Tenet Healthcare Corp. said Thursday it will appeal a decision by S.C. regulators that allows Carolinas HealthCare System to build the first hospital in northern York County. Tenet runs Piedmont Medical Center in Rock Hill.The Charlotte Observer also says that Novant has not said anything about a legal appeal. I predict Novant will definitely file a legal appeal, after all Piedmont is a sore loser, so join in on the public hatred that goes into delaying a hospital being built in Fort Mill.
Friday, October 14, 2011
Tenet Announces Legal Appeal
The DHEC appeal was denied yesterday and today the Charlotte Observer has this:
Thursday, October 13, 2011
Reactions 1st Appeals
At this point, the news is all a buzz in Fort Mill. Most want this to hospital mess to be over. Most believed the first go-a-round was a mess with back-door deals between Piedmont and York County and with York County and DHEC. A lot of people were relieved that someone other than Piedmont might actually win this time.
People want this to be over and they want CMC to move on with the building process. Don't take my word for it, read it for your self. Actually, what you will read (if you research the subject like I have) is that people really, really do not like Piedmont Medical Center. Yes there are a couple fan boys out there for Tenet, but only a few.
The following are actual user comments from the Rock Hill Herald:
Piedmont and Tenet need to put the money for an appeal into hiring better staff, training existing staff that need training, and improving PMC. I believe the same thing that most people believe, fix your own hospital before trying to build another. I didn't see the names of any other Tenet Hospitals on the list of the worst outcomes as reported by Medicare.
People want this to be over and they want CMC to move on with the building process. Don't take my word for it, read it for your self. Actually, what you will read (if you research the subject like I have) is that people really, really do not like Piedmont Medical Center. Yes there are a couple fan boys out there for Tenet, but only a few.
The following are actual user comments from the Rock Hill Herald:
I hope Piedmont is listening. It is obvious how unpopular they are and how much we want an alternative to their money grubbing, lousy treatment. Go CMC! I have experience at both places and CMC is heads above Piedmont in every respect.
This puts us one step closer to having CMC in Fort Mill. Now if PMC and Presbyterian would just get the message CMC can break ground and get on with building our hospital.
"Both hospitals are expected to appeal to an administrative law judge."Most comments include statements similar to Piedmont needs to do a better job of patient care at their hospital before trying to build a new one. To site past stories, a suggestion by an expert said that stigmas, like Piedmont, need to take a close look at who is running the hospital and they probably need to make some changes. (If you try to find the story at the Rock Hill Herald now, you will find the line "It points to management and patient care problems"completely absent from the online article now.)
Give it up Charlie, you and Tenet are grasping at straws, let it go, no one wants PMC to build.
Piedmont and Tenet need to put the money for an appeal into hiring better staff, training existing staff that need training, and improving PMC. I believe the same thing that most people believe, fix your own hospital before trying to build another. I didn't see the names of any other Tenet Hospitals on the list of the worst outcomes as reported by Medicare.
SC DHEC Will Not Hear Appeal
Just before noon, SC DHEC decided they would not hear the appeal on the Carolina's Medical Center - Fort Mill ruling. Appeals were filed by both Presbyterian and Piedmont Medical Center after CMC was awarded the Certificate of Need for the future Fort Mill Hospital.
While this is good new for Fort Mill residents, the seemingly intentional delays by both Presbyterian (Novant) and Piedmont Medical Center (Tenet) are predicted to drag on. Both Presbyterian and Piedmont Medical Center have 30 days to appeal the decision to the South Carolina Administrative Law Court.
Everyone expects Tenet to appeal based on their past behavior. If Tenet appeals as expected, Novant will most likely appeal too.
The next appeals deadline would be November 12th, 2011, but that may get moved from Saturday to Monday the 14th.
Without further appeals, Fort Mill will have its first hospital in about 2 1/2 years.
News stories about the announcement:
Charlotte Observer
Rock Hill Herald
While this is good new for Fort Mill residents, the seemingly intentional delays by both Presbyterian (Novant) and Piedmont Medical Center (Tenet) are predicted to drag on. Both Presbyterian and Piedmont Medical Center have 30 days to appeal the decision to the South Carolina Administrative Law Court.
Everyone expects Tenet to appeal based on their past behavior. If Tenet appeals as expected, Novant will most likely appeal too.
The next appeals deadline would be November 12th, 2011, but that may get moved from Saturday to Monday the 14th.
Without further appeals, Fort Mill will have its first hospital in about 2 1/2 years.
News stories about the announcement:
Charlotte Observer
Rock Hill Herald
SC DHEC Agenda Released
Today, SC DHEC board will decide whether to hear the appeals. We should hear a decision by noon.
If they agree to hear the appeals, that would occur at the DHEC board's Nov. 10 meeting.
If they deny the appeal, the certificate of need decision can still be appealed to an Administrative Law Court judge.
S.C. Board of Health and Environmental Control Agenda
October 13, 2011
Call to Order – 10:00 a.m., Board Room (#3420)S.C. Department of Health and Environmental Control, 2600 Bull Street, Columbia, S.C.
- Board Minutes – September 8 meeting and September 13 conference call – For Approval
- Monthly Award for Excellence – October 2011 – C. Earl Hunter
- Handling of Request for Final Review requiring action by November 10, 2011 (No. 11-RFR- 46 through 11-RFR-51)
Docket No. Requestor Applicant/Permittee/Respondent 11-RFR-47 (HR) Piedmont Medical Center
Presbyterian Hospital York, LLCCarolinas Medical Center – Fort Mill
Wednesday, October 5, 2011
Certificate of Need Decision has been Appealed
And as everyone know would happen...both PMC and Presby have appealed the SC DHEC decision awarding CMC the CON for the new Fort Mill, SC hospital.
Where do we go from here? On Oct. 13, the DHEC board will decide whether to hear the appeals. If it decides to hear the appeals, that would occur at the DHEC board's Nov. 10 meeting. The certificate of need decision can also be appealed to an Administrative Law Court judge.
Piedmont
In the usual style of Piedmont Medical Center of we don't really have a good reason, we have poor outcomes [see CMS data reports] and pay property tax [the focus of their customer support bid], Piedmont released only the cover letter of their appeal to local news outlets.
Presbyterian
The appeal arguments provided by Presbyterian are:
Personally, I believe SC DHEC addressed quality of care by not choosing Piedmont Medical Center. The recent onslaught of bad press combined by the overall bad word-of-mouth, has not made PMC a destination of choice for many new residents. Statistics provided by SC DHEC in the decision report shows that less people are going to PMC.
During a personal interview with a local Fort Mill resident about the proposed hospital choices, the resident stated "I hope Piedmont wins because they will pay property taxes." When I asked if he would use proposed Piedmont facility, his reply was "Hell No, I would go to Charlotte."
Where do we go from here? On Oct. 13, the DHEC board will decide whether to hear the appeals. If it decides to hear the appeals, that would occur at the DHEC board's Nov. 10 meeting. The certificate of need decision can also be appealed to an Administrative Law Court judge.
Piedmont
In the usual style of Piedmont Medical Center of we don't really have a good reason, we have poor outcomes [see CMS data reports] and pay property tax [the focus of their customer support bid], Piedmont released only the cover letter of their appeal to local news outlets.
In the cover letter to its appeal, Piedmont attorneys wrote the DHEC staff decision is not “supported by the reliable, probative and substantial evidence based on the whole record before the department.”
Presbyterian
The appeal arguments provided by Presbyterian are:
- The DHEC staff incorrectly based its decision on Carolinas HealthCare System's ability to transfer its current market share in York County to a Fort Mill facility. Carolinas HealthCare cannot force patients to move to a new hospital, Presbyterian said.
- That Presbyterian better contains costs to build and operate a Fort Mill hospital than Carolinas HealthCare Systems or Piedmont Medical Center.
- DHEC failed to address quality of care.
- Presbyterian’s charity care policy is better than the other two applicants.
Personally, I believe SC DHEC addressed quality of care by not choosing Piedmont Medical Center. The recent onslaught of bad press combined by the overall bad word-of-mouth, has not made PMC a destination of choice for many new residents. Statistics provided by SC DHEC in the decision report shows that less people are going to PMC.
During a personal interview with a local Fort Mill resident about the proposed hospital choices, the resident stated "I hope Piedmont wins because they will pay property taxes." When I asked if he would use proposed Piedmont facility, his reply was "Hell No, I would go to Charlotte."
Thursday, September 15, 2011
Among The Best and The Worst
I find it interesting that in the past month, we have stories of best and the worst of our area. I find it even more interesting we have a top 400 hospital competing with one of the bottom two worst hospitals, and in the ranked in the same categories.
Yes I know, they are different finding and different reports. Having a high ranking and being pointed out as one of the worst rankings are worlds apart, no matter the source of the data.
3 regional hospitals named among best in nation | The Herald - Rock Hill, SC
Report: Piedmont Medical worse than U.S. average for 3 causes of death | The Herald - Rock Hill, SC
Yes I know, they are different finding and different reports. Having a high ranking and being pointed out as one of the worst rankings are worlds apart, no matter the source of the data.
3 regional hospitals named among best in nation | The Herald - Rock Hill, SC
Chester Regional Medical Center, Springs Memorial Hospital in Lancaster and Carolinas Medical Center – recently picked to build a Fort Mill Hospital – were selected among the top 405 best performing hospitals in the national by the Joint Commission.
Springs Memorial and Carolinas Medical Centers in Pineville and downtown Charlotte were selected for the care in heart attack, congestive heart failure, pneumonia and surgical care.
Report: Piedmont Medical worse than U.S. average for 3 causes of death | The Herald - Rock Hill, SC
Piedmont Medical Center scored worse than the national average on three key medical measures - deaths by heart attack, heart failure and pneumonia - according to a report just released by Medicare.
Piedmont's Medicare rating, along with Southwest Mississippi Regional Medical Center in Macomb, was among the worst of 4,600 hospitals reviewed by the Centers for Medicare and Medicaid Services. The centers reviewed Medicare patient data from mid-2007 to mid-2010.
"This should be a big red flag you've got a problem," said Dr. Mary Tyrell, a former health care management professor at Lander University.
Tyrell said poor performance in one area might be explained, but poor outcomes in three of the six areas measured shows "there are some systemic problems at this facility.
It points to management and patient care problems."
Appeals Deadline
The Rock Hill Harold reports:
Sept. 26 is the deadline for Piedmont Medical Center and Presbyterian Hospital to appeal a state regulator’s decision to award a certificate of need for a Fort Mill hospital to Carolinas HealthCare System.SC DHEC has posted their official press release of the CON notice here.
Wednesday, September 14, 2011
Charlotte Observer Asks About Appeals
Saturday, the Charlotte Observer posted the article about CMC winning the CON for the Fort Mill Hosptial in a story titled CHS wins bid to build hospital in Fort Mill. The story, written by Celeste Smith, talked to Bill Brandon, who specializes in health policy and politics for the
Metrolina Medical Foundation distinguished professorship at UNC
Charlotte.
Read more at the Charlotte Observer.
Before deciding whether to appeal this most recent decision, each losing side might consider how another potentially lengthy round could affect their overall business plans, said UNCC's Brandon.
And to appeal, the other sides also might have the burden of proving that CHS does not meet the certificate of need regulations, said Steve Graybill, principal and senior health care consultant with Mercer, a New York-based human resources consulting firm with offices in Charlotte.
Or, the other sides might argue that their own information was misinterpreted, and they in fact can meet all parts of the regulations, Graybill said.
"I think it was a dogfight in the beginning with three very competent competitors," Graybill said. But, "maybe this has gone on so long that this decision is finally going to move forward.
Read more at the Charlotte Observer.
Sunday, September 11, 2011
Statistics from SC DHEC Analysis
I read the entire SC DHEC Project Review Criteria Analysis of the Fort Mill Hospital. Here is some interesting Statistics from the report.
Public Feedback Breakdown:
10,004 supporting Presbyterian
5,753 supporting Carolinas
>5,400 supporting Piedmont
34 directly opposing Piedmont *see full text below
1 directly opposing both Carolinas and Presbyterian
Also received from each applicant:
45 letters of support from independent physicians “significant” letters of support on postcards and duplicated form letters Support also submitted via e-mail
*“The Department directly received thirty-four (34) letters of opposition to Piedmont from the community. This was significant in that most were lengthy and detailed. In contrast, one letter opposing both Carolinas and Presbyterian was received directly by the Department.”
Charity Care projections
Facility Cost in Year 3 % of projected gross
PH-Y $16,525,574 6.5%
CMC-FM $12,770,574 6.3%
FMMC $7,012,201 3%
**Sections 3f and 3g are met equally by Presby and CMC. The analysis continues to say that while they both met equally, noted that Presby “has the most generous charity care policy.”
Public Feedback Breakdown:
10,004 supporting Presbyterian
5,753 supporting Carolinas
>5,400 supporting Piedmont
34 directly opposing Piedmont *see full text below
1 directly opposing both Carolinas and Presbyterian
Also received from each applicant:
45 letters of support from independent physicians “significant” letters of support on postcards and duplicated form letters Support also submitted via e-mail
*“The Department directly received thirty-four (34) letters of opposition to Piedmont from the community. This was significant in that most were lengthy and detailed. In contrast, one letter opposing both Carolinas and Presbyterian was received directly by the Department.”
Charity Care projections
Facility Cost in Year 3 % of projected gross
PH-Y $16,525,574 6.5%
CMC-FM $12,770,574 6.3%
FMMC $7,012,201 3%
**Sections 3f and 3g are met equally by Presby and CMC. The analysis continues to say that while they both met equally, noted that Presby “has the most generous charity care policy.”
Analysis of SC DHEC Analysis
Here is the short version of the full SC DHEC Fort Mill Hospital Analysis. The full document is available here.
From the Background section:
"According to U.S. Census data from 2000 and 2010, York County's population grew by 61,459 or 37.3%. The Fort Mill area (Northern York County) [Fort Mill CCD as used by the U.S. Census] is also projected to grow more rapidly than the Rock Hill Area and Western York County." The projected growth for those over 65 years old is predicted to be 45% for Northern York County, which is higher than Rock Hill (36.9%) and South Carolina (20.7%).
From the Written Findings section:
Only 2d applied to Piedmont, which serves ZIP Codes 29730 and 29732 and has 69.3% market share and 64.6% market share for total discharges for these areas. "Historical utilization for [PMC] has declined from 75.1% in 2003 to 57.1% in 2009. Yet, the projected Inpatient Medical/Surgical and ICU Market Share is projected to a combined (FMMC and PMC) Market Share of 65.7% in 2015, 70.4% in 2016, and 72.7% in 2017, with market share for FMMC to be 19.4%, 22.8%, and 26.1% respectively. The Department is concerned that the high level of projected market share is not reasonable.”
2e. “Carolinas’ projections are based on a high level of current market share, and Carolinas proposes to serve only its existing base of patients at CMC-Fort Mill. Carolinas capture 56.8% of Northern York County in 2010, as compared with 44.2 in 2005. Carolinas projects that 75% of its 2009 market share for [Fort Mill], 80% of 2009 market share for Rock Hill, and 50% of its 2009 market share for Western York County will shift to the proposed CMC-Fort Mill. These Projections appear reasonable [to SC DHEC].”
“Presbyterian’s projections meet the need of the target population, but in order to meet its projects, it has to capture a high level of market share that is held by other providers, even in light of updated projections which reduced the total number of discharges by approximately 9% as compared with the October 2010 submission. Presbyterian projects to provide 62.5% more MRIs in 2015 than Carolinas and 294% more than FMMC, …is significantly higher than the number performed in 2010 by several exiting S.C. hospitals with more licensed beds.”
“Carolinas has almost as much market share for the entire York County as Piedmont.”
Piedmont currently serves Rock Hill and Western York County which projects to continue to be largest York County population area. “Relocation/replacement of 36 beds in Northern York County does not appear to equitable distribute beds within the County and reduces accessibility to Great Rock Hill and Western York County. Piedmont has not documented the need for a capital expenditure of over $40 million more than the other applicants.”
“Information provided by Piedmont indicates a substantial reduction in utilization, from…75.1% occupancy in 2003 to…2009 with 57.1% occupancy.” With 268 beds (excluding 20 psyc beds) the most recent Joint Annual Report (JAR) indicated they have 249 beds set up and staffed (excluding the 20 psyc beds). In 2010, the daily occupancy equaled 58%. “Based on this information, there are currently 94 unused beds at Piedmont on an average Daily basis.”
Piedmont JAR data also showed a 60.2% decrease in outpatient endoscopies, 10% decrease in inpatient operations, and total operations decreased 10.6%. “Total heart catheterizations have decreased…15%. Open hear surgeries have declined…22.6%.
Project Review Criterion: 22 – Distribution: “Carolinas best met this criterion because it is the only applicant that proposes to successfully shift its current market share. The Department is concerned with the cost-effectiveness of Piedmont’s proposal and the balance of the distribution to the target population. Presbyterian’s application would require a substantial change to the existing market shares of both Piedmont and Carolinas to be successful.”
“In a response dated December 3, 2010…Piedmont states that ‘without a hospital location in the northern portion of the county, Piedmont will continue to lose patients to providers in the north.’ The Department feels this could result in the recapture of some patients who currently travel out of state for care, but not to the extent proposed by Piedmont.”
23a and 23b.
“Piedmont projects around 18% of its admissions will be redirected from Piedmont to FMMC with the remainder of its patients coming from N.C. providers.”
“Piedmont projects that it will lose over 3,500 cases and some $13.8 million in net revenue by the third year if a Fort Mill facility owned by either Carolinas or Presbyterian is built.” According to the numbers provided to SC DHEC and their review of the numbers, “the Net Income for Piedmont was projected to decrease from $4,881,595 to negative $18,613 if there is a N.C. provider in Fort Mill.”
From the Background section:
"According to U.S. Census data from 2000 and 2010, York County's population grew by 61,459 or 37.3%. The Fort Mill area (Northern York County) [Fort Mill CCD as used by the U.S. Census] is also projected to grow more rapidly than the Rock Hill Area and Western York County." The projected growth for those over 65 years old is predicted to be 45% for Northern York County, which is higher than Rock Hill (36.9%) and South Carolina (20.7%).
From the Written Findings section:
Only 2d applied to Piedmont, which serves ZIP Codes 29730 and 29732 and has 69.3% market share and 64.6% market share for total discharges for these areas. "Historical utilization for [PMC] has declined from 75.1% in 2003 to 57.1% in 2009. Yet, the projected Inpatient Medical/Surgical and ICU Market Share is projected to a combined (FMMC and PMC) Market Share of 65.7% in 2015, 70.4% in 2016, and 72.7% in 2017, with market share for FMMC to be 19.4%, 22.8%, and 26.1% respectively. The Department is concerned that the high level of projected market share is not reasonable.”
2e. “Carolinas’ projections are based on a high level of current market share, and Carolinas proposes to serve only its existing base of patients at CMC-Fort Mill. Carolinas capture 56.8% of Northern York County in 2010, as compared with 44.2 in 2005. Carolinas projects that 75% of its 2009 market share for [Fort Mill], 80% of 2009 market share for Rock Hill, and 50% of its 2009 market share for Western York County will shift to the proposed CMC-Fort Mill. These Projections appear reasonable [to SC DHEC].”
“Presbyterian’s projections meet the need of the target population, but in order to meet its projects, it has to capture a high level of market share that is held by other providers, even in light of updated projections which reduced the total number of discharges by approximately 9% as compared with the October 2010 submission. Presbyterian projects to provide 62.5% more MRIs in 2015 than Carolinas and 294% more than FMMC, …is significantly higher than the number performed in 2010 by several exiting S.C. hospitals with more licensed beds.”
“Carolinas has almost as much market share for the entire York County as Piedmont.”
Piedmont currently serves Rock Hill and Western York County which projects to continue to be largest York County population area. “Relocation/replacement of 36 beds in Northern York County does not appear to equitable distribute beds within the County and reduces accessibility to Great Rock Hill and Western York County. Piedmont has not documented the need for a capital expenditure of over $40 million more than the other applicants.”
“Information provided by Piedmont indicates a substantial reduction in utilization, from…75.1% occupancy in 2003 to…2009 with 57.1% occupancy.” With 268 beds (excluding 20 psyc beds) the most recent Joint Annual Report (JAR) indicated they have 249 beds set up and staffed (excluding the 20 psyc beds). In 2010, the daily occupancy equaled 58%. “Based on this information, there are currently 94 unused beds at Piedmont on an average Daily basis.”
Piedmont JAR data also showed a 60.2% decrease in outpatient endoscopies, 10% decrease in inpatient operations, and total operations decreased 10.6%. “Total heart catheterizations have decreased…15%. Open hear surgeries have declined…22.6%.
Project Review Criterion: 22 – Distribution: “Carolinas best met this criterion because it is the only applicant that proposes to successfully shift its current market share. The Department is concerned with the cost-effectiveness of Piedmont’s proposal and the balance of the distribution to the target population. Presbyterian’s application would require a substantial change to the existing market shares of both Piedmont and Carolinas to be successful.”
“In a response dated December 3, 2010…Piedmont states that ‘without a hospital location in the northern portion of the county, Piedmont will continue to lose patients to providers in the north.’ The Department feels this could result in the recapture of some patients who currently travel out of state for care, but not to the extent proposed by Piedmont.”
23a and 23b.
“Piedmont projects around 18% of its admissions will be redirected from Piedmont to FMMC with the remainder of its patients coming from N.C. providers.”
“Piedmont projects that it will lose over 3,500 cases and some $13.8 million in net revenue by the third year if a Fort Mill facility owned by either Carolinas or Presbyterian is built.” According to the numbers provided to SC DHEC and their review of the numbers, “the Net Income for Piedmont was projected to decrease from $4,881,595 to negative $18,613 if there is a N.C. provider in Fort Mill.”
Saturday, September 10, 2011
Carolinas Medical Center Wins
CMC posted this response to the SC DHEC announcement:We are delighted to share with you a recent announcement from the South Carolina Department of Health and Environmental Control (DHEC). Carolinas HealthCare System has been selected to build and operate the new hospital in York County, South Carolina.
It looks like Piedmont hurt their own chances since they would be taking patients away from their current base of customers.
"The Department is concerned with the declining utilization at PMC, the heavy dependence of recapturing significant lost market share which would require a significant reversal of market trend, the impact of redirecting existing patients away from PMC, the substantial cost of the project, and the ability to finance the project."
"...the heavy dependence of recapturing significant lost market share..." that sounds like the heavy advertising and use of the phrase "we're taking you to Piedmont" by Piedmont EMS.
"CMC - Fort Mill proposed project adequately demonstrated that its current significant level of market share and utilization will be sufficient to justify the implementation of the project, appears to be financially feasible and proposes to shift current market share to a facility in SC, resulting in less adverse impact to existing facilities."
CMC's campaign included York county has been coming to use for years, now we can come to you. Will CMC pull some of Piedmont's customers away from Rock Hill? Probably, but a majority of non-Piedmont bound ambulances are bound for CMC-Steel Creek or CMC-Pineville.
Concerns with Presbyterian:
"The Department is concerned with [the] fact that it would be difficult for Presby to meet proposed utilization projections, and if they are not met, this will affect the financial viability of the project. Presby will also have to capture a high level of market share that is held by other providers, resulting in adverse impact to these providers, primarily PMC."
Overall comments appear that the State of South Carolina is concerned about Piedmont's future in York county. According to the State, Piedmont's utilization is on a decline. Adding another Piedmont hospital would reduce the number of Fort Mill area patients at the Rock Hill complex. CMC provided the number of current patients it has in York county and how many York county residents that visit their hospitals.
Truthfully, I didn't hear any good arguments for Presby, other than some wish there was a Presby, but are glad that Piedmont did not win the hospital bid.
I expect to hear about appeals for the next few weeks, but I honestly don't think that Piedmont has a leg to stand on for winning an appeal. I also don't know that Presby has been vocal enough in the hospital fight to get any real support from the public for an appeal.
Sunday, February 13, 2011
Updates.
Time is again running out to send your comments to DHEC. The deadline is the second half of February 2011.
There are new claims that Piedmont will generate $400 Million in revenue, but the figures are very obscure.
1. Piedmont talks about the 36 more beds they will have. Those are beds that Rock Hill will lose from their hospital.
2. Piedmont plans on expanding to 260 bed, but DHEC has said Fort Mill only needs 64 beds. That is just false advertising.
3. Why does a 64-Slice CT scanner cost Piedmont $650,000 more than CMC?
4. Yes, Piedmont will pay property taxes if there isn't any shady deals like the former York County Hospital has. Let me ask this simple question, Who really pays Piedmont's tax? Is it really Tenet or the patients that pay for services at the hospital?
5. Who says there won't be any developments that spring up near other hospitals other than Piedmont?
It seems like any hospital has the potential to generate nearly $400 million if it were a perfect world. If it were a perfect work, Fort Mill would still have 2 amusement parks.
There are new claims that Piedmont will generate $400 Million in revenue, but the figures are very obscure.
1. Piedmont talks about the 36 more beds they will have. Those are beds that Rock Hill will lose from their hospital.
2. Piedmont plans on expanding to 260 bed, but DHEC has said Fort Mill only needs 64 beds. That is just false advertising.
3. Why does a 64-Slice CT scanner cost Piedmont $650,000 more than CMC?
4. Yes, Piedmont will pay property taxes if there isn't any shady deals like the former York County Hospital has. Let me ask this simple question, Who really pays Piedmont's tax? Is it really Tenet or the patients that pay for services at the hospital?
5. Who says there won't be any developments that spring up near other hospitals other than Piedmont?
It seems like any hospital has the potential to generate nearly $400 million if it were a perfect world. If it were a perfect work, Fort Mill would still have 2 amusement parks.
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