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Your World Today - Thursday, October 23, 2014

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An accident occurred at 7:45 Wednesday morning in Dent County on Highway 19 about a mile south of the Highway B/K junction. According to the highway patrol report, 17-year old Matteo Presti of Salem became distracted while driving a 1995 Ford Mustang northbound and traveled off the right side of the roadway. Presti overcorrected, returned to the roadway, crossed the centerline and struck a 2001 Pontiac Grand Prix driving southbound by 63-year old Alfred Orcutt of Salem. Orcutt sustained moderate injuries and flown by Air Evac to Mercy Hospital in St. Louis. An occupant in the Pontiac, 62-year old Jesus Hernandez of Salem, suffered moderate injuries and was taken to the Salem Memorial District Hospital by Salem ambulance. Presti also suffered moderate injuries and was taken to the Salem Memorial District Hospital by the Salem EMS. Everyone involved was wearing a seat restraint at the time of the accident. Both vehicles were totaled and removed from the scene by Whitaker’s Towing of Salem. The Dent County Sheriff’s Office and the Dent County Fire Department also assisted the highway patrol.

The Salem Memorial District Hospital Board of Directors received their 2014 audit report from Eddie Marmouget from BKD Accounting Firm. Marmouget said it was clean audit, free from any material weaknesses and very few adjustments were needed. He credited hospital Chief Financial Officer Becky Cunningham for her outstanding work for the second straight year. Marmouget reported that cash was down for the year ended June 30th, 2014 while accounts receivable were up leaving an increase in current assets, but he warned that with more and more people with higher deductibles on their insurance policies, the hospital needs to keep a wary eye to make sure the receivables don’t get out of hand. Marmouget said the days in accounts receivable on June 30th was 51 which is better than the average for Rural Missouri Hospitals of 58 days, and close to the average for Critical Access Hospitals at 50. The Salem Hospital had cash on hand as of June 30th at 67 days which is up from 62 days last year and even with the Critical Access Hospital Average, it was below the 104 days for hospitals in rural Missouri. Marmouget said the hospital has little long-term debt and their total debt to equity ratio was at 7.7%, down from the 10.2% they had last year and way below the average of most Critical Access Hospitals who stand at 36.7%. This basically reflects the hospital has continued to pay cash for their equipment improvements over the years. The age of the equipment at the Salem Hospital averages about 10.5 years and that is actually on par with most rural hospitals in Missouri that stands at 10.3 years. The statement of operations for 2014 shows a decrease in the net position of the hospital of $86,300, but Marmouget did remind the board they received almost $900,000 in 2013 in a reimbursement for the electronic medical conversion that helped provide for an increase in net position in 2013 of $57,608. However, the statement for cash flows showed the hospital actually had an increase in cash for the year of $176,414. Marmouget said the hospital net operating margin was -3.3% while the rural Missouri average is 0.4%. He said the Salem Hospital’s main income generator is Medicare which makes up 81% of their income while the average for Critical Access Hospitals is 67%, so the 2% reduction with Sequestration making reimbursement 99% has hurt the Salem Hospital as that amount doesn’t even cover the cost of service. Marmouget indicated that the Salem Hospital continues to be a bargain for hospital services as their average gross price per adjusted discharge comes in at around $8,000 while the Rural Missouri Hospital average is close to $23,000. He said operating expenses per adjusted discharge also is outstanding coming in at around $4,000 while the Rural Missouri Hospital average is close to $8,000. He did say the hospital should review their collection history and self pay reserves due to the higher deductibles, and to prepare for reductions in payments for the rural health clinics, swing bed reimbursements and the 340B drug program. He also said that there would be FRA program cuts in 2014 due to Missouri not participating in the Medicaid Expansion. Marmouget warned the board that the federal government is trying to find savings in many areas due to the anticipated jump in Medicare distributions due to the Baby Boomer wave, and may actually change reimbursements to cover the cost of episodic care rather than individual care. In wrapping up his assessment, the Salem Memorial District Hospital had a strong audit and continues to provide a quality health care service at a very affordable price.

Sports [TOP]

The Kansas City Royals needed a big inning and got it. A day after beginning their first World Series in 29 years with a whimper, the American League champions produced a bang. Omar Infante's two-run homer punctuated a five-run sixth inning that propelled the Kansas City Royals to a 7-2 win over the San Francisco Giants in Game 2 on Wednesday. Billy Butler and Salvador Perez each added two runs batted in while Royals rookie Yordano Ventura went five-plus innings while giving up two runs on eight hits while striking out two. Game 3 of the World Series will be Friday night at AT&T Park in San Francisco. Jeremy Guthrie will take the mound for the Royals while veteran Tim Hudson will be pitch for the Giants. First pitch is again set for 7:07 that night.

The St. Louis Blues will host the Vancouver Canucks tonight at the Scottrade Center. The Blues are 2-3 on the year and you can hear the game on KSMO Radio starting with the pre-game show at 6:30 tonight.

The Salem Football Tigers will be at St. James for the first round of District play Friday night starting at 7:00. Salem and St. James enter the game with identical 3-6 records. You can hear the game on KSMO Radio and online at

Obituaries   [TOP]

Funeral services for Nora Opal Woolsey of Springfield, formerly of Salem, age 89, will be held at 10:00 this morning at the James and Gahr Mortuary in Salem. Interment will be in the Cedar Grove Cemtery.

Graveside services for Mr. Raymond Z. Wells of Licking, age 74, will be held at 11:00 this morning at the Boone Creek Cemetery. All arrangements are under the direction of the Fox Funeral Home in Licking.

Funeral services for Pearl Wells of Salem, age 100, will be held today at 2:00 at the James and Gahr Mortuary in Salem. Visitation will be from noon until service time. Interment will be in the North Lawn Cemetery. Memorials may be made to the First Baptist Church of Salem.

Funeral services for Virginia Leora Hewkin, age 80, will be held at 11:00 Friday morning at the Britton-Bennett Funeral Home in Steelville. Visitation will be tonight from 4:00 to 8:00. Interment will be in the Martin-Trask Cemetery.

Funeral services for Wilton Earnie “Wil” Edgar of Salem, age 85, will be held Saturday at 11:00 at the Wilson Mortuary Salem Chapel. Visitation will be held from 6:00 to 8:00 Friday night. Interment will be in the Roseberry Cemetery.

Weather   [TOP]

Today..Partly sunny with a 20% chance of showers, high of 65 and wind chill values as low as 38 early.
Tonight..Mostly cloudy, low of 46.
Friday..Mostly sunny, high of 74.
Friday night..Mostly clear, low of 55.
Saturday..Mostly sunny, high of 79.
Saturday night..Mostly clear, low of 52.
Sunday..Mostly sunny, high of 78.
Sunday night..Mostly clear, low of 56.



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