals. Tucker said he found no material weaknesses in the accounting procedures and there were no findings to re- port. He congratulated Jeri Nelson, chief financial offi- cer, and the accounting staff for their work. There were only two audit adjustments totaling $62,000 in the report, one of which in- volved minor corrections in fixed assets due to deprecia- tion. The largest adjustment was the cost report settle- ment, whereby MediCal de- termined the final amount it would pay toward the hospi- tal's costs for its MediCal patients. Final settlement reports are frequently received two or three years after the billing year. In the interim, Nelson must assess what the hospital is likely to receive, and by her own admission, she is cautious in her predic- tion. The yearly cost report comprised the bulk of the $62,000 adjustment and re- sulted in a positive change for the year 2008-09. Tucker explained that au- dits used the most recent in- formation at hand, including tentative settlement sums, until the final settlement is reached. Chief Executive Officer Tom Hayes, whose employ- ment contract was approved at that same board meeting, interjected that, in his previ- ous experience, it was realis- tically five or six years before final settlements with Medicare and MediCal were reached. A significant settlement can skew the figures, the au- ditor cautioned, so when that was the case, it was impor- tant to be aware of it. Waiting for yearly cost re- ports from government agen- cies also slowed the audit process and made it less use- ful to boards in their decision making process. EPHC is al- ready halfway through its fis- cal year and it would be help- ful to have these year-end re- ports much earlier. Next year, Tucker hoped to implement an interim cost report in October, thereby completing the audit much earlier in the fall. Finally, Tucker reported that there had been no dis- agreements with manage- ment. "An auditor doesn't report on the quality of the opera- tion and the results of opera- tion and whether it had a good year or bad year," he said. "An auditor just looks at whether the numbers are accurate." But, he felt that boards typ- ically also wanted to hear from the auditor's experience and to know how they com- pared to other hospitals, so he not only explained the line items, he offered information regarding how other Califor- nia districts were doing. "A net operating loss of $416,000, not uncommon, and a net income of $186,000. Bot- tom line: if you're an under- 25 bed, small rural hospital in the state of California and you've got a black bottom line, a positive bott()m line, you're doing well. You're in the top third of small hospi- tals in the state," Tucker told the board. Tucker then offered a three-year comparison of op- erating figures for EPHC. He found the total revenue even: $22,760,289 in 2009, $23,404,419 in the 2008 audit, and $20,722,173 in 2007. District tax revenue ' in- creased during the three years: $526,324 in 2007, $681,499 in 2008, and $754,957 in the current audit. Director Larry Fites com- mented, "ActualIy, we're lucky that our tax revenues are going up this year be- cause there are some dis- tricts that aren't." Tucker added that other districts had sunset clauses and timed tax periods. He re- lated that one district down south was unable to get the two-thirds vote needed to re- -instate that tax and lost $1 million in revenue. In discussing the break- down of revenue and expens- es, Tucker credited the busi- ness office as being the most important part of a hospital's success and said that the EPHC staff did a good job. From his perspective, collect- ing revenue in a timely man- ner was key to survival. He noted that in 2007, EPHC had lost $731,000, made $300,000 in 2008, and showed a net income of $186,000 in the 2009 audit, without a big swing in volume. "It's got to be a better job of collecting what you have due See Audit, page'13A COMMUNITY CORNER COMMUNITY CALENDAR Thursday, Feb. 18 AA, noon, 260 County Hospital Road, Courthouse Annex - Or- chard House. Quincy. Women's Support Group, Every Thurs., 1-2 p.m., Plumas Crisis Center, 591 Main St., Quincy. Call 283-5515. AI-Anon, 5:30 i.m., United Methodist Church, upstairs in back. For families & friends of al- coholics. Women's Circle, 6-7:30 p.m., PRS offices, 711 E. Main, Quincy, 283-0866. NA, 7 p.m., 260 County Hospital Road, Courthouse Annex - Or- chard House. Quincy. Troop 130, 7 p.m., Church of Je- sus Christ of Latter-Day Saints. 283-3953. Cub Scout Pack 151, various times & locations. Dave Saltel, (916) 425-9489; Inez Robbins, 283-1568. Out & About in Quincy. Group meets monthly on the 3rd Thursday at 9 a.m. in the conference room of the Quincy Library. For more information Mary Weddle, 283-5351. Lions Club, 1st & 3rd Thursdays, noon at Moon's, Quincy. Call 283-0495 Meeting of the Moms play- group. 9:30-11:30 a.m., Episcopal Church, Lawrence St. 1st & 3rd Thurs. Call Pare Becwar, Women's Mountain Passages, 283-0859 for info. Second Horizon Club, Veteran's Hall, 1 p.m. 1st & 3rd Thurs. Juvenile Justice Commission, noon, every 3rd Thurs., 1446 E. Main, Quincy. Open to public. Vikki Tuck, 283-1136, for more info. Commission on Aging, 1 p.m. 284-7206. 3rd Thurs. each 2nd month, rotates between the four nutrition sites. People 1st, self-advocacy for pe0ple with developmental dis- abilities. Champions Pizza, Quin- cy. Social time: 4-5:30 p.m.; meeting, 5:30-7 p.m. Cost for pizza. 3rd Thurs. Quincy Crazy Quilters, 3rd Thurs., 6 p.m., St. John's Catholic Church, 176 Lawrence St. Busi- ness meeting, quilting demo or activity, show & tell, refrest- ments. Call 283-1736. Plumas County Search & Res- cue, 7 p.m., Mineral Building, Plumas County Fairgrounds. 3rd Thurs. Friday, Feb. 19 AA, noon, 260 County Hospital Road, Courthouse Annex- Or- chard House. Quincy. Today's Weather 58/38 S. Hhe in th e upper  and lows In the upper SOs. Sundeo 8gnat 6:54 AM 5:42 PM 57/37 MoeUy nny. H Jn the upper SO and lows in the upper 30e. Sunrlo0 8umM 6:52 Nd 5:43 PM S2/37 Consnd ckd nmm. HI1)h8 in IIw low SOo lind low8 in tpe upper SOS. Sunrise 8unNt 6:51 AM 5:44 PM 48/35 Shomrs. H in the upper 4Oe mcl tows tn It mlcl SOl. Sunfllle eumNfl 6:50AM 5:46 PM 48/36 M of n 1rod clouds. Hilitl in tho upper 40 imcl lows In tho mid 30e, 8unfllm Bunter 6:41) AM 5:47 PM California At A Glance 72/52 Area Cities Vat ' . El Centro 81 48 sunny Pmmpemt .Ulllt 60 47 pt  Roln Frlmno 72 47 sunry LoI; Angek 74 51 pt sunny Sscrlullmto Nstlonsl Cities A 41 25 psunny Chk;o Dallas Denver ,,'e  !'' Advanced Geologic Exploration, Inc, Scientists of the Earth r 180 Main St., P.O. Box 1956 Chester CA 96020 (530) 258-4228 See an archive of past earthquake reports at advancedqeo/ lib 3 21) n #wor Loo AN 31 11) flurrk MIilunl 57 39 sunny MInnpoM SO SO dy New Yok Moon Phases New R Feb 14 Feb 22 Full Last Feb 28 Mar 7 UV Index Wed 2/17  Moderate Thu 2/18  Moderate Fd 2/19 Moderate Sat 2/20 Moderate Sun 2/21 Moderate The UV Indox 18 m on a 0.11 number Icele. wAh e h6gher U'V Irldex ................ : '2 ..... 70 46 sunny Saflnsu 7 sunny 70 40 pt sunny San Bemerdino 76 45 pt sunny 64 47 I.Jnny San Diego 72 52 sunny 76 51 ptsunny SenF 66 48 sunny 67 48 nny San Jose SO 48 sunny 70 31) ptsunny SntsBadm 71 SO ptsunny 77 49 pt sunny 8tocklon 69 46 sunny 75 44 ptsunny SummvUk 5,5 31 sunny 77 48 pt sunny Tna:lu 52 2e p sunny SO 48 sunny Vhlallm 70 45 sunny 58 31) met w.mny Phoen 74 SO sunny 74 51 pt sunny San Fnmcmco 66 48 8uny 66 48 pteunny Suttle 53 38 msunny 29 11 sunny SLLOUb 36 21 msunny 38 28 cloudy Wsddngto, DC 30 SO pt sunny NA, 6:30 p.m., 260 County Hos- pital Road, Courthouse Annex - Orchard House. Quincy.. Emotions Anonymous, 7 p.m., 711 E. Main St., (formerly Drug & Alcohol building, Cemetery Hill, Quincy), 3rd floor confer- ence rm. For all ages struggling with their emotions. For more info: Janae Hutchins, 530-638- 5911, janaehutchins@hot First meeting Feb. 19. Coffee & cookies. AA, 8 p.m., 260 County Hospital Road, Courthouse Annex - Or- chard House. Quincy. Saturday, Feb. 20 NA, 6:30 p.m., 260 County Hos- pital Road, Courthouse Annex - Orchard House. Quincy. AA, 8 p.m. 260 County Hospital Road, Courthouse Annex - Or- chard House. Quincy. Dukes of Plumas Cribbage Gang. Meet 10:30 a.m., start play 11 am. 1st; 2nd, 4th Satur- days at Mt. Tomba, Cromberg; 3rd Saturdays at Coyote Bar & Grill, Graeagle. Arts, Crafts, Hobbies & Col- lectibles, every Saturday, Quincy Grange Hall, 55 Main .St. 9 a.m.- 3 p.m. Vendors welcome. Call 283-1940. Sunday, Feb. 21 NA, 7 p.m., 260 County Hospital Road, Courthouse Annex - Or- chard House, Quincy. Trap Shoot, sponsored 5y Quincy Sport Shooting As- soc., Gopher Hill site, 11 a.m., weather permitting. Call 283-1145. Every other Sun. Monday, Feb, 22 Spanish Peak Lumber #2 Restoration Project, meets each Mon. & Wed., 9 a.m., Art Barn, Plumas/Sierra Fairgrounds. Call 283-6320 or 283-1978 for info. NA meeting, noon, 260 County Hospital Roadl Courthouse An- nex - Orchard House, Quincy. Rotary Club, Mineral Building, fairgrounds, noon. Call 283- 21.27.  Boy Scout Troop 151, MorL, 6 p.m. Scoutmaster Rob Robinette, 283-0858 for location. Duplicate Bridge. Every Mon- day, 6:30 p.m., Resource Center, Blairsden, corner of hwys 70 and 89. Call Ruth Bright, 836-1454 or Jackie Lucky, 836-2232. AA, 7 p.m., Methodist Church in Quincy, upstairs at the back 282 Jackson. Tuesday, Feb. 23 PRS-WlC, Supplemental food & nutrition education for children under 5 & pregnant-nursing women. Every Tues., 10 a.m., Quincy. 283-4093 or (800) WlC- 4093. Board of Supervisors, 10 a.m., Courthouse, Quincy, 1st 4 Tues. AA meeting, noon, 260 County Hospital Road, Courthouse An- nex - Orchard House, Quincy. Soroptimist International of Quincy, Moon's, noon, JoAnne Prince, 283-3302. Regional:: Previous week 1 0 Earthquake activity increased from last week, rising by four and reaching dou- ble-digit figures for the first time in six weeks. It broke the longest streak of sin- gle-digit totals since the Spring of 2006. The largest earthquake measured M 3.0 and occurred at 12:38 p.m. Sunday. Janu- an/31, about 6 miles east-southeast of' Red Bluff and just east of Highway 99 near the base of the Sierra the mouth of Antelope Creek. The focal point (hypo- center) was at 17 miles deep and the type of fault motion was thrust (up and over). Although it was centered close to the surface trace of the Chico Monocline Fault, the orientation of the slip move- ment was northeast and southwest. That suggests the earthquake occurred on a nearby perpendicular fracture or splay. Mild ground shudders were felt from Par- adise to Shasta Lake but it was too weak to topple items from tables and shelves. It was the first M 3 event in 2010. Six were recorded last year. Also in the Sac- ramento Valley was a M 2.4 temblor- between Chico and 0rland. Overeaters Anonymous meet- ing, 5:15 p.m., 260 County Hos- pital Road, Courthouse Annex - Orchard House, Quincy. Quincy Weight Watchers Two meetings: 9:30 a.m. weigh- in, meeting at 10 a.m.; and 5 p.m. weigh-in, meeting, 5:30 p.m. Our Savior Lutheran Church, 298 East High Street, Quincy. 1-800-621-6000. NA, 7 p.m., Methodist Church, 282 Jackson St., Quincy. Creative Writing Group, every 4th Tues, 2 p.m. For info, Mary Weddle at  jmwed- or Mary June German, 283-4805. BINGO! Benefits.Plumas CASA (Court Appointed Special Advo- cates). Quincy Vet's Hall. 2nd and 4th Tuesdays. Doors open 5 p.m., play'begins 5:30. Cash prizes and a nightly drawing. For more info call 283-5515 or p Wednesday, Feb. 24 Spanish Peak Lumber #2 Restoration Project, meets each Mon. & Wed, 9 a.m., Art CHURCHES Center for Spritual Living, 283-9690, 304 Lawrence & Church St., Christian Life Fellowship, 283-0345, 317 First St., E. Quincy. Christ the King Episcopal Church, 283-1608, 545 Lawrence St., Quincy. Christ The Redeemer of Indian Valley Episcopal Church, 284-6317, 120 Bush St., Greenville. Church of Christ 283-1191, 152 E. Jackson St., Quincy. Church of Jesus Christ of Latter Dsy Saints, 283-2170 or 283- 5175, 55 Bellamy Ln., Quincy. Community United Methodist, 283- 1740, 282 Jackson St., Quincy, First Baptist, 283-1160, 74 Reese St., Quincy. Meadow Valley Community Church, 283-4259, 48 Cemetery Rd, Meadow Valley, office: 353 Jackson St, #100, Quincy. Our Savior Lutheran, 283-2546. Church & High Sts., Quincy. Seventh-Day Adventist, 310-2042 or 283-3092, 233 .Pine St., Quincy. Springs of Hope Christian Fellow- ship, Pete, 283-1613, or John, 927- 7626, 59 Bell Ln., Quincy. St. John's Catholic Church, 283- 0890, 176 Lawrence St., Quincy. Starlight Missionary Baptist, 283- 1505, 171 Redburg Ave., Quincy. Truth Tabernacle of Quincy, 260- 8006, 2205 East Main St., Quincy. Barn, Ptumas/Sierra Fairgrounds. Call 283-6320 or 283-1978 for info. Library preschool story time, 10:30-11:30 a.m. Toastmaster's Internation- al, American Valley Chapter. Every Wed., 12-1 p.m., Plumas Bank Credit Adminis- tration Conference Room, 32 Central Ave., Quincy. For more info, contact Jacky Madarang0 530-283-3970. AA meeting, noon, 260 County Hospital Road, Courthouse An- -nex - Orchard-S, Quincy. Senior lunch, Blairsden, noon, Mohawk Community Resource Center. Call 836-0446 for reser- vations. Quincy Community Supper, 6 p.m. every Wed, United Methodist Church. Free. Women's Circle, 6-8 p.m. every Wed, 586 Jackson St., Quincy. AA, 7 p.m., upstairs in back, Methodist Church, 282 Jackson St., Quincy. La Leche League, 4th Wed.,' noon, Quincy WlC Clinic. Hope, 993-4813. Elks meeting, Elks Lodge, Hwy. 70, E. Quincy, cocktails 6:30 p.m.; dinner 7 p.m.; meeting 8 p.m.; 2nd & 4th Wed. To change information on this calendar page, please call Eva a t the Feather River Bulletin: 530-283.0800 or email LAST WEEK'S TEMPERATURES De High Low Precip. Snow Feb.08 48 29 .... Feb.09 49 32 .13" tr. Feb. 10 43 27 .12" -- Feb. 11 51 35 .... Feb. 12 52 34 .09  -- Feb. 13 56 30 .... Feb. 14 53 27 .... Feb. 15 -- 32 .... 22 inches precipitation to date. 25 inches snow to date. Compiled by Ron Trumbo LAKE LEVELS Lake Almsnor *Elevation tCurrent 4,481.74 1 Year Ago 4,478.34 Lake Almanor **Capacity 'fCurrent 828,752 1 Year Ago 748,491 Bucks Lake *Elevation 1"Current 5,131.50 1 Year Ago 5,129.06 Bucks Lake **Capscity 1"Current 62,305 1 Year Ago 58,570 *Elevation above sea level in ft. *Storage in acre ft. Feb 15, 2010 )/Feb. 16, 2009