Mississippi Today
Greenwood hospital, long on the financial brink, may be on its last breath
After clawing itself out of closure several months ago, Greenwood Leflore Hospital once again faces that reality after being denied money from the county.
The hospital, one of the largest in the Mississippi Delta that has drawn national attention for its struggles over the past year, was bled dry by the pandemic. To keep its doors open, Greenwood Leflore Hospital has shut down departments, applied for grants and pursued a new federal designation aimed at bringing in more money. It’s even gone up for lease again after a potential agreement fell through last year.
Additionally, in early April, the Leflore County Board of Supervisors voted to obtain a $10 million line of credit to support the hospital. At the time, the hospital said that money would allow them to stay open until 2024.
But one by one in recent days, nearly all those backstops have crumbled.
State grant money that was previously promised has proven difficult for hospitals to get their hands on, if at all. As of August no grant money has been awarded. And last month, the regional Centers for Medicaid and Medicare Services office denied the hospital’s application to become a critical access hospital, which would allow them to be reimbursed by Medicare at a higher rate.
Though the application is still being considered on the federal level and hospital administration insists that the decision from the regional office was expected, it’s largely why the Leflore County Board of Supervisors on Wednesday voted 3-2 against the hospital’s request to draw down $1 million from that line of credit to cover hospital payroll in September.
Now, hospital administration say they have enough cash to pay employees until the end of the month. Beyond that, hospital leaders say the future is uncertain.
Interim CEO Gary Marchand said the board of supervisors’ decision came as a surprise.
“We have disclosed all our efforts to sustain hospital services and (are) trying to understand what changed the county’s thinking about the path we have all been on together,” he said.
Greenwood Mayor Carolyn McAdams was also baffled and called the move “reckless.”
“I don’t understand why they did that,” she said. “The whole point of the line of credit was for the hospital to use that money to make payroll until a long-term solution could be found.”
But Supervisor Reggie Moore, who voted against the hospital’s request, said the board is just acting on the desires of their constituents who don’t want the board to put “more money on a burning fire that leads to a tax increase.”
“What do you do when you have the Pharaoh’s army behind you and the Red Sea in front of you?” he said.
Moore said the board announced they were holding a meeting earlier this week, and they wanted to hear from the hospital board, hospital administrators and city officials to collaborate on a long-term plan before they took on additional credit. Most of those stakeholders didn’t show up, and Moore said he still hasn’t heard from any of them since Wednesday’s vote. Only Marchand, the hospital CFO and one person attended the Wednesday special meeting, Moore said.
“We want to be good stewards of taxpayer dollars,” Moore said. “I just didn’t feel comfortable with turning loose another $1.3 million on the hospital without more answers.”
The hospital has already withdrawn $5 million of the total $10 million. Moore said that the board would consider approving a new request for some of the credit in the future, but not until there’s more collaboration and strategy. He said he sees the hospital’s reliance on the critical access designation as shortsighted.
Hospital administration won’t hear if their critical access application is accepted for several months. Moore said if they’re denied, the hospital will be out of options.
Marchand previously told Mississippi Today that he was not considering suggestions of a consultant hired by the county to improve the hospital’s finances, including cutting administrative pay.
“Then there’s no healthcare, and there’s no plan,” he said. “It’s almost criminal, isn’t it? Because it is 2023, and every citizen … deserves access to good health care. We’re not a third world country, but the Delta is turning into a healthcare desert. And no one seems to be concerned.”
He cited the hospital’s small census count — which hovers between 10-20 patients at a time.
“Without critical access designation and a restructuring of the leadership, there’s a high chance the hospital closes,” Moore said.
Robert Collins, another supervisor who voted to deny the hospital’s request, cited how much money the hospital is losing each month, which Marchand confirmed was around $1 million.
“They’re steady losing a million dollars a month,” Collins said. “That’s just too much. Critical access wouldn’t even save them.”
Moore stressed that closure was not his nor the board’s intention with their vote on Wednesday. When pressed on the hospital’s importance to the community, Moore interrupted to say the hospital held personal significance for him, too — it’s where he was born and where he worked for almost a decade.
“No one cares about the hospital more than myself,” he said. “But it is my obligation and my duty to listen to constituents.”
However, despite the board’s intention, closure might be the reality the hospital now faces.
One report puts nearly half of the state’s rural hospitals at risk of closure, and when hospitals close, the effects reverberate, especially in rural communities.
Sen. David Jordan, D-Greenwood said the hospital’s closure would be “devastating.”
“This is a frightening situation to those of us who live here in this town and county,” he said. “People are already sick and dying. We’re already losing so much population, and people don’t want to move to towns where they can’t get health services. It’s going to be just a total tragedy to our community.”
In a memo to staff on Thursday, Marchand said the hospital was “assessing its legal options” and still awaiting final decision from CMS on its critical access application.
By the time they hear the final decision, it’s not certain that the hospital will still be open.
When pressed on Thursday about the likelihood of the hospital’s closure, Collins conceded it was a possibility. He said he hopes the hospital comes up with a plan, but he couldn’t offer any suggestions beyond that.
Collins cut the phone interview short, saying he was on the golf course and in the middle of a swing.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court
The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.
Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.
Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.
The PAC should receive an award or at least be considered for an honor for best fiction writing.
At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.
It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.
Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.
As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.
And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.
A look at the history of the members of the Supreme Court might be helpful.
Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.
Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.
Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.
But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.
Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.
The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.
It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.
Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.
But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1968
Nov. 24, 1968
Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.”
The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure.
Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service.
From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1867
Nov. 23, 1867
The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights.
The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders.
The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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