We rate this FALSE
Where we get the money: The majority of the money may come from a low-interest rate loan from the US Department of Agriculture (USDA) with the rest coming from grants approved by the town of Pinedale as well as Sublette County. Even if the grants from local and county government fall through, we obtain a low interest rate loan from the USDA. Although some believe that the money should come from raising the mill tax levy, Sublette County residents voted against this measure.
How we pay the money back: The money to repay the loan will come from a combination of higher reimbursements from Medicare and revenue from additional service Sublette County residents are already receiving, but need to drive to Jackson, Rock Springs or Salt Lake City to obtain. We estimate that we will receive an additional $3 million annually from Medicare because of legislation in the Balanced Budget Act of 1997 which mandated that Medicare reimburse rural hospitals with the CAH designation 101% of actual costs, which is significantly higher than current reimbursements. We also expect to receive an additional $2 million in annual revenue from other services, such as respiratory therapy, cardiac and pulmonary rehabilitation and certain types of surgeries. These are services that Sublette County residents are already receiving, but that they need to drive out of the county to receive. These two additional income streams are projected to bring the Healthcare district from an estimated $1.1 million cash flow shortfall in fiscal 2017 to a $1.8 million cash flow surplus in fiscal 2020 after loan payments are made.
*** Researched by Susan Barney