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Commentary: Hospital District taxes do benefit Adair Co.

Re: Letter: Hospital tax

By Neal M. Gold
CEO/Chairman of the Board, Adair County Hospital District

Ann, you've asked a great question. The financial answer is really quite long and complicated, but it all boils down to a case of bad management.

Unfortunately, despite investigations by both the state and federal governments, with a few minor individual exceptions, no general illegal activity was determined to have occurred. There's really no legal means for recouping money from the folks responsible for that mismanagement.

With respect to the tax that the Hospital District has been collecting for the past 10 years, it may seem that the taxpayers of Adair County are getting "nothing" for their money, but that is definitely not the case.

We still have a hospital with a professionally staffed ER, a radiology department, a lab, a physical therapy department, a medical/surgical unit, and an updated and well-maintained facility. Our taxes made it possible for a quality organization like TJ Health to take over operation of the hospital since they did not have to assume the huge debt incurred by the previous management team.

TJ has been an outstanding partner with this community, and I hope and pray they will be able to continue to provide their excellent service.


The Medicare and Medicaid cuts that were recently passed by Congress may threaten TJ's ability to support our small hospital in the future.

The funds that will be left over after the final payment to the Hospital District's creditors will legally be turned over to the Fiscal Court, and distribution of those funds will be at their discretion.

There still exists a significant obligation that the Court owes on the $1.7 million loan that was made to keep the doors of the hospital open in the critical days of 2012 when the reconstituted Hospital District Board took over management of the hospital.

It would make sense to retire that debt along with the retirement of the bankruptcy debt.

Beyond that, I can only recommend that you attend Fiscal Court meetings and let your voice be heard.


This story was posted on 2025-09-03 19:44:21
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