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Board of Commissioners Minutes 1982 (Jul-Aug)
START STATE OF NORTH CAROLINA DEPARTMENT OF CULTURAL RESOURCES Microfilmed by DIVISION OF ARCHIVES AND HISTORY Archives and Records Section Raleigh, North Carolina C.054.93000 Iredell County Board of County Commissioners Minute, Board of County Commissioners The following records are filmed in the order in which they were received by the Microfilm Unit of the Records Services Branch of the Division of Archives & History State of North Carolina - Divison of Archives & dfistory Records Services Branch - Microfilm Unit DCR-DAH-ARS-RSB Form IU-T4 The Following Images May Not Be Legible Because of Light Ink or Poor Quality of Original Document North Carolina Division of Archives and History Records Services Branch - Imaging Sub-unit Volume: a - Years: July ¥ | 182 - August 20,1782 Pages: 862 oe if) 2i0 North Carolina Division of Archives and History Records Services Branch -- Imaging Unit CAuth DEPARTMENT OF CULTURAL RESOURCES DIVISION OF ARCHIVES AND HISTORY ARCHIVES AND RECORDS SECTION CERTIFICATE OF AUTHENTICITY This is to certify that the micrographics appearing on this film are true and accurate reproductions of records originated during the normal course of business by the IREDELL_ COUNTY BOARD OF COUNTY COMMISSIONERS and consist of MINUTES, BOARD OF COUNTY COMMISSIONERS The records begin with___ VOLUME: _2..5 pare ude 6 1983. y_&, PAGE: 862 and end with PLAT BOOK: DATE: es It is further certified that the above records were microfilmed in conformity with the provisions of the General Statutes of North Carolina, chapter 8-45.1 and 8-45.4, "Uniform Photographic Copies of Business and Public Records as Evidence Act"; that the microphotography processes accurately reproduce the records so microfilmed; that the film forms a durable medium for reproducing the original, if necessary; and that the film used conforms to American National Standards Institute, Photographic Films-Specifications for Safety Film, ANSI IT9.6-1991 and American National Standards Institute, Imaging Media (Film)-Silver Gelatin Type-Specifications for Stability, ANSI NAPM IT9.1-1992. This is further to certify that the microphotography processes were accomplished by the undersigned on the date and at the reduction ratio indicated below. Date filming of this reel began: i/ a 6 L 98 Reduction Ratio 32. x Date filming of this reel ended Microfilm Camera Operator 4004 IREDELL COUNTY BOARD OF COMMISSIONERS ROFWLMS ee & MINUTES » wan 11 1999 47 JULY 6, 1982 » KR The Iredell County Board of Commissioners met “in Regular Session on Tuesday evening, July 6, 1982, 7:30 p.m., Agricultural Center Conference Rooms 1 and 2. Present for the meeting were: Joe H. Troutman, Chairman Frances L. Murdock, Vice Chairman B. W. Campbell Sam Ostwalt Absent: William A. Mills Staff present: J. Wayne Deal, County Manager Robert N. Randall, County Attorney Regpie Bauguess, Fire Marshal Sidney Weisner, Animal Control Officer Alice Fortner, Clerk to the Board CALL TO ORDER: By the Chairman INVOCATION : By Commissioner Ostwalt APPROVAL OF MINUTES: MOTION from Commissioner Murdock to approve the minutes from the June 15, June 22, June 28, and June 30, 1982, meetings. VOTING: Ayes - 4; Noes - 0. poor 25 pact 862 pox «= 2) xe 863 4005 PUBLIC-HEARING: The Chairman adjourned the meeting to a public hearing. PAVING PARTICIPATION - S. R. 1458: The Chairman announced that all criteria had been met concerning the paving participation of S. R. #1458. No one present spoke in regard to this project. The Chairman closed the public hearing and re-opened the County Commissioners' Regular Meeting. PAVING PARTICIPATION - S. R. #1458: MOTION from Commissioner Murdock to approve the paving participation of S. R. #1458 by adopting the final resolution, copy of resolution attached hereto. VOTING: Ayes - 4; Noes - 0. 4006 IREDELL COUNTY peer BOARD OF COMMISSIONERS ices. ienebie PO BOX 788 STATESVILLE NC. 28677 704-872-9501 Vice Choirman B. W. CAMPBELL WILLIAM A. MILLS SAMUEL L. OSTWALT IREDELL COUNTY NORTH CAROLINA RESOLUTION AUTHORIZING ASSISTANCE IN THE FINANCING OF IMPROVEMENTS TO RURAL SUBDIVISION AND RESIDENTIAL STREETS ADOPTED ROAD # 1458 WHEREAS, the Board of Commissioners on June l, 1982 adopted a preliminary resolution giving notice of intention to assist in the financing of improvements to rural subdivision and residential streets; and WHEREAS, due notice has been given that on the July 6 ,» a9 82, at the Agricultural Center Conference Rooms 1 and 2, Statesville, North Carolina, a Public Hearing would be held on’ whether the assistance in the financing of the road improvements hereinafter described shall be made and that all objections to the legality of the making of such financial assistance are required by law to be made in writing, signed in person or by an attorney, and filed with the Clerk to the Board at or before the time of the Public Hearing; and gor 20 pccSO4 poor 20 excc865 4007 WHEREAS, the Public Hearing has now been held and any objec- tions made concerning the financial assistance were considered. NOW, THEREFORE, be it resolved by the Board of County Commissioners of the County of Iredell: That the street or streets, road or roads, or rights-of-way herein set out are without paving, and public interest requires that asphalt ribbon paving be made available, and that abutting property will be benefited to the extent of the part of the cost thereof to be assessed against such abutting property. If the local improvements are ordered made by the North Carolina Department of Transportation, the County of Iredell shall remit to the State Denartment of Transportation the proportion of the cost thereof representing the total local share as required by the policies of the North Carolina Department of Transportation's Secondary Road Council. THAT NO SUCH PAYMENT WILL BE MADE TO THE DEPARTMENT OF TRANS- PORTATION BY THE COUNTY UNTIL ALL THOSE PERSONS SIGNING THE PETITION REQUESTING PARTICIPATION PAVING HAVE MADE PAYMENT IN FULL OF THEIR PRORATED SHARES. THIS PAYMENT TO BE MADE TO THE TAX COLLECTOR'S OFFICE OF IREDELL COUNTY. That the local improvements to be made on the street or streets, road or roads, or rights-of-way, set above as follows: ASPHALT RIBBON PAVING ROAD # 1458 a ae, we ____PER FOOT Terms of payment shall be described in the Notice of the Public Hearing which was served on the owners of the property to be assessed. IREDELL COUNTY BOARD OF COMMISSIONERS Chairman ADOPTED THIS THE _—*6th___ pay or July _ , 198 2, Oe SEAL 4008 PUBLIC OPINION SURVEY - IREDELL MEMORIAL HOSPITAL AND LOWRANCE HOSPITAL: Mr. Allen Knox, Chairman of the Iredell Memorial Hospital Board, and Mr. Grady Shoe, Chairman of the Lowrance Hospital Board, and other interested persons were present to hear a summary of the public opinion survey, which was made by Epley and Associates of Cherlotte. Epley and Associates had conducted a public opinion survey regarding interest in the hospitals for renovations, bond issuance, and/or other alternatives for the two county supported hospitals. Four hundred people of voting age were interviewed, Epley said. Areas of questions were whether or not the public wants to see the county maintain county-supported hospitals or to sell the hospitals to a private, profit- making firm. Questions were also asked about the type of bond issuance the public would like to see the hospitals be involved in. Epley said that the results arewithin three per cent of the people of Iredell County who are of voting age. The complete report is available for public inspection. The Chairman accepted the report as information. NO BOARD ACTION TAKEN. sox 20 mc S66 4009 SAFETY SEATS - DAVIS HOSPITAL: Mr. Eddie Green, Assis- tant Director of Davis Hospital, was vresent to discuss the safety seats for infants with the board. These seats are loaned to new parents when they leave the hosnital with the new-borns. They are returned when the parents have finished with them. This request is for the Governor's Highway Safety Program to match local donors'(civic clubs, etc.) contributions for seats. MOTION from Commissioner Ostwalt to adopt the following resolution. VOTING: Ayes - 4; Noes - 0. WHEREAS, the North Carolina Governor's Highway Safety Program, hereinafter referred to as GHSP, proposed to implement a program to assist Iredell County, hereinafter referred to as the County, in protecting their young children against death and serious injury in automobile accidents GHSP will provide the County with a supply of crash-tested automobile child restraint devices (CRD's), provide for the initial training of personnel who will implement the vrogram to learn how to properly install and properly use the CRD's vrovided, provide all forms necessary for operating and keeping records of the operation of the program, provide materials developed for GHSP designed to educate parents about using CRD's, provide technical advice and general suvervision to County personnel; PROVIDED, the County agrees to provide manpower or to designate a 4010 local group or agency, Davis Hospital, who will provide the manpower to coordinate, publicize, and operate the distribution of CRD's within the County for a period of not less than two (2) years, to obtain _additional crash-tested CRD's and to use them in this program, to insure that every parent who is loaned a CRD is given appro- priate instruction as to how to use the CRD properly, to provide training for all persons involved in the loaner program who are not initially trained by GHSP, to report in three-month and twelve-month intervals as to the financial and implementation status and inventory of the program to expand the program to its fullest extent possible based on local demand and/or manpower available to run the program that any funds generated by the. rental of CRD's provide by GHSP will be used to purchase additional CRD's or to replace and refurbish older seats, to ensure that all programs within the County that provide health related educational services for lower income groups are aware of the program's existence, to provide information regarding toddler seats for participating parents who are returning their infant carriers, to be a focal point for child transportation safety dissemination within the County by using materials vrovided by GHSP. WHEREAS, the GHSP Local Government Child Restraint Loaner Program hereinabove described is considered most necessary to the vreservation of the safety and welfare of the young children within the County. Book «=D Pace Eee sox «= 20 me SH 4011 NOW THEREFORE BE IT RESOLVED THAT THE GHSP Local Government Child Restraint Loaner Program set out hereinabove be and it is formally approved by the Chairman of the Board of Commissioners and that the County Manager of this County be and is hereby empowered to sign and execute the required agreement between the County and the GHSP to acquire the benefits of the Local Government Child Restraint Loaner Program hereinabove set out for the County. This resolution was passed and adopted the 6th day of July, 1982. iti. 4012 FIRE TAX DISTRICTS - LONE HICKORY VOLUNTEER FIRE DEPARTMENT AND EAST ALEXANDER VOLUNTEER FIRE DEPARTMENT: In response to petitions which have been presented to Iredell County, the County Attorney, Robert N. Randall, has drawn resolutions calling for election for a fire tax district. MOTION from Commissioner Campbell to accept these resolutions and to approve an election for the two fire districts to be held on September 15, 1982. YOTING: Ayes - 4; Noes - 0. BOOK 20 PALE R7C 4013 sox 20 meSid JOINT RESOLUTION OF THE BOARDS OF COUNTY COMMISSIONERS OF ALEXANDER COUNTY AND IREDELL COUNTY CALLING FOR AN ELECTION TO DETERMINE WHE- THER A RURAL FIRE PROTECTION DISTRICT TAX SHALL BE LEVIED FOR THE EAST ALEXANDER FIRE PROTECTION DISTRICT BE IT RESOLVED, by the Board of County Commissioners of County: aes Pre 1. That more than 15% of the resident freeholders of the proposed EAST * os é t ¥ i ee = eee ALEXANDER FIRE PROTECTION DISTRICT lying partly in Iredell County and partly in Alexander County and lying outside of the corporate limits of any city or town, have signed a petition requesting that an election be called in the territory hereinafter described and designated as the EAST ALEXANDER FIRE PROTECTION DIS-" TRICT for the purpose of submitting to the qualified voters therein the question of leyying and collecting a special tax on all taxable property in said district of not exceeding fifteen cents (15¢) of the one hundred dollars ($100.00) valua- tion of property for the purpose of providing fire protection in said district: That said territory of East Alexander Fire Protection District is des- cribed as follows: Being partially in Iredell County, North Carolina, and partially in Alexander County, North Carolina, and more fully described as follows: BEGINNING at Point One at the intersection of the South Yadkin River and the Alexander-Iredell County line; thence northeasterly down the South Yadkin River to Point Two at the intersection of said river and the center of N. C. Secondary Road No. 1570; thence southeasterly to Point Three in venter of N. C. Secondary Road No. 1569, said point being 1.7 road-miles northeast of its intersection with « N. C. Secondary Road No. 1554; thence southerly to Point Four at the intersection of the centerline of N. C. Secondary Road No. 1554 and N. C. Secondary Road No. 1562; thence southeasterly to Point Five in the center of N. C. Secondary Road No. 1551, 0.9 road-miles East of its intersection with N. C. Secondary Road No. 1563; thence southwesterly to Point Six at the intersection of the centerline of N. C. Secondary Road No. 1538 and N. C. Highway #90; thence southwesterly to Point Seven at the intersection of the centerline of N. C. Secondary Road No. 1537 and the centerline of N. C. Secondary Road No. 1534; thence northwesterly (in a straight 4014 line) to Point Eight in the center of N. C. Secondary Road No. 1534, 0.5 road=- mile northwest of its intersection with N. C. Secondary Road No. 1537; thence southwesterly (in a straight line) to Point Nine in the center of N. C. Secondary Road No. 1534, 0.2 road-mile northeast of its intersection with N. C. Secondary Road No. 1005; thence southwesterly (in a straight line) to Point Ten at the intersection of the centerline of N. C. Secondary Road No. 1534 and N. C. Secon- dary Road No. 1005; thence southwesterly (in a straight line) to Point Eleven at the intersection of the centerline of N. C. Secondary Road No. 1535 and the center of N. C. Secondary Road No. 1637 (County Line Road); thence northwesterly to Point Twelve on N. C. Secondary Road No. 1626, 0.5 road-mile West of its inter- section with the centerline of N. C. Secondary Road No. 1629; thence northwesterly to Point Thirteen on N. C. Secondary Road No. 1628, 0.3 road-mile west of its intersection with N. C. Secondary Road No. 1630; thence northeasterly to Point Fourteen in the center of N. C. Secondary Road No. 1630, 0.3 road-mile North of its intersection with N. C. Secondary Road No. 1628; thence northeasterly to Point Fifteen in the center of N. C. Secondary Road No. 1005, 0.6 road-mile north- west of its intersection with N. C. Secondary Road No. 1633; thence northeasterly to Point Sixteen at the intersection of the centerline of N. C. Highway #90 and the centerline of N. C. Secondary Road No. 1456; thence northeasterly (in a straight line) to Point Seventeen at the intersection of the centerline of N. C. Secondary Road No. 1456 and the centerline of N. C. Secondary Road No. 1473, including property on N. C. Secondary Roads Nos. 1456 and 1477 between this and the preceding point; thence due South to Point Eighteen in the center of the South Yadkin River; thence southeasterly along the center of the South Yadkin River to Point One, the beginning. 2. That the Board of County Commissioners of each said county does hereby call an election to be conducted jointly by the boards of election of Iredell County and Alexander County to be held in the territory described above as the East Alexander Fire Protection District for the purpose of submitting to the qualified voters therein the question of levying and collecting a special tax on all taxable property in said district of not exceeding fifteen cents (15¢) of the One Hundred Dollars ($100.00) valuation of property for the purpose of providing fire protection in said district, said election to be held between the hours of 6:30 A.M. and 7:30 P.M. on Tuesday, September 15, 1982. 3. That said election be conducted in accordance with procedures con- tained in the General Statutes of North Carolina, and appropriate regulations and instructions of the North Carolina Board of Elections after proper notice as required by law of registration procedures and designation of polling places pox 2D mESIe $ mee 6 “~ a * om af tree 37 ae oat Sint er nabs Lae eee sae etn 5. ati int <wace? Se 4015 pox 20 rncSsl3 i and election officials who will conduct said election in accordance with Chapter 69 and Chapter 163 of the General Statutes of North Carolina. 4. At said election, those voters who are in favor of levying a tax in said district for fire protection therein shall vote a ballot on which shall be written or printed, "In favor of tax for fire protection in the East Alexander Fire Protection District." Those who are against levying said tax shall vote a ballot on which shall be written or printed the words, "Against tax for fire protection in the East Alexander Fire Protection District." 5. If a majority of the votes cast at said election shall be "In favor the area hereinabove described shall be constituted as the East Alexander Fire | Aa ‘ig Protection District and a tax not exceeding FIFTEEN CENTS (15¢) on the ONE tay HUNDRED DOLLARS ($100.00) valuation on all taxable property in said district may! be levied and collected as provided by law. 6. If a majority of the votes cast at said election shall be "Against tax for fire protection in the East Alexander Fire Protection District," said area hereinabove described shall not become a designated rural fire protection district and no special fire district tax shall be levied or collected within said . 5 ae area. tS - - OY ie This joint resolution shall be effective immediately upon the adoption by the Boards of County Commissioners of Alexander County and Iredell County. A copy shall be transmitted to each said county. ' Adopted by the Board of County Commissioners of Alexander County, North Carolina, this day of » 1982. Chairman of the Board of County Commissioners of Alexander County ATTEST: Clerk Ex-Officio to the Board of County | Commissioners of Alexander County beh 2 Cty, 4016 Adopted by the Board of County Commissioners of Iredell County, North Carolina, this » 1982. ’ day of of Iredell County ATTEST: Clerk Ex-Officio to the Board of County Commissioners of Iredell County sox 20 me Odd 4017 ay ChaucSto JOINT RESOLUTION OF THE BOARDS OF COUNTY COMMISSIONERS OF YADKIN COUNTY, DAVIE COUNTY AND IREDELL COUNTY CALLING FOR AN ELECTION TO DETERMINE WHETHER A RURAL FIRE PROTECTION DISTRICT TAX BE LEV- IED FOR THE LONE HICKORY FIRE PROTECTION DISTRICT ' BE IT RESOLVED, by the Board of County Commissioners of County: 1. That more than 15% of the resident freeholders of the proposed LONE HICKORY FIRE PROTECTION DISTRICT lying partly in Iredell County, partly in Yadkin County and partly in Davie County and lying outside of the corporate limits of any city or town, have signed a petition requesting that an election be called in the territory hereinafter described and designated as the LONE HICKORY FIRE PROTECTION DISTRICT for the purpose of submitting to the qualified voters therein the question of levying and collecting a special tax on all SEEN Sree taxable property in said district, of not exceeding fifteen cents (15¢) of the one hundred dollars ($100.00) valuation of property for the purpose of providing fire protection in said district: That said territory of LONE HICKORY FIRE PROTECTION DISTRICT is described as follows: Being partially in Iredell County, North Carolina, partially in Yadkin County, North Carolina, and partially in Davie County, North Carolina, and more fully described by line: ae so aa ETE Lone Hickory Fire District: BEGINNING at point (1) on Old Stage Road #1002, 0.6 mile east from its junction with road #1152; thence in a northwesterly direction to point (2) at intersection of Fred Brandon Road #1152 and #1153; thence in a northwesterly direction to point (3) on Bethel Church Road #1166, 0.8 mile North of its junction with Doss Road #1136 (joining Middle Yadkin Fire District); é thence in a westerly direction to point (4) on Garner Road #1140, 0.8 mile north- west from its junction with Doss Road #1136 (joining West Yadkin Fire District); e thence in a southwesterly direction to point (4-a) on Doss Road #1136, 0.8 mile i west from its intersection with Bob Garner Road #1140; thence in a southwesterly direction to point (4-b) on Arnold Road #1132, 2.3 miles north of its intersection with Old Stage Road #1102; thence in a southwesterly direction to point (4-c) on Gough Fish Lake Road #1131, 0.2 mile north of its intersection with U. S. baa wee comin 4018 Highway #21; thence in a southerly direction to point (4-d) on U. S. ‘Highway #21, 0.3 road-mile northwest of its intersection with Old Stage Road #1002; thence in a westerly direction to point (5) on Road #1131, 0.1 mile southwest of its junction with Barnett Mill Road #1828; thence in a southeasterly direc- tion to point (8) on Holler Road #2116, 1.2 miles south of its junction with road #2104; thence in a southeasterly direction to point (9) on Houstonville Road #2115, 1 mile southwest of its junction with Sandy Spring Road #2105; thence in an easterly direction to point (10) on Sandy Spring Road #2105, 0.5 mile south of its junction with Reavis Road #2111; thence in a northwesterly direction to point (11) on Reavis Road #2111, 0.5 mile East of its junction with Sandy Spring Road #2105; thence in a northeasterly direction into Davie’ County to point (12) on Steelman Road #1325 at the bridge over Dutchman's Creek; thence in an easterly direction to point (13) on Reavis Road #1324, 0.6 mile southwesterly from its junction with Liberty Church Road #1002; thence in an easterly direction to point (14) at the junction of Liberty Church Road #1002 and Road #1327; thence in a northerly direction to point (15) on Pine Ridge Road #1326, 0.6 mile northeast of its junction with Liberty Church Road #1002 (Davie-Yadkin line); thence in a northerly direction to point (16) on Pine Ridge Road #1162, 1.2 miles southeast of its junction with Old Stage Road #1002; thence in a northerly direction to the point of beginning. 2. That the Board of County Commissioners of each said county does hereby call an election to be conducted jointly by the boards of election of Iredell County, Yadkin County and Davie County to be held in the territory des- cribed above as the Lone Hickory Fire Protection District for the purpose of sub- mitting to the qualified voters therein the question of levying and collecting a special tax on all taxable property in said district of not exceeding fifteen cents (15¢) of the One Hundred Dollars ($100.00) valuation of property for the purpose of providing fire protection in said district, said election to be held between the hours of 6:30 A.M. and 7:30 P.m. on Tuesday, September 15, 1982. 3. That said election be conducted in accordance with procedures con- tained in the General Statutes of North Carolina, and appropriate regulations and instructions of the North Carolina Board of Elections after proper notice as required by law of registration procedures and designation of polling places and election soon 20 pace (OD “eae eS SET yore 8 Agim 's ae a fess BIL Ee 6 ww eae haste dee Thats Se, Comey ts i Bad a Aer Sie ERE: s ae Stay ote. vt ox 250877 officials who will conduct said election in accordance with Chapter 69 and Chapter 163 of the General Statutes of North Carolina. - 4. At said election, those voters who are in favor of levying a tax in} said district for fire protection therein shall vote a ballot on which shall b written or printed, "In favor of tax for fire protection in the Lone Hickory Fire Protection District." Those who are against levying said tax shall vote a ballot BAe cea eee on which shall be written or printed the words, "Against tax for fire protections a a in the Lone Hickory Fire Protection District." 5. If a majority of the votes case at said election shall be "In favor of tax for fire protection in the Lone Hickory Fire Protection District," then ~ the area hereinabove described shall be constituted as the Lone Hickory Fire ‘ Protection District and a tax not exceeding FIFTEEN CENTS (15¢) on the ONE : HUNDRED DOLLARS ($100.00) valuation on all taxable property in said district ma be levied and collected as provided by law. 6. If a majority of the votes cast at said election shall be "Against tax for fire protection in the Lone Hickory Fire Protection District," said are hereinabove described shall not become a designated rural fire protection district and no special fire district tax shall be levied or collected within said area. This joint resolution shall be effective immediately upon the adoption © by the Boards of County Commissioners of Davie County, Yadkin County and Iredell County. A copy shall be transmitted to each said county. Adopted by the Board of County Commissioners of Davie County, North Carolina, this day of , 1982. F Chairman of the Board of County Commissioners of Davie County : ATTEST: Clerk Ex-Officio to the Board of County Commissioners of Davie County 4020 Adopted by the Board of County Commissioners of Iredell County, North Carolina, this day of , 1962. Chairman of the Board of County Commissioners of Iredell County ATTEST: Clerk Ex-Officio to the Board of County Commissioners of Iredell County Adopted by the Board of County Commissioners of Yadkin County, North Carolina, this day of ; .962. Chairman of the Board of County Commissioners of Yadkin County ATTEST: Clerk Ex-Officio to the Board of County Commissioners of Yadkin County om pox ~=2D mec 878 goox 20 ace 879 4021 ANIMAL CONTROL ORDINANCE - AMENDMENT: A proposed amendment to the Animal Control Ordinance calling for the vaccination of cats against rabies was presented to the board. This amendment was prompted by the State Veteranarian Department. The Health Board of Iredell County was recommending the County Commissioners to adopt this amendment. The amendment was referred to the Animal Control Committee for its recommendation to the Board. NO BOARD ACTION. TAX SETTLEMENT : Delayed until July 20, 1982 meeting. YADKIN VALLEY ECONOMIC DISTRICT: County Manager Wayne Deal presented the Board with a resolution from the Yadkin Valley Economic District. The County Manager said that a resolution was necessary for this agency to transport clients as much as five miles into Iredell County. The County Attorney, Robert N. Randall, reviewed the resolution and recommend the Board's adoption. MOTION from Commissioner Murdock to adopt the resolution as proposed. VOTING: Ayes - 4; Noes - 0. STATE OF NORTH CAROLINA COUNTY OF WHEREAS, WHEREAS, Iredell 4022 CONSENT FOR YVEDDI TRANSPORTATION SERVICES the North Carolina General Statute: 160-496.7 restricts a local Transportation Authority to operate only up to five miles outside of the boundaries of its local government jurisdiction; the Couhties of Davie, Stokes, Surry, and Yadkin through the respective Boards of County Commissioners adopted a local Transportation Development Plan developed by the Northwest Piedmont Council of Governments pursuant to guidelines of the North Carolina Department of Transportation: Division of Public Transportation which designated the Yadkin Valley Economic Development District, Inc. (YVEDDI) as the local Lead Human Services Transportation Agency; the Counties of Davie, Surry, and Yadkin through the respective Boards of County Commissioners have authorized YVEDDI to provide public mass transit services; the County of Stokes through its Board of County Commissioners, acting upon advice of the State, created the Stokes County Transportation Authority, which authorized the YVEDDI to provide public mass transit services effective April 5, 1982; citizens, organizations, and agencies of Davie, Stokes, Surry, and Yadkin Counties may need to be transported through and into our local government jurisdiction to secure health, nutrition, employment, recreational, educational, and other special services; current transportation services provided in our local government jurisdictional area are not currently scheduled or operated in a manner that would enable economical coordination of transportation services to occur between the YVEDDI and our transportation services; the YVEDDI has requested that this local government governing body give consent to the YVEDDI to operate transportation services through or into our area for citizens, organizatiors, and agencies of Davie, Stokes, Surry, and Yadkin Counties; THEREFORE, the County Commissioneref Iredell County hereby consents for the YVEDDI to provide special transportation services through or into our local government jurisdictional area so that citizens, organizations, and agencies of the Counties of Davie, Stokes, Surry, and Yadkin Counties can receive health, nutritional, employment, recreational, educational,.and other special services; Provided that the YVEDDI shall work cooperatively with any public transportation service provider in our area to enable coordination of transportation services to occur whenever economically feasible. This consent shall not in any manner result in any financial or other liabilities upon the consentor. pox 20 Pac 880 800K 29 psc S84 4023 ae This consent may he modified or terminated upon providing the consentce thirty days prior written notice. July —_ 82 by the Iredell in a public meeting at the NC. Adopted this oth day of County Board of Commissioners : Agricultural Center Conf, Rm 1 & 2” Statesville ’ (Seal) Chairman Attested Board Clerk 4024 VOTING DELEGATE - NORTH CAROLINA ASSOCIATION OF COUNTY COMMISSIONERS ANNUAL MEETING: MOTION from Chairman Joe H. Troutman to appoint Frances L. Murdock, Vice Chairman of the Board and Chairman of District 12 of the North Carolina Association of County Commissioners, to be the voting delegate for Iredell County at the Annual Conference to be held on August 12-15, 1982. VOTING: Ayes- 3; Noes - 0; Not Voting - 1 (Murdock). BUDGET AMENDMENT - MOORESVILLE CITY SCHOOLS: MOTION from Commissioner Ostwalt to approve the budget amendment from Mooresville School Board, presented and recommended for approval by the County Manager. VOTING: Ayes - 4; Noes - 0. Book ~=20 page 882 sox 25 racc883 Budget Amendment Mooresville Graded School District Administrative Unit Capital Outlay Fund The __ Mooresville Aébphhd/City Board of Education at a meeting on the lth day of June » 19.82, passed the following resolution. 4025 Be it resolved that the following amendments be made to the Budget Resolution for the fiscal year ending June 30, 1982 ° Amount Code Number Description of Code Increase Decrease General Contract Proj. I - Stadium $2 , 339 Electrical Contract Proj. I - Stadium 342 Plumbing Contract Proj. I - Stadium Lu Architect's Fee Proj. I - Stadium 9,327 Miscellaneous Proj. I - Stadium $5,362 Heating Contract Proj. V - Boiler 6,670 Explanation: Changes in original contracts necessitate a transfer from available monies to Proj. I. Total Appropriation in Current Budget $ 62.901 Amount of Increase(Decrease) of above Amendment - 0 - Total Appropriation in Current Amended Budget...... Passed by majority vote of the Board of We the Board of County Commissioners of Education of Mooresville hereby approve the changes in the County/City School Funds Budget as Athkdd¥y/City on the lbth day of indicated above, and have made entry of these changes on the minutes of June 1982__, said Board, this the day of 19 . Chaixman, Board of County Commissioners Cor 7. oth, Secretary, Board of Education Secretary, Board of County Commissioners 4026 HOME HEALTH FEES: A sliding scale fee arrangment for home health fees was presented to the Board. This sliding scale gives the health director permission to adjust the fees within the proposed scale without approval from the county commissioners. This matter was tabled until a later date. NO BOARD ACTION. COMMUNITY-BASED ALTERNATIVES TASK FORCE - APPOINTMENTS : Commissioner Campbell nominated Harper Van Hoy, Union Grove, to serve on the captioned task force. Commissioner Murdock nominated Mrs. Lou Sullivan to serve on the cavtioned task force. VOTING ON NOMINATIONS: Ayes - 4; Noes - 0. The Clerk was asked to write a letter to the retiring members, Virginia Webster and Adelaide Ashe, thanking them for serving on the task force. MAPPING GRANT - RENEWAL: The County Manager, Wayne Deal, presented the board with the renewal grant from the State, stating that the funds had already been budgeted in the 1982-83 budget. MOTION from Commissioner Campbell to approve the following resolution. VOTING: Ayes - 4; Noes - 0. goox = 20 Prt O84 sox 29 ae £95 4027 BE IT RESOLVED, That on the 6th day of July, 1982, the Iredell County Board of Commissioners voted unanimously to apply for matching funds under the North Carolina State Land Records Management Program. NOW, THEREFORE, BE IT FURTHER RESOLVED by the Commissioners of Iredell County, that: 1. The grant requested be in the amount of $46,740; 2. They share a willingness to participate in the State Land Records Program; 3. They have the necessary funds in the Ceneral Furd for FY 82-83 to match the grant funds requested; 4. They will assign said funds to the project; 5. Upon accepting grant funds made available, all applicable laws will be complied with. Adopted July 6, 1982. Fs Joe H. Troutman, Chairman Iredell County Board of Commissioners ATTEST YB 2 Sea , Clerk 4028 BUDGET ORDINANCE - FY 1982-83: MOTION from Commissioner Campbell to accept the Budget Ordinance for the 1982-83 Budget. VOTING: Aves - 4; Noes - 0. BOOK 20 pase S86 BOARD P.O. BOX 788 nox = 29 rc 887 SaePELL COUNTY ~ asa Chairman OF COMMISSIONERS FRANCES L. MURDOCK STATESVILLE N.C. 28677 704-872-9350! Vice Chairman 8. W. CAMPBELL WILLIAM A. MILLS SAMUEL L. OSTWALT BUDGET ORDINANCE -l S82 -i £83 IREDELL COUNTY, NORTH CAROLINA Be it ordained by the Board of Commissioners of Iredell County, North Carolina: Section 1. The following amounts are hereby appropriated in the General Fund for the operation of the County Government and its activities for the fiscal year beginning July 1, 1982, and ending June 30, 1983, in accordance with the chart of accounts heretofore established for this county: Governing Body Administration Elections Finance Tax Supervisor Tax Collector Nata Processing Legal Courts Register of Deeds Planning $ 28,249 71,000 74,698 95,959 177,342 116,012 96,973 19,000 122,190 153,094 403,232 4030 BUDGET ORDINANCE - 1982-1983 spook 20 rac 888 July 6, 1982 Page 2 Maintenance 237,267 Law Enforcement 902 ,049 Jail 239.498 Fire Fighting 224,759 Ambulance 700 ,490 Emergency Operation Center 107 ,052 Landfill 339,797 Animal Control 83,559 Health Administration 163,374 Generalized Nursing: 241,519 Home Health 245,845 Sanitarians 184,269 Laboratory 31,099 Nutrition - WIC 56,100 Dental Health 54 ,833 Maternal & Child Health 140,100 Family Planning 56,795 Agricultural Extension Service 167 ,984 Veterans' Service 54,708 Social Services Administration 2,616,355 Likeesr 370,573 Non-Departmental 367 , 300 Special Appropriations 338,417 Contributions to Other Funds 936,555 Schools s 4,923,449 Garage 64,975 poox ZO PaccSsJ sic BUDGET ORDINANCE - 1982-33 July 6, 1982 Page 3 IV-D 61,219 Recreation 189 , 343 Iredell Youth Home 52,890 TOTAL GENERAL FUND $15,510,119 Section 2. It is estimated that the following revenues will be available in the General Fund for the Fiscal Year beginning July 1, 1982, and ending June 30, 1983: Taxes: Ad Valorem, Current 7,855,671 Taxes: Ad Valorem, Delinquent 300 , 000 Tax Collection Fees 60,000 Animal Tax 300 Tax Penalties and Interest 90,000 Interest on Investments 225,000 Intangible Tax 359 ,000 Beer and Wine Tax 205 ,000 Local Sales Tax 2,327,000 ABC - 5¢ Bottle Tax 27,000 Facility Fees 60,000 Health Department Revenues 516,540 Social Services Revenues 133,877 Contribution From Revenue Sharing 950,000 Other Revenues 909 ,050 4032 BUDGET ORDINANCE - 1982-83 July 6, 1982 Page 4 Fund Balance Appropriated 313,081 $15,510,119 Section 3. The following amounts are hereby appropriated in Debt Service Fund for the payment of principal and interest on the outstanding debt cf Iredell County and the expenses relating thereto for the fiscal year beginning July 1, 1982 and ending June 30, 1983: Principal of bonds maturing 225,300 Interest on bonds 77,788 Long Term Obligations 162,967 Bonds Service Charge 500 466,555 Section 4. It is estimated that the following revenues will be available for the Debt Service Fund for fiscal year beginning July 1, 1982 and ending June 30, 1983: Contributions from General Fund 466,555 sox = 20 mae B20 4033 enor 25 rx 894 BUDGET ORDINANCE - 1982-83 July 6, 1982 Page 5 Section 5. The following amounts are appropriated to complete the revaluation process as required by the General Statutes: Contracted Services - other $ 445,000 Contingency 10,000 $ 455,000 Section 6. It is estimated the following revenues will be available for Revaluation Fund beginning July 1, 1982 and ending June 30, 1983: Interest on Investments $ 11,000 Contributions from General Fund 270,000 Fund Balance Appropriated 174,000 $ 455,000 Section 7. The following amounts are hereby appropriated in the Water and Sewer Fund: Capital Outlay - Ecuipment $ 126,300 Contingency 162,788 S$ 289,088 Section 8. It is estimated the following revenues will be available from the Water-Sewer Fund for fiscal year beginning July 1, 1982 and ending June 30, 1983: 4034 BUDGET ORDINANCE - 1982-83 July 6, 1982 Page 6 Contributions from Other Agencies $ 26,195 Contributions from General Fund 200 ,000 Fund Balance Appropriated 62,895 $ 289,088 Section 9. The following amounts are appropriated in Revenue Sharing Fund: Professional Services 500 Contributions to General Fund 950,000 $ 950,500 Section 10. It is estimated the following revenues will be available from the Revenue Sharing Fund for fiscal year beginning July 1, 1982 and ending June 30, 1983: Interest on Investments 56,705 Federal Government Grant 808,795 Fund Balance Appropriated 85,000 950,500 Section.11. There is hereby levied a tax rate of ; per One Hundred Dollars ($100) valuation of property listed for taxes as of January 1, 1982 for the purpose of raising ; revenue listed as "Current Year's Property Tax" in the } 4” General Fund. Boor «20 mah? P ie s00k 25 race 893 4035 BUDGET ORDINANCE - 1982-83 July 6, 1982 Page 7 Section 12. Schedule B taxes shall be levied in accordance with the North Carolina Revenue Act. Section 13. All ABC-5¢ Bottle Tax revenues received from Code 347-01 of the 1982-83 General Fund revenues are hereby designated to sunport the county's 1982-83 appropriation to Tri-County Mental Health. All ABC-5¢ Bottle Tax revenues are further designated for alcohol rehabilitation programs within the Tri-County Mental Health budget for 1982-83. Section 14. Copies of this Budget Ordinance shall be furnished to the County Commissioners, the Finance Officer, and the Clerk to the Board in the carrying out of their duties. Section 15. The Budget Officer is hereby authorized to transfer appropriations within a fund as contained herein under the following conditions: a. The Budget Officer may transfer amounts between objects of expenditure within a department except that no transfer shall be made into or out of salaries without approval by the Board of County Commissioners. b. The Budget Officer may transfer amounts up to $1,000 between departments of the same fund with an official report on such transfer at the next regular meeting of the Board of Commissioners. <cepeaees 4036 BUDGET ORDINANCE - 1982-83 July 6, 1982 Page 8 c. The Budget Officer may not transfer amounts between funds nor from the Contingency appropriation without prior Board action, Section 16. The Iredell County Manager, Finance Officer, and Department Heads are hereby instructed to be as frugal as possible in administration of the 1982-83 budget, Section 17. The Board of County Commissioners hereby authorizes the Iredell County Tax Collector to collect taxes for the City of Statesville in compliance with the contract adopted by the two governing boards. A charge of two (2) per cent of all taxes collected for the City of Statesville will be payable to Iredell County for said collection services. This Ordinance being duly passed and adopted this the day of 1982. IREDELL COUNTY BOARD OF COMM1SS LONERS Joe H. Troutman, Chairman Alice Fortner, Clerk to Board : soon 2 ae O94 a pox = 29) xg ROA 4037 REVALUATION REPORT - MONTH OF JUNE: The County Manager, Wayne Deal, reported to the Board that the Revaluation Report would be on the agenda for the July 20th meeting. HOURS OF OPERATION AT THE LIBRARY: The County Manager reported to the Board that he had met with the Library Director and had arrived at the hours of operation as follows: 9:00 a.m. - 9:00 p.m. Monday through Thursday 9:00 a.m. - 6:00 p.m. Friday and Saturday Due to the necessary advertisement in the newspaper, the new hours of operation will begin on July 16th. NO BOARD ACTION. CENTRALINA COUNCIL OF GOVERNMENTS - CENTRALINA DEVELOPMENT CORPORATION, INC.: Commissioner Murdock, Centralina Council of Governments representative, reported on the captioned organization. She said the eight counties in the organization had been requested to arrange for the organization to have operating funds. This organization is to be self-supporting, with the companies applying for loans paying all costs involved. The counties were being requested to put up initial funds. The County Attorney was asked to draw an agreement whereby the County would lend $2,000 to the organization with the understanding that this was a loan and would be repaid when the Organization becomes self-supporting. fiw 4038 The County Attorney was asked to draw an agreement whereby the County would lend $2,000 to the organization with the under- standing that this was a loan and would be repaid when the organization becomes self-supporting. ADJOURN: The Chairman adjourned the meeting at 8:50 p.m. Next meeting: July 20, 1982, Brawley Elementary School, pee Clerk Bk se LYE ro 2 ' North Carc!ina lredeil County Filed for r-zie’-ttisn an treat tp of are 2 en ae Deputy spook 20 act896 ie 4039 IREDELL COUNTY BOARD OF COMMISSIONERS MINUTES JULY 20, 1982 The Iredell County Board of Commissioner met in Regular Adjourned Session on Tuesday evening, July 20, 1982, 7:30 p.m., Brawley Elementary School, Iredell County. Present for the meeting were: omy” Suuff present: ” CALL TO ORDER: INVOCATION: Joe H. Troutman, Chairman Frances L. Murdock, Vice Chairman B. W. Campbell William A. Mills Samuel L. Ostwalt J. Wayne Deal, County Manager Robert N. Randall, County Attorney Lois Troutman, Tax Administrator Alice Fortner, Clerk to the Board By the Chairman By the Chairman APPROVAL OF MINUTES: MOTION from Commissioner Campbell to approve the minutes with corrections indicated by Commissioner Murdock. VOTING: Ayes - 5; Noes - 0. poor 25) pace 897 poo 20 macc898 4040 1983 WORLD HORSESHOE TOURNAMENT: Jack Springer, representing the Greater Statesville Chamber of Commerce, was present to make a request of the Board for $300, to be matched by the City of Statesville, These funds are to be used for travel expenses for Mr. Springer to attend the 1982 World Horseshoe Tournament in Huntsville, Alabama, where he will extend an invitation to the group to hold its 1983 tournament in Iredell County. Mr. Springer said the 1983 tournament would be sponsored by the Statesville Jaycees, Greater Statesville Chamber of Commerce, City of Statesville, and Iredell County. MOTION from Chairman Troutman to allocate the $300 for the Chamber of Commerce for special funding for the 1983 World Horseshoe Tournament. This $300 is to come from the Contingency Fund, non-tax revenues. VOTING: Ayes - 5; Noes ~ 0. TAX SETTLEMENT - 1981-82 FISCAL YEAR: Mrs. Lois Troutman, Tax Administrator, presented the board with the annual tax settlement of collections from July 1, 1981, through June 30, 1982. Commissioner Campbell asked what the tax office is doing to collect the balance of the taxes, which is $1,132,165.15. Mrs. Troutman said they were presently using garnishments, levies of different types, and they are working with the county attorney doing foreclosures. At the present, she said, there is $825,819 _of personal taxes on the books. 4041 The Board members stated that they thought aggressive tax collections measures should be used to bring the tax collections rate up. MOTION from Commissioner Murdock to accept the Annual Tax Settlement as presented by Mrs. Troutman. VOTING: Ayes - 5% Noes - 0. TAX COLLECTIONS REPORT - JUNE 4982: Mrs. Troutman, Tax Administrator, presented the Board with the tax collections report for the month of June 1982. MOTION from Commissioner Qstwalt to accept the report as presented. VOTING: Ayes —- 5; Noes — 0. REBATES: Mrs. Troutman presented the rebates (releases) to: the Board for approval. MOTION from Commissioner Campbell to approve the rebates as presented. VOTING: Ayes - 5; Noes —- 0. pox 20 Paced Or ’ BOOK 25 pce 900 TAX COLLECTOR'S ANNUAL SETTLEMENT 4042 ANNUAL STATEMENT OF COLLECTIONS JULY 1, 1981 THROUGH JUNE 30, 1982 Taxes Charged Collected Uncollected tax balance June 30, 1981 7-1-81/6-30-82 6-30-82 1981 8,146,575.77 7,779,429.41 367 146.36 1980 353,839.36 148,029.37 205 ,809.99 1979 155,160.08 52,058.99 103,101.09 1978 73,403.06 23,0e1.99 | 49,781.11 1977 47,033.06 16,481.78 30,551.28 1976 44,775.62 9,571.51 35,204.11 1975 36,408.12 5,418.12 30,990.00 1974 45,129.88 7,544.35 37 ,585.53 1973 41,622.42 4,045.26 37 577.16 1972 25,136.47 2,624.76 22,511.71 1971 20,881.29 1,028.70 19,852.59 1970 & 194,009.68 1,955.46 192,054.22 Older Totals 9,183,974.81 8,051,809.66 1,132, 165.15 Releases & Credits - 30,115.99 Interest & Penalty + 90,835.09 Total Iredell County Tax 8,112,528.76 Schedule "B" Beer & Wine 11,683.75 Animal Taxes 324.00 Paving Assessments 3,011.67 Collection Commission 155.47 Total Other Revenue 15,174.89 Total Iredell] County Collections 8,127,703.65 RFT eave Lois K. Troutman, Tax Administrator for Iredell County, being duly appointed, deposes and says: ; That she submits, herewith, in accordance with G.S. 105-373 (b) the amount of taxes remaining unpaid for the years 1970 through 1981, that she has made a diligent effort within the time permitted:by law to collect such taxes out of the property of such taxpayers, or by other means open to her for collection of such taxes. aie wh. tee ; AFFIANT TAX COLLECTOR'S ANNUAL SETTLEMENT 4043 ANNUAL STATEMENT OF COLLECTIONS JULY 1, 1981 THROUGH JUNE 30, 1982 Taxes Charged Collected Uncollected tax balance June 30, 1981 7-1-81/6-30-82 6-30-82 198] 2,841 ,274.00 2,723,585.07 117,688.93 1980 148,622.58 54,252.34 . 94,370.24 1979 80,206.40 11,741.77 68,464.63 1978 56,034.42 13,335.13 42,699.29 1977 46,811.71 10,960.31 35,851.40 1976 32 ,867 .56 2,618.50 30,249.06 1975 25,650.59 2,078.35 23,572.24 1974 15,579.00 2,235.53 13,343.47 1973 16,781.46 1,993.68 14,787.78 1972 8,360.91 734.47 7,626.44 1971 8,523.18 545.62 7,977.56 1970 5,820.48 179.80 5,640.68 1969 6,075.99 48.04 6,027.95 1968 4,329.24 70.15 4,259.09 1967 3,021.08 2.52 3,018.56 1966 4,097.86 7.48 4,090.38 Totals 3,304,056. 46 2,824,388.76 479,667.70 Releases & Credits - 19,179.73 | Interest & Penalty + 27,637.02 Total City of Statesville Collections 2,832 ,846.05 AFFIOAYVI ST Lois K. Troutman, Tax Collector for City of Statesville, being duly appointed, deposes and says: That she submits, herewith, in accordance with G.S. 105-373 (b) the amount of taxes remaining unpaid for the years 1966 through 1981, that she has made a diligent effort within the time permitted by law to collect such taxes out of the property of such taxpayers, or by other means open to her for collection of such taxes. o ; at da/ x Re SR AFFIANT poox 20 pace 901 NAME Mary Lou Nunnery Eula Mae Clontz Barbara Work Henry Poole Heirs Esther Wilkins Campbell United States of America Mrs. E. C. Poston BOOK 29 pase 902 4044 REBATES FOR THE MONTH OF JUNE TOWNSHIP Outside Coddle Creek Coddie Creek Barringer Turnersburg Fallstown Inside 1982 YEAR 1981 1981 1981 1981 1980 1976 1976 REASON AMOUNT Listed Mary Sullivan 27.10 Car wrecked 12-13-80 4.62 On discovery to Marvin and Barbara Work 772.38 Acres corrected 9.46 Listed Esther Tulbert 20.50 Exempt 57.74 Moved to Virginia 11-27-75, listed personal for 1976 17.30 $ 909.07 4045 REVALUATION: David Crismond, with W. P. Ferris and Company, presented the board with the revaluation progress report for the month of June. He showed a chart and stated that they were ahead of the schedule. Chrismond said, "the Change in the computer is not causing any problems and we are ahead of schedule." Regarding the publicity, Chrismond and Mrs. Troutman said they had made six appearances with different civic organizations. The Board members asked if the County's staff appraisers had worked with the revaluation firm, to which Mrs. Troutman replied they had been out to several industrial plants with the appraisal firm. Chrismond said they were 31% completed with the revaluation at this time. pox 20 race 903 poor 20 mc 904 4046 HEALTH FEES: This business was carried forward from the July 6th meeting. Since then, the County Manager and County Attorney have looked into the legal aspects of the health director setting fees. At this time, the County Manager recommended that the Board not allow the health director discretion to adjust charges for home health services. He said this was based upon his discussions with the Institute of Government and with the County Attorney. His opinion and recommendation were based upon legal and practical aspects, he said. The County Attorney also recommended that the Board not delegate the responsibility of setting fees to the health director inasmuch as it would be giving away the power of an elected board, the County Attorney said. MOTION from Commissioner Campbell, Health Board ex-officio member, to approve the following recommendations from the Health Board: Provide lead screening lab services for employees of Over- cash Machines, Inc., at a cost of $8.50 per hour and for any other industry requesting lead screening lab services in the future at cost. (Adopted by the Health Board on December 10, 1981.) Rate changes for home health services effective December l, 1981: Skilled Nursing $37 Home Health Aide $28 Physical Therapy $45 Speech Therapy $45 Social Work $45 (Adopted by the Health Board on October 15, 1981.) 4047 Charge Uniglass Industries, Inc., a laboratory fee of 10¢ per employee for performing hematocrit testing. (Adopted by the Health Board on August 20, 1981.) Excluded from the motion was: Applying a sliding fee scale to all age groups requesting family planning services as of July l, 1982. (Approved by the Health Board on April 22, 1982.) VOTING ON MOTION: Ayes - 5; Noes - 0. The Board postponed granting authority to adjust fees until a later date. TAX SHELTERING EMPLOYEES' MEMBER CONTRIBUTIONS TO THE RETIREMENT SYSTEM: The County Manager, Wayne Deal, advised the Board that the County is eligible to include its employees in a program to tax shelter member contributions to the local govern- mental employees' retirement system. He said he had discussed this with all department heads and asked them to relay the information to the employees. He received no objections from any department to becoming a part of the tax shelter program. The amount of money paid into the retirement system by the individual employee would be sheltered, which would mean an approximate 2% in net pay for the individual employees. The only negative aspect to the policy would be that if an employee is reaching the maximum amount of sheltered funds, he will not be able to take advantage of the shelter. Sheriff's Department employees cannot participate because of a different retirement plan. pox §©=6.2 pase 905 poor 20 pace 906 4048 MOTION from Chairman Troutman to adopt the following resolution: RESOLUTION TO ELECT A SHELTER OF EMPLOYEES' CONTRIBUTIONS PAYABLE AS MEMBERS OF THE NORTH CAROLINA LOCAL GOVERNMENTAL EMPLOYEES’ RETIREMENT SYSTEM WHEREAS, the 1981 Session (1982 Regular Session) of the North Carolina General Assembly, by a duly ratified bill effective July 1, 1982, enacted North Carolina General Statute 128-30(bl), a copy of which is attached hereto, which under the conditions specified therein permits an employer participating in the North Carolina Local Governmental Employees' Retirement System to shelter the contributions payable to this System by its employees who are members of this System; and, WHEREAS, this employer is an employer participating in the North Carolina Local Governmental Employees’ Retirement System with respect to its eligible employees; and, WHEREAS, this employer deems it desirable to tax shelter the contributions payable by its employees as members of the North Carolina Local Governmental Employees' Retirement System. NOW, THEREFORE, BE IT RESOLVED BY THE Iredell County Board of Commissioners in regular session, that as of July 20, 1982, Iredell County elects pursuant to the provi- sions of the North Carolina General Statute 128-30(bl) to pick up and pay to the North Carolina Local Governmental Employees’ Retirement System the contributions which would be other- wise payable to this System by its employees who are members of this System and to treat in all respects such contributions in the manner specified in said North Carolina General Statute 128-30(bl). VOTING: Ayes - 5; Noes - 0. 4049 IREDELL COUNTY SCHOOLS - AMENDMENTS TO THE FY 1981-1982 BUDGET: Several amendments to the FY 1981-1982 budget were reviewed by the commissioners. The County Manager explained that it was not necessary for the Board to take action on these amendments since none involved more money. The Board accepted the amendments as information. ROAD SIGNS - SHUMAKER DRIVE: Chairman Troutman said he had received calls regarding Shumaker Drive (changed to White's Farm Road by petition during the road naming process). This road turns left at the White Sales on U. S. 21 North, at the intersection of Jane Sowers Road. A new petition with 68 signers was submitted to the Planning Department, requesting that the name be changed back to Shumaker Drive. This petition does not involve the entire road. The actual portion changed as requested by the petition is, "S.R. 1922 from Houpe Road (S.R. 1923) to Highway 21. The other portion of S. R. 1922 will remain White's Farm Road." The property owners signing the petition understand they will have to pay the costs for the changing of the signs ($50 each). MOTION from Commissioner Campbell to change the name of White's Farm Road to Shumaker Drive, as requested by the petition. VOTING: Ayes - 5; Noes - 0. BOOK © 2.) PAGE O07 © esox 20 paccQ08 4050 ANIMAL CONTROL ADVISORY COMMITTEE: Mr. Campbell reported on the meeting of the Animal Control Advisory Committee, stating that the committee will come up with some recommendations regarding rabies vaccinations for cats. The County Attorney asked the he be apprised of the meetings of the advisory committee. SHERIFF'S CAR: The Sheriff had made a request that he be allowed to keep one of the better cars that were being replaced with new cars at the Sheriff's Department. This car would be used for one of the civil deputies who lives in the Cool Springs area. This deputy would drive the car to the department in the morning and it would be available for him during the day. This particular deputy, who lives in the Cool Springs area, gets calls at night, and a car would be advantageous to him in answering these calls. The County Manager, Wayne Deal, expressed a concern over the Sheriff's budget, stating that the Sheriff had difficulty in 1981-82, and he questioned the possibility of the Sheriff having problems again in 1982-83, especially if a car of this age had maintenance expense during the budget year. The County Manager was asked to get an estimate back to the Board at its next regular meeting. The estimate would involve projected costs involved in operating the car. NO BOARD ACTION. 4051 FIRE CODE: This item to be placed on the August 3rd agenda. ADJOURN: The Chairman adjourned the meeting at 9:33 p.m. Next meeting: August 3, 1982, 7:30 p.m., Agricultural Center Conference Rooms 1 and 2. APPROVED: of JF /J6L North Carolina Iredell County Filed for rezistratian on the Pay of Rit nepali, eed TM. recorcdd init ke Book 22S ‘ fats Se ‘| h PNG ei Kc eek ae Ae istey of Dee By Breed : Let Deputy sok +20 re 909 it 4052 IREDELL COUNT Y BOARD OF COMMISSIONERS MINUTES AUGUST 3, 1982 The Iredell County Board of Commissioners met in Regular Session on Tuesday evening, August 3, 1982, 7:30 p.m., Agricultural Center Conference Rooms 1 and 2. Present for the meeting were: Joe H. Troutman, Chairman Frances L. Murdock, Vice Chairman B. W. Campbell William A. Mills Samuel L. Ostwalt Staff present: Wayne Deal, County Manager Robert N. Randall, County Attorney F. William Furches, Jr., Finance Officer Lois Troutman, Tax Administrator Jeff Coutu, Planning Director Lisa Beckham, Planner Alice Fortner, Clerk to the Board CALL TO ORDER: By the Chairman INVOCATION: By Commissioner Mills APPROVAL OF MINUTES: MOTION from Commissioner Murdock to approve the minutes of the August 3, 1982 meeting, VOTING: Ayes - 5; Noes - 0. sox 209 we910 eed pox 20 paced 4053 CHAIRMAN TROUTMAN ADJOURNED THE MEETING TO A PUBLIC HEARING. PUBLIC HEARING: The Board conducted a public hearing on the paving participation scroll for S. R. #1458. The following names were listed on the scroll to be assessed through the tax collector's office: Robert & Harriett Barr 1210 Glenn Valley Drive Matthews, NC 28105 $695.76 Wm. Stanley Banzhof, Jr. 6319 Arden Forest Drive Clemmons, NC 27012 $573.11 James H, Bernhardt, Jr. 1820 Sterling Rd. Charlotte, NC 28209 $646.70 Bob Caison Route 6, Box 390-H Mooresville, NC 28115 $466.30 Roy J. Aldridge 7507 Albemarle Rd. Charlotte, NC 28212 $332.27 Arthur P. Perry, Jr. Route 6, Box 502 Mooresville, NC 28115 $459.38 Harriman H. Jett 2431 Sedley Rd. Charlotte, NC 28211 $307.74 Phillip Alexander Route 6 Mooresville, NC 28115 $329.16 No one present spoke in reference to the assessment scroll. THE CHAIRMAN CLOSED THE PUBLIC HEARING. = 4054 ADOPTION OF PAVING PARTICIPATION SCROLL - S. R. #1458: MOTION from Commissioner Ostwalt to adopt the scroll as presented, with interest of 8% beginning on September 2, 1982. VOTING: Ayes - 5; Noes =— 0. REPORT ON REVALUATION PROGRESS - MONTH OF JULY: Brent Weisner, Project Supervisor of Ferriss Company, gave a progress report for the month of July. Mr. Weisner showed a chart with the amount of work completed at this time. He said 52% of phase I was completed and 26% of phase II was completed at this time. The board asked why only 26% of phase II was completed, and he said that this stage of the project could not begin until phase I was begun. More progress would be done at a faster rate on this phase as phase I is completed. The county's appraisers, Vanderford, Drum, and Deaton, are working with the Ferris appraisers to learn their appraisal methods. Mrs. Troutman reported that they were having appointments for several speaking engagements to help with the publicity on the project. Commissioner Murdock suggested having a meeting at the Hall of Justice where the public could come and hear the presentation on the revaluation program. No action was taken on this suggestion. W. R. Ferriss, Inc. statement for the month of July 1982 was for $38,766.73. sox 20 mt 12 a pook 20 paceGL3 oii REPORT ON ROAD SIGNS: Lisa Beckham, Planner, and Jeff Coutu, Planning Director, gave a report to the Board on the progress in placing the road signs, A written report was presented and they gave oral comments on the progress. They said that 10% of the signs have been vandalized or stolen. Jeff Coutu asked about the possibility of using the money in the Planning Budget for part-time help to hire someone to put up the signs in order to get the project completed earlier. Commissioner Mills asked about the possibility of bidding the project of putting up the signs. After a discussion, it was the consensus that the Planning Director should explore the bidding or negotiating the project of putting up the signs and report back to the board. OLD COURTHOUSE RENOVATION: A letter had been received from James Walker of the Arts Council concerning placing stairs on the outside of the old courthouse to make the upstairs courtroom accessible for small groups who wished to meet there. The County Manager referred to an inspections report by Gene Krider which was on file in the manager's office. The inspection report recommended the facility should be used on a limited basis with no large audiences using the auditorium. Mr. Krider also reported that the center truss was in need of repair in order for the courtroom to be safe for large groups, and he stated that these repairs would be expensive and difficult. The County Manager said he would like to do more research on the repair before the Board considered using the upstairs. 4056 Commissioner Mills asked that the County Manager proceed to find out what it is going to cost to put the upstairs into order. It was the consensus of the Board that this should be done. CHILDREN'S MUSEUM ~ OLD COURTHOUSE BASEMENT: Information was given to the Board about the repair of the regulator at a cost of $600. The regulator controls the amount of hot water going to the radiators on the ground floor and second floor. Control of this hot water will keep the boiler from pumping hot water upstairs and consequently keep hot water from returning to the basement, which will keep the basement cooler. The Children's Museum group could not meet in the basement last year because of the intense heat from the heating system. This repair could be done at a cost of $600 and would save the County at least 10% in fuel waste. The Children's Museum group has agreed to do all the repair work and bear all the expenses involved in other work in the basement. MOTION from Commissioner Campbell to authorize the County Manager to take whatever steps necessary to correct the heating problem and to make the Children's Museum operational. VOTING: Ayes - 5; Noes - 0. pox = 20 me 914 4057 pook 20 pace919 INSURANCE: Lee Armour, Centralina Council of Governments representative, was present to discuss the County's insurance and risk management. Mr. Armour said they had been able to save other counties considerable money by putting all their insurance together. An in-depth study needed to be done on the County's insurance needs. He said the more information given to an insurance agency on the county's needs, the less the insurance would cost. He said this is because an agency bids higher on "unknowns", which present a greater risk to the agency. After a discussion, it was the consensus of the Board that Mr. Armour should make a formal written proposal for the Board's consideration. NO BOARD ACTION. a 4058 MOTION from Commissioner Mills to adjust the agenda to hear the hospital bond matter. VOTING: Ayes - 5; Noes - 0. IREDELL MEMORIAL HOSPITAL AND LOWRANCE HOSPITAL - BONDS: Robert N. Randall, County Attorney, addressed the Board regarding the captioned matter. Mr. Randall said the reason this matter is on the agenda is that there was a time table for an election which would be held on November 7. He said that steps taken now by the county commissioners do not in any way obligate the Board to pursue the bond referendum if the Board chooses not to do so. Mr. Randall said a formal application, which is not binding on the County, must be filed with the Local Government Commission before the next meeting of the county commissioners, which is on August 17th. Mr. Randall advised the Board to authorize the county manager as the Board's representative to complete, execute and file this application for approval of issuance of the general obligation bonds. MOTION from Commissioner Ostwalt to: 1.) Authorize publication of the Intent to Apply. 2.) Authorize the County Manager to employ bond counsel, Brown, Wood, Ivey, Mitchell & Petty, of New York. The County Manager's notification in writing to the bond counsel to be deferred until the latter part of the month, at the request of the Board. 3.) Authorize the County Manager to complete, execute and file prior to August 17th meeting the application for approval of issuance of the general obligation bonds. ~~ VOTING: Ayes - 5; Noes - 0. poor §=20 ma 946 BOOK 29 east 91 7 4059 The following notice is to be printed in both the Statesville Record & Landmark and Mooresville Tribune one time only: NOTICE OF INTENT TO APPLY TO THE LOCAL GOVERNMENT COMMISSION FOR APPROVAL OF BONDS NOTICE is hereby given of the intention of the undersigned to file an application with the Local Government Commission, Raleigh, North Carolina, for its approval of the issuance of the following proposed bonds of the County of Iredell, North Carolina, which bonds shall be subject to the approval of the voters of said County at a referendum: $22,750,000 HOSPITAL FACILITIES BONDS for the purpose of construction and equipping additions to and renovations of Iredell Memorial Hospital and Lowrance Hospital and acquiring any necessary land therefor. Any citizen or taxpayer who objects to said bonds in whole or in part may file with the Local Government Commission a statement setting forth his objection and containing his name and address as provided in Section 159-50 of the General Statutes of North Carolina, in which event he shall also file a copy of such statement with the undersigned, at any time within seven days from the date of publication of this Notice. Objections set forth in said statement will be considered by said Commission, along with said application, in determining whether to approve or disapprove said application. BOARD OF COMMISSIONERS FOR THE COUNTY OF IREDELL, NORTH CAROLINA By F. William Furches, Jr., County Finance Officer ut 4060 SHERIFF'S CARS: The County Manager presented a list of surplus cars and asked that the Board declare these vehicles surplus and authorize that they be sold at public auction. In an earlier meeting, the Sheriff's Department had made a request that one of the cars be kept for use of the Court Deputy who serves papers on work hours when he is not in court. After a discussion, MOTION was made by Commissioner Ostwalt to grant the Sheriff the right to use one of these surplus cars on the condition that he can take it and operate it within his present budget. VOTING: Ayes - 3; Noes - 2. NOTE: The Board did not declare the cars surplus and authorize them for public auction. soon ©=20 mt918 wo 2000919 * GEORGE STYRON, DATA PROCESSING CONSULTANT: The County Manager addressed the Board about pay for George Styron that is over and above his agreement with the County. Mr. Deal said he believed the agreement with the Board was when it was discussed that you would authorize expenditures up to $1,000. Styron's time has exceed the $1,000 amount. The additional amount is $750. The County Manager said it was his understanding that it should be brought back to the Board for approval. Styron is paid $31.25 per hour. In this current year's budget, he is only scheduled for 16 hours a month, or 192 hours a year. MOTION from Commissioner Mills to approve the expenditure of $750. He added that in the future if something like this happens, let the Board know before it is running 70% over the contract. VOTING: Ayes - 5; Noes - 0, anithy 4062 EMERGENCY MEDICAL SERVICES: Under Old Business, Commissioner Campbell asked how the Emergency Medical Services determined where to take emergency patients. Chairman Troutman answered they were taken to the hopsital of the patient's choice unless it was an emergency call and then the patients were transported to the nearest hospital. After a discussion, the County Manager was asked to report on a particular incident, Mr. Campbell would give him the name of the patient at a later time. COUNTY COMMISSIONERS MEETING ROOM: Commissioner Campbell asked that the county commissioners meeting room have some attention, and asked about hanging a county seal behind the sitting area for the county commissioners. The Chairman asked that Commissioner Campbell and the county manager get together and see what they could work out to improve the setting, LIBRARY ADVISORY BOARD: Commissioner Mills asked that the Library Advisory Committee appointments be put on the agenda for the next meeting. He asked that one other member be appointed for the advisory committee since it was so hard to get a quorum of four present so they could conduct business. The committee is presently comprised of seven members. Mr. Campbell asked about adding another member, which would make a 9=member board and leave a quorum at four. sox 29 me 920 a pox 420 rat 921 4063 Mr. Mills asked that all members with lengths of term be submitted to the board prior to the next meeting. BUNCOMBE COUNTY RESOLUTION: Chairman Troutman presented the Board with a resolution from Buncombe County, which Iredell County Commissioners were being asked to adopt. The resolution was dealing with freezing salaries of federal employees. After a discussion, it was the consensus of the Board that this resolution would not be adopted, but letters would be sent by the Chairman to all the elected federal officials regarding this matter. WORLD HUNGER WALK: Chairman Troutman introduced some information he had received from Yokefellows for a walk that will occur on October 2. He siad adults would actively walk and would secure sponsors at $1 per kilometer. They are planning a 10 kilometer walk. The money would be used as follows: 25% to Yokefellows Ministry, 5% for administration cost, and 70% to World Hunger. The Board of Commissioners has been asked to participate. wh 4064 PAVING PARTICIPATION - PRELIMINARY RESOLUTION FOR SKI- HAVEN PLACE, VISTA PLACE, HARBORVIEW PLACE AND LAKESIDE DRIVE: A petition for paving participation for Surfside Estates, comprised of the captioned streets, has been presented to the Board for preliminary approval. MOTION from Chairman Troutman to approve the preliminary resolution to participate and call for a public hearing for paving participation on September 7, 1982, 7:30 p.m., Agricultural Center Conference Rooms 1 and 2. VOTING: Ayes - 5;Noes - 0. EXECUTIVE SESSION: MOTION from Commissioner Mills to enter executive session to discuss personnel. VOTING: Ayes - 5; Noes - 0. MOTION from Commissioner Ostwalt to adjourn from executive session. VOTING: Ayes - 5; Noes - 0. ADJOURN: Chairman Troutman adjourned the meeting at 10:50 p.m. Next meeting: August 17, 1982, 7:30 p.m., Agricultural de a az Yo ee e : wv Ad he 6 £/ _— t4 PLAS Clerk North Carolina Center Conference Rooms 1 and 2. . Irodeil County y Pitad toe vosistratiqn on the od day of APPROVED: Mig tial L7G FA : Cu 952 way C : 7 6 RY “Y Cook. aaa — ” 0, ey Le Box §=20 page 922 oe pees ros ZL deputy . = 4065 TREDELL COUNTY BOARD OF COMMISSIONERS MINUTES AUGUST 17, 1982 The Iredell County Board of Commissioners met in Adjourned Regular Session on Tuesday evening, August 17, 1982, 7:30 p.m., Agricultural Center Conference Rooms 1 and 2. Present for the meeting were: Staff present: CALL TO ORDER: INVOCATION : Joe H. Troutman, Chairman Frances L. Murdock, Vice Chairman B. W. Campbell William A. Mills Samuel L. Ostwalt J. Wayne Deal, County Manager Robert N. Randall, County Attorney F. William Furches, Jr., Finance Officer Lois Troutman, Tax Administrator Alice Fortner, Clerk to the Board By the Chairman By Commissioner Ostwalt pox §=20 pace 923 BOOK 25 PAGE Q? 4 4066 IREDELL MEMORIAL AND LOWRANCE HOSPITALS - INTRODUCTION OF A BOND ORDER: At the request of the Chairman, Joe H. Troutman, Robert N. Randall, County Attorney, brought the following information to the Board: We are on a timetable which would tend to require the Board to pass the first reading tonight and to call for a public hearing. Mr. Randall said that even though the Board approved these actions tonight, the Board was not bound to call for an election if the decision was not to do so. County Attorney Randall introducted F. William Furches who read and filed with the Clerk to the Board the indebtedness of the county, as follows: COUNTY OF IREDELL, NORTH CAROLINA SWORN STATEMENT OF DEBT MADE PURSUANT TO THE LOCAL GOVERNMENT BOND ACT, AS AMENDED I, F. William Furches, Jr., County Finance Officer of the County of Iredell, North Carolina, having been designated by the Board of Commissioners for said County to make and file with the Clerk a statement of the debt of said County pursuant to the Local Government Bond Act, as amended, DO HEREBY CERTIFY that the following is a true statement as shown by the books in my office, not taking into consideration any debt incurred or to be incurred in anticipation of the sale of bonds other than funding and refunding bonds: omy a(1) a(2) a(3) b(1) b(2) b(3) b(4) b(5) (a) GROSS DEBT Outstanding debt evidenced by bonds: Water Bonds Sanitary Sewer Bonds Other Bonds Bonds authorized by order introduced on August 17, 1982, but not yet adopted: Hospital Facilities Bonds Unissued bonds authorized by adopted orders (b) DEDUCTIONS Funding and refunding bonds authorized by orders introduced but not yet adopted Funding and refunding bonds authorized by not yet issued The amount of money held in sinking 4067 None None 1,744,700 funds or otherwise for the payment of any part of the principal of gross debt other than debt incurred for water or sanitary sewer purposes (to the extent that the bonds are deductible under G.S. 159-55 (b)) or both of said purposes Bonded debt included in gross debt and incurred, or to be insurred, for water purposes Bonded debt included in gross debt and incurred, or to be incurred, for sanitary sewer system purposes to the extent that said debt is made deductible by G.S. 159-55(b) BOOK 29 mt 929 $1,744,700 $22,750,000 None Nene None None None None wily b(6) b(7) (b) (c) (d) (e) APPRAISED VALUE of property subject to taxation before the application of any ratio, being the value fixed in 1982 pox «=2 5 ma 9?6 Uncollected special assessments heretofore levied for local improvements for which any part of the gross debt (that is not otherwise deducted) was or is to be incurred, to the extent that such assessments will be applied, when collected, to the payment of any part of the gross debt The amount, as estimated by the County, of special assessments to be levied for local improvements for which any part of the gross debt (that is not otherwise deducted) was or is to be incurred, to the extent that the special assessments, when collected, will be applied to the payment of any part of the gross debt DEDUCTIONS, being the sum of b(1), b(2), b(3), b(4), b(5), b(6) and b(7) (c) NET DEBT NET DEBT, being the difference between the GROSS NET (a) and the DEDUCTIONS (b) (d) APPRAISED VALUE (e) DEBT RATIO Percentage which the net debt bears to said appraised value County assessment 4068 None None None $24,494,700 $1,503,477.736 1.63% County Finance OfEicer { 4069 STATE OF NORTH CAROLINA) > #6, COUNTY OF IREDELL ) Subscribed and sworn to before me this 17th day of August, 1982 4 otary Public My Commissioner expires Lebiaulats Ly LUE I, Alice Fortner, Clerk to the Board of Commissioners for the County of Iredell, North Carolina, DO HEREBY CERTIFY that the foregoing is a true copy of a statement which was filed with me at a meeting os said Board on August 17, 1982, after the introduction of and before the public hearing on an order authorizing bonds of said County, and that said statement is open to public inspection in my office, WITNESS my hand and the official seal of said County, this //f(h day of August, 1982. LS Melo Clerk to the Board of Commissioners pox 20 me O2/ BEoN 20 past O78 4070 MOTION from Commissioner B. W. Campbell to file with the Clerk to the Board the indebtedness of the County. VOTING: Ayes - 5; Noes - 0. BOND ORDER: County Attorney read the following bond order and asked that a county commissioner introduce the order when he finished reading it. ORDER AUTHORIZING $22,750,000 HOSPITAL FACILITIES BONDS BE IT ORDERED by the Board of Commissioners for the County of Iredell: 1. That, pursuant to The Local Government Bond Act, as amended, the County of Iredell, North Carolina, is hereby authorized to issue Hospital Facilities Bonds in an aggregate principal amount not exceeding $22,750,000 for the purpose of providing funds, with any other available funds, for con- structing and equipping additions to and renovations of Iredell Memorial Hospital and Lowrance Hospital and equipping any necessary land therefor. 2. That taxes shall be levied in an amount sufficient to pay the principal of and the interest on said bonds. 3. That a sworn statement of the debt of the County has been filed with the Clerk and is open to public inspection, 4. That this order shall take effect when approved by the voters of the County at a referendum as provided in said Act. = 4071 The Board of Commissioners thereupon designated the County Finance Officer as the officer to make and file with the Clerk the sworn statement of debt of the County which is required by The Local Government Bond Act, as amended, to be filed after bond orders have been introduced and before the public hearing thereon. Thereupon the County Finance Officer filed with the Clerk in the presence of the Board, the sworn statement of debt as required. Thereupon the order entitled "ORDER AUTHORIZING $22,750,000 HOSPITAL FACILITIES BONDS" was passed on first reading. pox 25 ma9?9 —, eocx 20 act SO 4072 PRESENTATION FROM IREDELL MEMORIAL AND LOWRANCE HOSPITALS: County Attorney Randall said that before the Board took any action on the bond order, it would be in order for the Board to hear the presentations from the two hospitals requesting the bonds, Iredell Memorial Hospital and Lowrance Hospital, IREDELL MEMORIAL HOSPITAL PRESENTATION - ALLEN KNOX, CHAIRMAN OF THE IREDELL MEMORIAL HOSPITAL BOARD: "Honorable Members of the Iredell County Board of Commissioners: I would like to first share with you some infor- mation concerning the needs of Iredell Memorial Hospital, after which, Mr. Grady Shoe, Chairman of the Lowrance Board, will then make a presentation concerning the Lowrance Hospital needs. "It is a privilege to have the honor of addressing you on behalf of the Board of Directors of Iredell Memorial, and, I believe, on behalf of the majority of the tax paying citizens that our Board represents. "Tredell Memorial Hospital is one of Iredell County's finest assets. It belongs to the citizens that you represent and provides a large amount of quality medical care. We provide an annual payroll of $6.3 million. We have concluded that in order to carry out our responsibility of insuring that this hospital, owned by the citizens of Iredell County, to insure that it remains an asset, to insure that it remains a quality caring institution, that it remains financially sound, that we need then to make some capital improvements to our facility. oy 4073 "The current planning efforts, that we are in the midst of, started in 1976. We initiated county-wide comprehensive health care planning that resulted in the Iredell County Area Health Planning Group, with representatives from the City of Statesville, City of Mooresville, Troutman, and Harmony, the Chambers of Commerce of Mooresville and Statesville, officials from the three hospitals located in the county, the mental health and public health board, and the county commissioners. "This Iredell Area Health Planning Group produced a two-volume study known as the Hamilton Report. That study plus three financial feasibility studies by Ernst and Whinney, and year-long planning with architects and building consultants prepare us to approach you at this time. We need $14,050,000 authorized through a general obligation bond referendum. We need to borrow this amount, and general obligation bonds provide the least expensive method of borrowing this money for this purpose. We pledge to pay the money back--the principal and the interest. We will contract with the county to pay the money back out of future patient revenues in order to avoid any increase in taxes, unless through unforeseen circumstances the hospitals are unable to keep this commitment. This would allow us to finance this project in the same manner as any private enterprise except by using the county's credit, we would have much less interest to pay. "With this $14,050,000 plus the $5,000,000 that we plan to contribute, and approximately $1 million grant we expect from a foundation, and the interest earned on the proceeds of these bonds during construction, we will be able to add a new building of approxi- mately 110,000 square feet. pox Lo ae 931 = prox «2 wate 922 4074 "This new building will house on its bottom floor a new emergency room, a new department of radiology, a new laboratory, and on the next floor, new operating rooms and recovery rooms, new intensive care and coronary care units. The next three floors, new patient rooms replacing the obsolete accommodations in the 1954 building. WThis building of complex, sophisticated design will cost approximately $87 per square foot. We will also renovate 53,000 square feet at approximately $67 per square foot. These renovations will take place in space abandoned by the functions moving into the new building and will enable us to expand other areas as recom- mended by the Hamilton Study. These expanded areas include storeroom, vhysical therapy, central sterile supply, housekeeping and dietary, medical records, admitting, heart station, employee health; also pharmacy, respiratory therapy, industrial engineering, the employee training function, and the diet teaching function. And the space abandoned by the 24 rooms on third north will be converted into a modern 10-bed maternity unit with toilets in each room. A new nursery and an updated delivery suite will also be provided on the third floor. In summary, there will be no wasted space. New beds will be added as soon as the Certificate of Need approval can be obtained, "Because of the difficulty in adding beds, even though we run a high census, we have designed the addition and renovations to make our patient care efficient and more accessible. We have had good success with our out-patient programs, including being featured in a soon-to-be-published Blue Cross Journal, “~ 4075 "Our out-patient surgery at Iredell Memorial Hospital has increased from 6.5% of surgery two years ago to 20% of out-patient surgery today. “We request your thoughtful consideration on behalf of the board of Iredell Memorial Hospital. "Thank you." pox 20 mae 923 a ane pox 2 paseG:24 wir LOWRANCE HOSPITAL, GRADY SHOE, CHAIRMAN, LOWRANCE HOSPITAL BOARD: "Mr. Chairman and members of the Council, on behalf of the board of Lowrance Hospital, we, too, appreciate the opportunity of making this presentation this evening. “First of all, I would like to have a couple--several people--I would like to introduce to you, and the reason I would like to introduce them to you so that during the questioning period, they will be very helpful in answering any detailed questions that you might have. I would like to ask these people just to stand and be recognized and then sit down. “First of all, we have Bob Jan, Cindy Petree, and Barbara Taylor, from Epley Associates. Next we have Tom Mullinex, Mike ----, J. N. Pease Associates, our architect. Next we have with us Dick Sawyer, our consultant with Hamilton and Associates. Next we have Cline Comer, our accountant with Checker, Beckard and Holland. "I will be going through my script and as I do Mr. Pearson will point out to you certain things and certain items and certain places in our construction that is being changed, renovated, and improved. "Lowrance Hospital's proposed project involves the expansion and renovation of its existing facilities at its existing site. The site is centrally located in Mooresville and is level, buildable and accessible to the public, No service will be deleted as a result of this project and no increase in the number of beds is planned, even though admissions are expected to increase over the next five years. at 4077 "In order to obtain regional approval for the project, it was necessary to agree to a 17-bed reduction from 121 to 104 beds due to the fact that the regional planning agency felt that Iredell County is an overbedded county by a total of 35 beds. "Now two of the existing nursing units are housed in the newer construction on the second floor of the north section of the building which was built in 1971, in the 1971 additions to the center section. "Three older of our total five nursing units are housed in the buildings constructed in 1930 and in 1953. Most of the patient rooms in the 1930 wing are substandard in size, both width and depth, and no toilet facilities. Thirty-two of the rooms in this wing have no toilets and those which have toilets, only nine have tub or shower. Overcoming these problems will require approximately 42% more space than is now available. The Hamilton Associates study concluded that the extent of deficiencies and the obsolescence of patient rooms in the 1930 section is so great that it would be practically impossible to modernize these patient care facilities in their present location and therefore recommended that they should be replaced. "A description of some of our solutions, to the chart, it is proposed that the hospital complete what is currently a shelled-in third floor of the 1971 addition to replace a total of 29 beds, and construct an additional fourth floor to the wing, which would replace another 23 beds, for a total of 52 replacement beds. pow «= 2) oe 935 ~- pox «20 mx 9° = "A new three-story structure will be added to the north side of the existing hospital to contain on the ground floor the space currently occupied by both housekeeping and maintenance will be added to new construction for a new surgery department to include four operating rooms which is one additional room, recovery room, which is one additional bed, and also out- patient surgery. "Material management, which includes storeroom purchasing department and central sterile, which includes sterile supplies, will be located on the first floor. We currently have five ICU and CCU units, so we will be moving a total of eight, and they will be located on the top floor of the new extension on the north side. "On the first floor of the new construction between 1971 and 1930 wings will contain emergency department, one additional treatment room, laboratory and expansion relocation. The laboratory will utilize vacated space as well as new construction in the existing courtyard area. Radiology will expand in its existing location by taking over adjacent space vacated by the laboratory and by half the existing emergency department, which is one additional room. "New construction tothe south front of the hospital will provide a new ----- lobby, which is badly needed, a reception area which is badly needed, a switchboard and canteen, gift shop and additional medical records space which is currently very crowded. 4079 "Other departments may be located and/or expanded due to space left by the vacated 59 beds in the 1930 and the 1953 wings on the second, third, and fourth floors, where the existing nursing units, of course, will be closed. The only existing patient rooms which will continue to be used for beds will be those in the 1971 and 1953 additions. Now what we are saying here is that we will only have six beds remaining even in the 1953 wing. This will give us 104 private rooms. "Hamilton Associates have concluded that with continued population growth in portions of Iredell County and the surrounding areas which Lowrance serves, the need for out-patient services at the hospital will increase extensively over the next 15 years. The Hamilton Report analyzed current space resources of all departments and found that all but four of the departments need more space to properly carry on existing services even at our own current volume levels. "Overall, the shortage of space throughout the hospital amounted to 40%. The estimated total capital cost, including architect's and consultant's fees, equipment, contingencies, and capitalized construction period interest, is $10,646,000. "The hospital anticipates financing the project with the issurance of general county obligation bonds, to be repaid 100 per cent from hospital revenues. Our auditors have determined that this is quite feasible. Box §=25) ox 937 om, BnoK 25 PASt QIK 4080 / "Projecting an interest rate of 12.5% and a term of 20 years, the estimated borrowing requirement of the financing is $8.7 million dollars. The hospital plans to provide $545,000 of equity and will roughly raise at least $500,000 in contributions and endowments. $901,000 of capitalized interest during construction is included also for a total of $1,946,000 in hospital resources. "Projected per patient day operating expenses compare favorably with projects of Davis and Iredell Memorial. Projected revenue per patient day 1985-1987 compares favorably with projections of Rowan Memorial, Catawba Memorial, Iredell Memorial and Davis Hospitals. "The average increase in daily charges from 1982 until 1986 is 13%, which is very much in line with past experience. The rates have been projected in order to cover the inflationary increases anticipated in operating costs and debt service requirements. Should inflation be less than anticipated, the hospital will have the opportunity to reduce rates accordingly. "In-patient days are projected for 1985-1986 and 1987, at a volume level which agrees with the regional planning agency forecast. In view of the fact that in-patient volume increased 16.8% from 1973 to 1980 and a higher census level has already been reached than in the past, there is no reason to believe that the operating results projected will not be achieved. In fact, the growing population, the ADM population, and the increase in migration of patients from outisde of the county are all expected to increase demand on hospital services. 4081 "Lowrance Hospital needs to make these improvements primarily in order to keep pace with the rapid growth in medical knowledge and thus to continue to provide ---- quality medical care for our citizens. Beyond that, our physician recruitment committee is finding more and more physicans who visit Mooresville find it an appealing area and they are also looking for a hospital with progressive equipment and facilities to aid them in preventing, diagnosing and treating illness. If they do not find up-to-date facilities here, they will go elsewhere where such facilities exist and eventually the citizens of Mooresville will have to go elsewhere for their health care. "General obligation bonds are the least expensive way to raise money for these improvements. A public opinion poll conducted in May by the Epley Associates revealed that 55 per cent of the county citizens feel there is a need for both Lowrance and Iredell Memorial Hospitals to renovate and expand their buildings in order to provide better service. When asked if they would support or turn down general obligation bonds in a county-wide referendum, 60% of registered voters polled said they had already made up their minds to approve such bonds provided there would be no increase in taxes. "The total bond issue, including $14,050,000 for Iredell Memorial Hospital and $8.7 million for us, is a total of $22,750,000. The total payback over a 20-year period is $39 million for Iredell Memorial and $21 million for Lowrance. poor 20 prce939 ay 4082 poox 20 pace940 "The two hospitals will contract with the county to pay back the principal and interest 100% from hospital revenues. The cost at Lowrance, which will rise about 13% per year, are in line with past experience, and the rates at the two county- owned hospitals, which have been among the lowest in the county, are projected to be quite reasonable in comparison to other hospitals. "There should not be any tax increase in the future related to this bond issue. Taxes would be increased only if the hospitals were not able to pay the debt due to some unforeseen economic difficulty. Our hospital needs these improvements in order to provide quality services for our citizens, and practicing physicans deserve and must have it if we are to remain viable and healthy and capable of rendering health care for years to come. "Members of the Board, this concludes my presentation for the evening, which only lasted maybe ten or fifteen minutes. We hope to answer any questions to your satisfaction. But we would like to add that our presentation this evening did not come about from a very short study period. We first began our hospital prediction study some two and one-half years ago. During this two and one-half years, we have had many committee meetings reporting their findings of various facts to the board, facts that were needed in order that we might make a sound decision for our renovation program, We met late in the evenings, we met early in the mornings, studying the various avenues 4083 that we should travel in this process. Also, what we want you to know is that we have presented this evening is backed by a very thorough study of the facts. "Our feasibility study concerned us greatly because we wanted to be absolutely satisfied that we could repay G, O. bonds from hospital revenues, so we went to our accounting firm, Cherry, Beckard and Holland, a company fully qualified to make such a study, and asked them to make a feasibility study. After months of preparation, they presented us with the fact that we could, in fact, repay our indebtedness on G. 0. bonds. "We know your concern has also been is this possible. All that we can say to assure you is that from all the reports gathered over the past few months indicated conclusively that we can repay the bonds from hospital revenues without one penny increase in taxes to the Iredell citizens. We want you to know this and we want the citizens of Iredell to know this. We feel that this is critical for a successful campaign. "Last evening, we had a corporation meeting of the Lowrance Hospital Corporation. It is only the second called meeting that I can ever remember that we have had. At this meeting, we presented this same presentation, and the meeting lasted approximately an hour and a half--hour and forty-five minutes. We had many questions. At the conclusion of the meeting, a motion was introduced that the following resolution be adopted: soon 20 east Q41 nox 2) pre G42 4084 'Be it resolved that the members of the Lowrance Hospital Corporation endorse the proposal for renovation and expansion as outlined to them in the meeting of the corporation on the 16th day of August, 1982, at 7:30 p.m.' This resolution was adopted and passed unanimously. "Again, we appreciate your listening to our presentation. We know also that it is a tough decision that you will have to make. Whatever the outcome, unfortunately the decision will not be to everyone's liking. However, in conclusion, we at Lowrance Hospital and we at Iredell Memorial Hospital do sincerely and we do energetically and enthusiastically request your favorable consideration for a bond referendum." iy 4085 Troutman: Is there anything else from either of the hospitals? I guess it would be in order to say that this is the first time that the county board of commissioners has publicly be able to finally find out what was being proposed. We have been involved with tours and different meetings with both hospital boards. I think we have all individually met with the different individuals at the hospitals, and they have tried to bring us along as best they could. But as a board, this is the first time that this board has been able to see exactly how much money was vroposed for general obligation bonds, what the payback is. So those of you who are here just to see this information tonight, you're seeing it for the first time. And so are we. And I just wanted to be sure that you folks understood that; and that is why at our last meeting, in order to get the mechanisms of all the things that have to be done to have a bond referendum in the November General Election, that we had to take certain steps even before we actually knew the amounts and what was going to be requested. So we have a good many questions to ask; and at this time, I would ask any of our board members if they have anything they would like to ask any of these hospital people. Campbell: Mr. Chairman, I would like to see the feasibility study the hospitals have on the payback. I haven't had the opportunity to see these figures. One or two things I was, with the present state of our economy, your request is issue bonds for the entire amount before we actually start. To me, that might not be the proper way to go. I feel like that pox 2D eae 943 4086 poox 25 aeG44 interest rates are possibly coming down, at least I don't think there is any way they can go up with the economy like it is. To borrow the entire amount before you actually start construction, seems to me it would be more feasible to borrow it in stages or issue bonds in stages as needed. Does anybody, has anybody looked into this? I am sure you have bankers on the board and people who are supposed to know finances, but I keep seeing this figure come up where you are going to get so much interest, but you are going to be paying a whole lot of interest on that money, too. Allen Knox: We have with us Terry Lynn, with the firm of Ernst and Whinney, our CPA in this matter, and he could, could you speak to that? Terry Lynn: If I understand, your concern is that given the current state of the economy, whether we should issue all of the bonds at one time. I defer to county counsel 4n terms, ef the types of issues that you might pursue, and if all of the amounts were authorized, I think you could sell them as the construction went along, as long as you were authorized to issue and to sell enough bonds to complete the project. Typically, however, these projects are all sold at one time. I understand your concern. I think that logistically I can't opine definiti vely whether or not under State Statute we could do that; but if you authorized the full amount, I would think you could sell them in increments. 4087 Randall: The only thing I might add to that answer is that none of these plans have gone to bed, and nobody knows right now how much it is going to cost; we are working with estimates of costs. It is still very possible should all this go through favorably, that the actual bids on the project would come in lower than the requested amounts. In that case, you sell only enough bonds to pay for what you do. And you have the authority; no bonds are sold by the hospital. All bonds are issued and sold by Iredell County, and the board of commissioners will always have control up to the time the bonds have been sold and you all have received the money from the sale of bonds. The board here will have full authority to control what is issued and what is sold and when it is sold. The hospitals will have to come before you and show you their costs of bids and the sheets of this type before any- thing is finalized as far as sale of bonds. A referendum, if you call it, and I don't mean to be negative in this respect, but that hasn't been decided. But a referendum simply gives the county board the authority then to issue such bonds. You are not ever required to issue those bonds; ? it is up to the county board at any point whether you want to go with the indebtedness. Campbell: Could I ask a question? You are saying that the bond referendum is held and passed, the board of commissioners could still not issue any bonds if they saw the economy or . BOOK 2 D PASE 945 oy pox ZO me GAG = “O88 Randall: Yes, sir. Such things as falling economy or too high interest rates and that type thing, and you all felt it was not wise to undertakethe project or the financing, the county board certainly has the legal right to . . . You do have a number of years, I may stand to be corrected, I believe from the time the referendum is passed, you would have a period of about seven years in which to issue bonds that are authorized by the referendum. And if at the end of seven years you have not issued the bonds, of course, it would be a statute of limitations. Murdock: I understood the other day at the Local Government Commission that you could sell a portion of the bonds at a time. Randall: Yes, that's right. The only problem there is obtaining your bid. I think the larger number of bonds you sold the better bid vou might get on interest, the lower interest rate you get. If you parcel them out a million dollars at a time, you can expect the interest rate maybe to be one or two points higher because of small issue and then your expense of just handling the issue would go up some. Troutman: Let me direct a question to Lowrance. Do you in fact as of today have your certificate of need for 120 beds in hand? Lowrance: We talked this morning, we had a call this morning from the certificate of need office. We were advised by the assistant to - - - that our certificate of need is in the mail today and we should expect it no later than Thursday. — 4089 Troutman: It would seem to me that in order for both hospitals to maintain the success that they have had over the years that the medical staff has a whole lot to do with that, because the medical staff has the rapport with the patients and the populous of the county. I think rather than the patients going to another county for service that they feel a genuine sense of closeness to their medical staffs here in the county. I am going to ask each administrator this question: Does the medical staff of your hospital support this bond referendum? I am asking Mr. Pearson. Pearson: We, I think, have a mixture of opinions among our medical staff on that question, and the majority of the staff has said that they would not oppose the bond issue. They are not entirely enthusiastic about it because the majority feel that a new hospital located on I-77 and removed from the present location would be a better plan. Nunnery: Mr. Troutman, the medical staff at Iredell Memorial Hospital has gone on record as supporting the bond issue. I would like to, if you would permit, let Dr. Thomas Templeton speak for the medical staff. He is the current president. Dr. Thomas Templeton: A request of expansion of renovation of Iredell Memorial Hospital has been brought before the staff of, the medical staff of the hospital, and the plans have been gone over in detail and the medical staff without a single dissenting vote to my recollection, endorsed it enthusiastically. 4090 pox 2D pre 948 Pearson: If I might, our chief of staff is present and, Mr. Troutman, I would like for the chief of staff of Lowrance to sneak, please. Dr. Cecil Ram, Chief of Staff of Lowrance. Ram: Officially, Mooresville has not voted. The feeling is that, and I will not speak, put words in their mouths, but the problem is that the doctors there feel that a new facility would be better but, coming back to the other way, we do not feel uncomfortable . . and then the board of directors, $18 to $20 million is completely not feasible to have. 1! would just have to say that if having a new facility or what we have now, the doctors will be in favor of it. Put it the other way around, the doctors are definitely enthusiastic and are in favor of having an improved structure. The question we have is should it be on the same site and redmodeled building or a new facility down the road. So that is the question, do we support this? Absolutely yes, if we do not build a new building down the road. sete a ema tm sm 4091 Troutman: I believe that the Lowrance people were projecting a 13% increase in hospital costs for the first several years. What is Iredell Memorial projecting? That really, I think, is the crux that we need to know. What is it going to cost patients to use the hospital? What is the new facility going to cost per day? Nunnery: Mr. Troutman, I think what you want to know is what is the additional cost. What will be the additional cost to the patient for this? [It is $32 per patient day. Now that is not room rate; that is $32 scattered through ancillary services and room rate. Troutman: What per cent is that? Nunnery: 14%. Our projection is 14%. That $32 would be the same through the 20-year period. Ostwalt: Mr. Nunnery, let me ask you if I may, the 13% increase would be for 1983, could we expect a 13% increase in 1984, and a 13% increase in 1985? Nunnery: Mr, Ostwalt, at Iredell Memorial we project a 14% increase, but that is correct. That would be the amount we Ostwalt: Each year of the foreseable future? Nunnery: Yes, sir. Campbell: Your are talking about originally 14% and then hold it there, or you're not going to increase it Nunnery: The, for example, if during this next year, next vear's budget would be approximately 14% higher than this year's budget, and then the following year 14% higher than next year's budget. soon «25 mat 949 4092 pox 20 prt 950 Nunnery: I think one of the things it is important to keep in mind is 13 to 14% is about what it has been increasing for the last five years. This is not significantly higher than what we would expect anyhow. Campbell: (Unclear) Asked a question regarding cost of hospital care. Nunnery: So, sir, I think that the medical cost will always be at least as high as the cost of living, and if we can ever hold it to around the cost of living, we will have accomplished something major. Chairman Troutman asked other members of the board and the county manager if they had further questions. Campbell: Let me ask someone one more question; How much of this money is going to be spent for buildings and how much for equipment and other things? Nunnery: Mr. Campbell, Iredell Memorial's total project is $18 million. $14 million is for the cost of construction, that's new building and renovations. The additional $4 million includes fees of architects, consultants, major equipment, minor equipment and about $1.4 million for contingency. Campbell: What services are you going to be able to provide with the new set-up that you can't provide now? Are you going to be able to give the citizens of this county more care or different types of care or Nunnery: Mr. Campbell, we should be able to offer a higher volume of care. Our current ancillary areas are, for example, 45% short of space for our current volume, so in order to be able to offer a higher volume of care to meet the needs of the future, etc. with increased population, etc., we will need the expanded space. > 4093 We do not plan to use any of this money for new technology that is currently on the horizon. We do have on order a cat scanner which will arrive in November, but that's not part of this project. Campbell: One of the questions I get: We aren't getting any more beds, in fact, we are going to have less beds. Is that right? Nunnery: Not at Iredell Memorial. We have the same, the same number of beds. I think there are two parts to the answer here. One is, we would like to have 26 to 30 more beds. The Hamilton study recommended that Iredell Memorial have 26 more beds in the 1980 study. In April 1981, when we submitted a letter requesting an application for certificate of need for this project, we received a letter stating that the project would be automatically denied a certificate of need if it included any additional beds. Therefore, we decided to continue with our planning, -to continue to reassess, and to fight for the additional beds at a later time. We have submitted an application for certificate of need for eight additional beds. We submitted that application last week. We will add those eight beds, if we are permitted, we will add additional nursing units of approximately 30 beds if we can get the certificate of need approval for that, The building is designed to be able to add additional units, this is 30-bed patient floors, without any disruption. There is a mechanical equipment penthouse which will separate the top floor of the current plans from any further construction. So we do have built in the capability of poo |= 2) AK OL pox 20 PatG02 4094 supporting more beds not only from this building but the ancillary space will not have to be increased. We are planning for the additional 30 beds as recommended in the study even though we are not permitted to add them at this time, and those 30 additional beds are not part of the cost of this project. Troutman: Any other questions? 0O.K. Thank you very much. It may not have been as extensive as you may thought it was going to be, but I think that is because many of us have, all of us have had the opportunity over the last year or so to see the facilities, tour the facilities, and sit down and talk about your needs. So I think our main concern at this time is that we really did not realize the time factor was coming up quite like it was, and that all the criteria for legal ramifications of the bond referendum could be met in time for the November election. I'm not still totally convinced that by receiving this infor- mation tonight that we are going to be, or that I am going to be able to make a decision by the time that we have a public hearing on August 3lst, or August 30th, that being the last date that we would be able to have a public hearing and call for the final vote. I have a lot of faith in the board of directors and the administrators of the hospitals, and I'm sure that the financial figures that you folks are presenting to us are as clear and precise and factual as you possibly can make them, because I think your reputation is at stake on these figures. At the same time, I have to rely upon our finance officer, our manager, our attorney, and all the resources that we have to check these figures to make sure in our own minds that the amount of payback that you are anticipating and the amount that you're projecting to increase 4095 the cost per patient day will come up with the same totals. And I'm going to endeavor as hard as I can in the next two weeks to make sure that I feel very comfortable with those figures before I make a decision. Several members of our board, our county attorney, our county manager, and our finance officer last week went to the Local Government Commission in Raleigh and sat down with, I suppose, these exact figures, is that right? So that they would better have an understanding of where the Local Government Commission was coming from. I think that the trip was advantageous if for nothing else to dispel the fact that maybe the Local Government Commission did not endorse what was being projected for the bonds. I think, of course, one thing that was changed from the time you were here previously, and the thing that you proposed tonight was the payback term of 30 years and 6 months, bond term and the payback period has been from 30 years and six months to 28 years pay back period, now to 20 years bond term and 18 years payback, Is that correct? Which amounts to an awfully lot of different interest money. Troutman: Mr. Attorney, what do we need to do next? Randall: Mr. Chairman, in order to keep on schedule, it would be necessary for the first reading of the bond order be passed tonight. If it is passed, then it would be in order for the board to establish a public hearing date and you will need a time, date, and place for the hearing. The public hearing must follow a notice published in Statesville Record & Landmark by at least six days. There must be six days notice. My calculations would be, and such notice is ready if the board chooses to adopt and move ahead with it tonight. pox 20 pce953 anon 25 ae904 4.096 So such a notice could appear as early as Wednesday, the 18th (tomorrow). And if we followed that schedule of advertising tomorrow, then the public hearing could be held on Wednesday, the 25th, or at any date after the 25th that you pick through the 3lst. It would be difficult to meet the time schedule if you have not had the public hearing; and if you choose to finally call for the referendum after the public hearing, it would be difficult to meet the time table to come after that unless final action is taken by the 3lst of August. To project why is because should there be a referendum, absentee ballots must be prepared not later than September 2nd and be available for absentee voters to begin to vote, in effect two days after the 3lst date. So we can't cut it much closer if you go with the referendum. But the next order would be to adopt on the first reading the bond order, and I would say, Mr. Chairman, just as a way to put a defense for the board, that that doesn't in any way bind you to vote the same way the next time it comes up. It simply keeps the matter moving forward, MOTION from Commissioner Murdock to have the first reading of the bond order. VOTING: Ayes - 5; Noes - 0. MOTION from Commissioner Ostwalt, SECOND from Commissioner Mills, to fix 7:30 p.m. on August 30, 1982, Mooresville Municipal Building, and 7:30 p.m., August 31, 1982, at the Iredell County Agricultural Center in Statesville, as the hour, day and place for a public hearing upon the bond order previously decided and that the clerk be directed to publish the bond order together with the statement of the financial affairs of the county as required by the Local Government Bond Act as amended, once in 4097 the Statesville Record & Landmark and once in the Mooresville Tribune, not later than the 6th day preceding the date of the first public hearing. VOTING: Ayes - 5; Noes - 0. DOROTHY PENDLETON: My name is Dorothy Pendleton. I have lived at 389 Oakwood Drive, Statesville, for 30 years. Tonight I appear before you for the concerned taxpayers of Iredell County. Our number one concern is the proposed general obligation bond for the county hospitals in the amount of twenty-two and three quarters of a million dollars with the proposed payback at 12% over twenty years and a total debt of $60 million. This proposed indebtedness would obligate every taxpayer in Iredell County for payment of $3 million each year for twenty years. And is this the end? Do we not pay again when being ill by paying to use the equipment in the hospitals we are going to agree to furnish? Is it free to the medical personnel? Do they pay the same things we do? We are here to ask that this $22.75 million bond not even be put on the ballot in November for the following reasons: (a) The officers of Iredell Memorial Hospital have already spent thousands of dollars to promote the bond, and they plan to start a bond campaign and spend thousands and thousands more of the hospital's money. They have even made a slide picture show as evidence of their need, We can't afford this kind of wasteful spending. BOOK 29 e955 4098 nox 25 mct956 A bond will be defeated by ten to one, in our opinion. We have conducted our own poll by personally talking to hundre ds of people in Iredell County,and we cannot find anyone in favor unless they work for or in the hospital, and not all of them are for it. We have given you the names and addresses of just a few of the people we have talked with. Some veople who are against the bond would not sign the petition for fear "my doctor might get mad at me," or "my wife would get fired at the hospital," but they will vote against the bond. Look at the names on these petitions that I have given you, They are substantial taxpayers. If we have to, we can get thousands of names against the bond. There is no need to incur more expense for our taxpayers. So don't put the bond on the ballot. (c) We ask you as our elected representatives to use your influence to put a stop to the Iredell Memorial-Davis Hospital fued. It has done far enough and could affect the health of our people. Putting a bond on the ballot will just make it worse and have a significant effect on the outcome of the Iredell County election results. (d) Times are tough, and they're not getting any better. Iredell County people are having a rough time. The working people in Mooresville are hurting, and so are we here in Statesville. We don't need even a suggestion ofhigher taxes, and we certainly don't need any higher hospital and doctor bills. Have any of you seen a hospital bill lately? $6 thousand, $12 thousand, $20 thousand. One lady spent one night a Iredell Memorial Hospital, It cost her $1500. So these things are happening, Take a look at 4099 it. We need some relief, not more headaches. Please don't impose a $60 million burden on us andour children and our grandchildren, Don't put the bond on the ballot. Iredell Memorial officers will tell you that they can and will pay back $2 million each year. But who will pay Lowrance Hospital's share of the $1 million? Lowrance Hospital has never made that kind of money. We don't feel that the county hospitals should be making millions of dollars off of us anyway. Remember if either hospital cannot come up with their share, then you and I are generally obligated to pay it. What would $3 million a year do to our 55-cent tax rate? Think about it. What would it do? Please don't put the bond on the ballot. The hospitals cannot justify spending 22 3/4 million plus six million they have in reserve plus 2 million profit this year, a total of $30 million plus, and not add one single bed. Some of our doctors feel very strongly about the bond. So why not ask them to endorse personally the bond and see if they would come up with that. But isn’t that what they are asking we taxpayers to do? Leave the bond off the ballot. Our second concern is the nearly $2 million that all of us still owe on the last hospital bonds. What right has a county agency such as Iredell Memorial Hospital have to hoard nearly $6 million and leave us owing $2 million? That's right. They claim to have millions in reserve. If they are so all-fired hot to pay bonds back out of profits, arrange for them to pay off the $2 million we owe on the old bonds. If the hospital authorities say it can't be done, then ask them how they expect to pay off the $60 million of the new bonds. Don't add a new debt to our old poox 25 maeGol on | 2 MEDOS 4100 debt. Leave the bond off the ballot. Our third concern is the new Davis Hospital. It is being delayed by officials at Iredell Memorial Hospital in order to give Iredell Memorial time to get millions in bond money so they can get ahead of Davis Hospital. These delaying tactics have already cost the taxpayers over $100,000 in taxes that we did not receive in the year 1982 because the contruction of Davis Hospital has been held up by appeals at Iredell Memorial Hospital. Here is a private, taxpaying industry, Hospital Corporation of America, trying to build a brand new $22 million hospital for our use and the betterment of our health and they are being held back by appeals from Iredell Memorial Hospital. Is this ethical conduct by members of the medical profession? Does it make any economic sense? Suppose a4 handful of people had tried to hold back Clark Equipment? or Rockbestos? or G.T.E.? or J. C. Penney? or Kewaunee-Technical? Why are we allowing this to happen to the Hospital Corporation of America? Our contractors need the work, our construction people, our concrete people, carpenters, brick masons, plumbers, electricians, all of them need work, and a handful of veople are holding them back. Hospital Corporation of American will pay Iredell County over $100,000 each year in county taxes, and we are allowing them to be held back. Please do something about this situation for the economic good of Iredell County. Commissioners, you are our elected representatives. Go out and talk to hundreds of people as we have done. We beg you to think this thing through. Don't make a decision tonight. As for Iredell Memorial Hospital, they admit to having $6 4101 million in reserve and to making over $2 million profit last year. Tell them to live within their income just like the rest of us have to do. Put this bond issue off tonight. I hope you are going to think about it a good long time. And talk to the people you have lists of who have signed this paper objecting to the bonds. Talk to your people who are your constituents and see how they feel. Don't they deserve at least this much of your attention? If they wait, if Iredell Memorial Hospital waits just three years, we can have the $14 million and not have to borrow any money. Thank you. pox 25D mee 999 poor 29 eaceQE0 4102 ORDER OF TAX COLLECTIONS: Lois Troutman, Tax Administrator, gave a report to the board on the mailing of the 1982 tax bills. She said that they had mailed over 20 thousand and would finish up on Wednesday, August 18th. MOTION from Commissioner Murdock as follows: STATE OF NORTH CAROLINA COUNTY OF IREDELL TO THE TAX COLLECTOR OF IREDELL COUNTY: You are hereby authorized, empowered, and commanded to collect the taxes set forth in the tax records filed in the office of the Tax Collector and the tax receipts herewith delivered to you, in the amounts and from the taxpayers likewise therein set forth. Such taxes are hereby declared to be a first lien upon all real property of the respective taxpayers in the County of Iredell and the City of Statesville, and this order shall be a full and sufficient authority to direct, require, and enable you to levy on and sell any real or personal property of such taxpayers, for and on account thereof, in accordance with law. Witness my hand and official seal this 17th day of: heme, Lo G2. 4103 IREDELL COUNTY BOARD OF COMMISSIONERS s/Joe H. Troutman Chairman ATTEST: s/Alice Fortner Clerk to the Board APPROVAL OF THE MINUTES - AUGUST 3, 1982 MEETING: MOTION from Commissioner Murdock to approve the minutes from the August 3, 1982 meeting. VOTING: Ayes - 5; Noes - 0. SHERIFF'S OLD CARS: MOTION from Commissioner Mills to declare the vehicles surplus as listed below, and to instruct the finance officer and the county manager to take care of the sale. BOOK 20 PAGE 961 YEAR 1976 1976 1977 1977 1977 1977 1977 1977 1976 BOOK SALVAGE SERIAL NO. PH41U6D146987 PH41U6D1849 36 F7U63C194100 F7U63C194098 F7U63C194111 F7U63C194105 RK41U7D212317 PK41U7D212309 3361128478 29 rx Gh2 4104 CARS & TRUCKS DESCRIPTION OF VEHICLE Plymouth 4-door Plymouth 4-door Ford 4-door Ford 4-door Ford 4-door Ford 4~door Plymouth 4-door Plymouth 4-door l-ton Chevrolet cab & chassis (old 405) 4105 TROUTMAN PLANNING & ZONING BOARD - ONE-MILE PERIMETER: MOTION from Commissioner Murdock to approve the following appointments for the Town of Trutman, Planning & Zoning Board, One-Mile Perimeter Area: Margie Sigmon Bobby Nesbit VOTING: Ayes - 5; Noes - 0. HISTORIC PROPERTIES COMMISSION: The Chairman asked that this item be placed on the agenda and that the board be mailed a list of the present membership, terms of office, etc. UNION GROVE WATER TANK: Commissioner Campbell apprised the board that Union Grove citizens were having an official opening ceremony at 10:00 a.m. on Friday, August 20th, at the Union Grove School. ADJOURN: MOTION from Commissioner Troutman, SECOND from Commissioner Ostwalt to adjourn the meeting to August 30th at the Mooresville Municipal Building, 7:30 p.m., and to meet again on August 3lst at the Agricultural Center, Statesville, 7:30 p.m. Adjournment time: 9:35 p.m, sox §=20 erse963 poox 20 once GA 4106 ( : airman iJ Ls Clerk approves: Y- 7-4 *~ North Carolina Iredell County Filed far recisirotion a7 the. of tobe. 199% _£0.'d0 ZAM. recorded in Nenut inn. 4107 IREDELL COUNTY BOARD OF COMMISSIONERS MINUTES AUGUST 30, 1982 The Iredell County Board of Commissioners conducted a Public Hearing on Monday evening, August 30, 1982, 7:30 p.m,, Mooresville Municipal Building, Mooresville, NC, Present for the Public Hearing were: Joe H, Troutman, Chairman Frances L, Murdock, Vice Chairman B, W. Campbell William A, Mills Samuel L. Ostwalt Staff present: J. Wayne Deal, County Manager Robert N, Randall, County Attorney Alice Fortner, Clerk to the Board CALL TO ORDER: By the Chairman INVOCATION ; By the Chairman Chairman Troutman read the following official calling of the Public Hearing: "This is the time, the place and the date fixed by the board of commissioners for the first of two public hearings upon the order entitled ‘Order Authorizing $22,750,000 Hospital Facilities Bonds.’ The Board of Commissioners will immediately hear anyone who might wish to be heard on the question of the validity of said order on the advisability at re : pox 20 nt 965 BOOK 25 PAGE 966 4108 of issuing said bonds. The chairman will request that each person wishing to be heard that he be recognized in order after first identifying himself or herself and stating the place of residence. A summary shall be made by the ¢lerk and any person may submit a written statement at said meeting to the clerk prior to said meeting." The Chairman introduced the board members, county attorney, county manager, and clerk to the board. The Chairman set the ground rules for the public hearing, stating that all those who had signed the list to speak at the meeting would be recognized--those speaking for groups first then those speaking for individuals--after which anyone present whose name was not on the list would be recognized by the chairman. The chairman asked the group to remain orderly and reminded them that this was a public hearing and that no decision would be made by the board at the public hearing on this date. 4109 GRADY SHOE, CHAIRMAN, LOWRANCE HOSPITAL BOARD Thank you, Mr. Chairman, Members of the Board of Commissioners and ladies and gentlemen: I would like to first thank the commissioners for giving us the opportunity to again make a presentation from what I know has to be a very tough schedule. I am Grady Shoe, chairman of the Trustees of Lowrance Hospital. I will act as spokesman for both hospitals tonight in Mooresville, and my colleague, Allen Knox, chairman of Iredell Memorial Hospital, will be available to answer questions. Tomorrow night in Statesville, Mr. Knox will be your spokesman, and I will be available to answer questions. We both want the people of Iredell County to know that we are in this bond campaign together. We have one basic message tonight and tomorrow night, and it is that the people of Iredell County own both hospitals, and they have the right to vote for or against bonds for improvement, We have put together some slides to describe our needs and we want to take a few, about ten minutes, for you to take about a ten-minute tour of both hospitals with these slides to show you just some of the needs that we have. We also brought with us some charts to explain financial informaticn. We want to show you exactly what we need, how much we want to borrow, and how we are going to pay it back. Finally, we have brought with us a question and wo pox 20 mct967 pox 20 rect968 A110 answer sheet which we hope will clearly explain the many complex issues before the voters. We will take advantage of this opportunity and every opportunity to answer questions and present factual information. The issue of need, borrowing, and repayment are complicated, and they deserve repetition and full public hearing, and we welcome that, (Mr. Shoe narrated the slide presentation, showing the hositals' proposed needs.) Now let me show you the cost structure very quickly for Lowrance Hospital, and again I will ask Jeff Pearson to help. The estimated total construction cost is $5,278,850. The estimated total capital cost, including architect and consulting fees, equipment, contingencies and capitalized construction period interest is $10,646,000. The hospital anticipates financing the project through the issuance of general county obligation bond to be paid 100% from hospital revenues. Our auditors have determined that this is quite feasible. Assuming an interest rate of 12.5% and a term of twenty years, the estimated borrowing requirement of the financing is $8.7 million. The hospital plans to raise at least $500,000 in contributions and endowments and provide $545,000 of equity and $901,000 of capitalized interest during 4111 the construction, for a total of $1.946 million in hospital resources. The total bond issue, including $14,050,000 for Iredell Memorial Hospital and the $8.7 million for us, is $22,750,000. The total payback for a twenty-year period of $39 million for Iredell Memorial Hospital and $21 million for Lowrance Hospital. The two hospitals will contract with the county to pay back the principal and interest 100% from hospital revenues. The cost at Lowrance, which will rise about 15% per year, are in line with past experience and rates at the two county-owned hospitals, which have been among the lowest in the country,are projected to be quite reasonable in comparison with hospitals nationwide. There should be, should not be any tax increase in the future related to this bond issue. Taxes should be increased only if the hospitals were not able to pay the debt due to some unforeseen economic difficulty. Our hospitals need these improvements in order to continue to provide quality services which our citizens and practicing physicans deserve and must have if we are to remain a viable, healthy organization and rendering good health care for their patients. poor 20 e969 4112 pox 20 pace (0 At this time, I would like to recognize Mr. Arnold Nunnery who will give Iredell Memorial's statistics. ARNOLD NUNNERY, ADMINISTRATOR, IREDELL MEMORIAL HOSPITAL Mr. Chairman, ladies and gentlemen: I would like to break the, give you the facts of the financial findings in this project, this plant, as I would know it. I would like for you to look at this column. This is general obligation bonds. We have had figures for revenue bonds as well. Tonight we are talking about general obligation bonds. We are talking about needing $18 million for the building, $14 million in construction funds, $14 million in construction costs, and an additional $4 million for equipment, fees, and contingencies, for a total of $18 million. It will cost approximately $100,000 to issue the bonds and the interest expense to it during the construction, gives you $4,215,000 figure, for $22,315,000. Where does it come from? We are asking the citizens to approve out part in the general obligation bonds $14,050,000 . All these figures are based upon 12% interest rate for general obligation bonds. That's the interest rate 4113 when we did our last feasibility study. Last week New Hanover County, North Carolina, issued general obligation bonds for less than 9%. $14,050,000 is what we want to borrow. We will contribute $6 million from the hospital operation. This is $2 million that we currently have in reserve. We have $2 million in reserves. $3 million will be made between now and 1986 to contribute to this project to reduce the amount that has to be borrowed. $1 million will be provided by private foundation, The remainder is interest earned during construction. And as you will note, we did base this on 12% interest, and we hope that by the time the bonds are authorized . . . will give us a better figure than that, This is the chart that I refer to as the mortgage chart. I bought my home for $42,000 and then I signed a paper to pay back $120,000. This is the... based on 12% interest we will have to pay back over twenty years and six months, $39 million. The firm of Cherry, Beckard and Holland, Mr. Comer, told me tonight that he had calculated tonight that based on a 9% interest rate, the payback would be $2 to $2% million less. So you can see that we do need to be in goon 20D maid pox 20 rat972 — a position to take advantage of the low interest rate. GRADY SHOE, CHAIRMAN, LOWRANCE HOSPITAL BOARD We are prepared to answer all your questions about need, the amount of money required, the amount that we borrow, and how we will pay it back. We are here tonight for a simple issue--we want the people who own the hospitals to decide their own future. We see no reason the people should be denied a vote. Yes, we fear what would happen to the hospitals should our request fail in November, but we are willing to take the risk and ask for the vote. It is our responsibility to this community to plan for the future and ask the people for their support. We are truly making a recommendation based on our best information and judgment to the people of Iredell County. Both hospitals are together. We are both owned by the citizens; we both have needs and we both seek a vote of the people. The volunteer trustees of these two responsible hospitals have pledged to bring the issue before the public and win or lose fairly by the vote of the citizens. Before closing I would like to add that the board of directors have debated long about the timing of the referendum. But in the year 1929, the board of directors of Lowrance Hospital recommended to the stockholders that the corporation 4115 be converted from a stock company to a non-profit corporation. At that meeting the stockholders, including five doctors, local civic clubs, local businesses, and other local citizens who had bought stock when the hospital was chartered in 1926, voted unanimously to donate their stocks, and they were made members of the corporation, The new charter was issued April 30, 1929, and the corporation members sought aid for the construction of a new hospital. Mr, George Goodman donated half the land for the new hospital, and the community raised $62,000, which was matched by the Duke Endowment Fund, for the new Lowrance Hospital. The new hospital was planned to have only three floors, now get this, but Dr. McLelland, Dr. Taylor, and Dr. Lackey contributed $7,500 to construct the shell of the fourth floor. The new hospital was formally opened September 22, 1930, during the time of the Great Depression. Three thousand five hundred visitors were on hand to inspect the new facilities. Since the opening of the hospital, there have been two additons--one occupied in 1954 and one occupied in 1973. Nevertheless, all the original building continued to be used for patient rooms. pox 4620 at 903 4116 pox 2d mcc974 Those rooms badly need to be replaced now and hospital departments need to expand and improve to cope with today's demands. In the past twenty-three years, and that's all we had time to go back on this afternoon, Lowrance Hospital has continued to be efficiently managed hospital and has had only three occasions to operate in the red during this twenty-three years. As of July 3lst of this year, our net income is running at an all-time record level. Mr. Chairman and members of the commission, again we appreciate your listening to what we have had to say, and whatever the outcome of the decision will not be to everyone's satisfaction, and this is tough. However, in conclusion, again I repeat, we at Lowrance and we at Iredell Memorial do sincerely, energetically, enthusiastically and unhesitatingly request your favorable consideration for a bond referendum November 2nd. Thank you. withing, 4117 JEFF PEARSON, ADMINISTRATOR, LOWRANCE HOSPITAL Mr. Chairman, I do not plan tonight to make remarks other than in answer to questions that there might be or in order to clarify or correct any information that might come up. CLINE COMER, CHERRY, BECKARD AND HOLLAND, ACCOUNTANTS Mr. Chairman, I'm here for the same purpose to answer questions if the occasion comes about. BOB AMON, MOORESVILLE, NC My comments will be very brief. My biggest problem today was finding how to address the commissioners. I didn't want to call them honorable commissioners and we have one lady, and I had a heck of a problem finding out how to address the commissioners. So that's going to be the main crux of my comments tonight. Ladies and gentlemen: Lowrance and Iredell Memorial Hospitals belong to us, being the taxpayers of Iredell County. Many citizens such as myself volunteer our services because we want the best possible health care at the most efficient cost. We have studied the facts and the figures as presented by our consultants, by our accountants, poor 20 tO la 4118 spook 20 Prce9/6 by our administrators, by all the other knowledgable people that we as taxpayers pay for and support, and I believe these facts. This bond issue is very vital to both hospitals, but especially to Lowrance Hospital if Lowrance Hospital is going to survive, and it may even be important right now to the importance of the survivial of Mooresville in general, All that we ask is that you let us present the facts to the voters on November 2nd. I ask why would the opposition be afraid of the issues being presented on the ballot? Ruled by the majority at the ballot box is the American Way. The truth will stand for itself. So all we ask is that the voter be allowed to decide in November. RICHARD SAWYER, HAMILTON ASSOCIATES Mr. Chairman, I'm with Hamilton Associates, the hospital consultants who have worked with both of these hospitals' planning over a number of years, My role here tonight is to be available to answer such questions as may arise and to make comments should they be needed to help the commissioners understand any element of the presentation, 4119 CHARLIE BENBOW, STATESVILLE, NC Mr. Chairman, ladies and gentlemen: My name is Charlie Benbow and I live in Statesville. I have lived in Statesville for thirty years. I represent the Concerned Taxpayers of Iredell County. I'm not against hospitals, I'm not against doctors. I have a son who is a doctor in Concord. He's a pediatrician. His name is John Benbow, and I think some of you have sent your grandchildren and children to him. I'm not against hospitals. My grandfather, Dr. John Wesley Long, started John Wesley Long Hospital in Greensboro about the same time Dr. Henry Long started H. F. Long Hospital in Statesville. So I was raised in a hospital family. I know what I'm talking about, I'm also a member of the board of trustees of Iredell Memorial Hospital. I have been ever since it started, and I am totally 100% opposed to this bond issue. A few weeks ago some of us read about a poll that was taken by the Epley Company in Charlotte, that Iredell Memorial Hospital paid over $5,000 for, and we didn't believe that poll. That poll said that they polled 400 people over the phone, Now some of us have started making our own polls. We are going to poll the whole country. So far, we have polled 1,200 people person to person, face to face. I'll tell you the results of that poll in just a minute, poox 20 pace97? 4120 poor 20 pat 978 We thought it was interesting in the discussion to hear what the people had to say about our present board of county commissioners. Let me read some of those remarks. "This is the best board that we ever had." "Tredell County is lucky to have people like this on the board." "Sam Ostwalt is not a politican, he's a statement." "Frances Murdock is a smart lady,” "Our county commissioners went over the 1982 budget with a fine-tooth comb." And I think you are aware that they did that very thing. They cut out things we couldn't afford. This budget right here, and the only debt that we have on there is debt service for $300,000. And that's enough. They said this: "Joe Troutman will do everything he can to keep taxes down." They said, "Bill Mills is smart and he's an honest man." They said, "Mr. Campbell knows what's going on and he'll do what's right." Our present board of county commissioners will do what's best for all the people in Iredell County. People say, "They have the guts to do what is right." "We can depend on our county commissioners." 4121 People all over Iredell County are proud of our board of county commissioners, I can assure you. And just incidentally, I heard some mighty nice comments about our new county manager, Wayne Deal. Now about hospital bonds. I have to agree with everything that Mr. Shoe said, and I think he said it very well. I commend you. I think it was fine, and I agree with everything Mr. Nunnery said. Those figures are correct. And I agree with the slide show. I just don't think we can afford it. I think it's wonderful. I just do not think we can afford it. Let's look at this thing another way. The hospital bonds, if they are voted on, they'll either pass or they '11 fail, is that correct? They'll either pass or they'11l fail if they are voted on. Let's look and see what'll happen if they fail. If the hospital bonds fail, the first thing that will happen is that we will not owe $60 million. That's a lot of money, say it to yourself, $60 million. I can't envision that much money, Sounds like Charlotte. Lowrance Hospital will probably be sold. If the bonds fail, Lowrance Hospital will probably be sold. Lowrance will get a brand new hospital. I don't know who'll buy it, somebody. HCA or AMA or somebody. I'm not familiar with all of them, But it'll probably be sold and you'll get a brand new 150-bed hospital wherever you want it. And that's good. Mooresville's going to get a brand new hospital one way or the other. Whether the bond passes or fails, pon 2D pace 9 19 4122 poox 20 prceQ8O Mooresville's going to get a new hospital. Iredell Memorial Hospital I know they need some rearranging and they need some more room in the surgical part. What I maintain is that they have enough money already to do it. They have $2% million in cash. They admit that. Anybody dispute that? They have $2% million in cash. They admit that they are making $2 million this year. $1.7 in net profit plus the rest in interest on $2% million. They'll make $2 million next year and $2 million the next. By then, they'll have $8 to $10 million on hand, and then when they get they money, do like the rest of us. Pay as you go. Folks, we've made this poll. We had people sign it, too. Put their address, Here are the names. Six hundred of them right here. We've got the rest of them, and we're going to poll everybody in Iredell County. Now the results of our poll--we have personally contacted face to face 1,200 people. 1,102 people are against it. 22 to 1. Do we need to waste out time and money voting on this? I don't think we want to ask Iredell Memorial to spend the money to promote these bonds. It's going to take a lot of money to promote the bonds. A lot, thousands of dollars. I want to find out one thing else, then I'm through. The Epley Company, whey they made this poll, I haven't heard much about it recently, but there were three provisions and somebody here from the Eply Company, you correct me i? ie wrong. That, let me do this first. 4123 First thing is, if the bonds pass, we'll owe $60 million, right? We will. The paper says, the notice in the paper says, that the taxes will be levied. I'm not well organized, the taxes shall be levied, I hope you saw that. It was in the Mooresville paper and it was in the Statesville paper. A tax will be levied to pay the principal and the interest on the bonds. There is no way under the sun that Iredell Memorial and Lowrance Hospital can pay these bonds legally. The bonds are going to be paid by the county. The taxes are going to be levied; anybody wants to see this, here it is. It was in the Mooresville paper and it was in the Statesville Record & Landmark, and that makes it official. The bonds pass, we owe $60 million, We admit that's right. How are we going to pay it back? Taxes. That's what's legally required, The hospitals say that they are going to pay it back through increased profits, and they admit that they have to double the room rates or the hospital charges over the next five years. They both admit that they have to have an increase of 14% a year, 13% or 14% a year each year for five years. Use the old banker's rule of thumb-- 14 into 70 is 5, so the rates will double in five years. 4124 Book 20 pase G82 In other words, if the per patient cost today is $250 a day, that's not the room, that's the whole deal. In five years from now, it'll be $500 a day. Any argument about that? 0O.K. This means that your insurance rates are going up, your insurance payments. Most of you are paying about $100 a month Blue Cross-Blue Shield. But you're going to pay $200. I don't think we can stand it. We've dumped off enough on these young folks. Right now, social security taxes, they're talking about, Senator Dole is talking about increasing the social security taxes of you young people. And it's not right. I take a dim view of my generation and what we've done. Now we did one thing well--you and the rest, me and the rest of you over sixty. We were forced into World War II; we fought and we won it and then we sat back and we let the government take over and we are running deficit, deficit, deficit. And somewhere it's got to stop. And this is the place to stop it. We can't continue to spend more than we take in. Now I want you to stop and think with me just a minute the position we are putting yourselves in if you go to vote November 2nd and you vote to pass this bond, Now here's the position you are going to put yourself in. You go to the hospital and you take your wife to the hospital, and 4125 she's there five days. And when you get out, your bill is $5,000, $1,000 a day. And you say, good grief, this is exhorbitant. This is terrible. What can you do? You go to the office of the hospital and you say this bill is too high. What are they going to tell you? What are they going to tell you? November 2, 1982, you voted for us to double our charges so we wouldn't have to increase your taxes. You can't complain about your hospital bill if you vote for this bond; you are going to take what comes. If the hospital can't pay the money that it takes to pay off the bonds, how much it would take to, how much they'd have to raise taxes to pay it, in fact, the taxes are going to have to be levied anyway. The taxes are going to have to be levied 25¢ additional on the hundred. And then the hospitals are going to pay that back. This is the only way it can be done legally. So 25¢ on a hundred is what's going to have to be added to your taxes. How are they going to do it, Mr. Randall? ROBERT N. RANDALL, COUNTY ATTORNEY, MOORESVILLE Well, you are able to put in prospective revenues from other sources than taxes. So the only thing you have to do is assess taxes for those obligations to the county that are not covered by some other source of revenue. poor 25) rxce983 4126 poor 20 mac 984 I realize that if they don't have other prospective sources of revenue, I'm not trying to argue for it, but I'm trying to answer your question. But if you don't have . that is a legal requirement, that if the bonds are not retired by hospital revenues, then the county would have to raise, the bottom line, this comes from the statute that says if the hospital revenues have a short fall, the county's general obligation is to pay the bond. Now I'm trying to tell you how it will operate in practice, not argue against your point, but I'm trying to answer your question, CHARLIE BENBOW,’ STATESVILLE : Then if the hospital can't pay the bond, than let's figure on the amount. It's 25 cents. We still owe on the old bonds, and that's $200,000 a year plus interest. That amounts of 2% cents. So if we are going to have to pay, let's see last year we paid $300,000 on the old bond last year. If we've got to pay $3 million a year back, that's going to be 25¢ rather than 2%¢, So now we're paying 2%¢ and then we'll have to pay another 25¢. It's your money. 4127 O0.K. The Eply Company says that the hospitals bond would pass. They polled 400 people. And I think they did it this way. They said, do you have an opinion about either hospital, about the hospitals? If they said yes, I do, then they didn't ask them. CLARIFICATION FROM THE HOSPITAL STAFF: If they said yes, we did ask them. CHARLIE BENBOW, STATESVILLE, NC They polled 400 people, and of the 400 people they said that 57% said they would approve the bonds if the public were educated to the needs, That's what they're doing here tonight, if the public were educated to the needs, If no tax increase, is this right? No tax increase. No way they can guarantee that. If no organized resistance, That's their opinion. There is organized resistance, So how can these bonds pass? Well, don't want Iredell County put through the traumatic experience that it's going to take to get these bonds passed; we don't even want them on the ballot. And we ask that due to the fact that our polls show that the bonds will be defeated 22 to 1 that we not even consider them. And I thank you for listening. sor 20 prce985 4128 pox 20 prc 986 MRS. DOROTHY PENDLETON, STATESVILLE, NC Relinquished her time to Charlie Benbow. DR. GERALD F. NEITERS, MOORESVILLE, NC Ladies and gentlemen, County Commissioners: I'm here tonight representing or speaking for the majority of the medical staff at Lowrance Hospital. I would like to preface my statements by thanking all of the community, all of the people of southern Iredell County for giving me a place to practice medicine for the past eight years. And I thank you for that, and I think most of the physicans thank you for that. In like manner, we are deeply concerned about the future and what is the best route to go. Let me preface by saying that we're not opposed to improvement. Quite to the contrary. We're strongly in favor for providing the quality of medical care in southern Iredell County in the short term as well as the long run. The present proposal to renovate Lowrance Hospital is offered as the only solution to update and improve. We feel there are other very viable alternatives that have not been considered. The need to renovate, the need to update, I feel we all realize that we are not opposed. 4129 Would the present proposal improve the facility in Mooresville? Yes it would. Would it be the best for all of southern Iredell County? We do not think so. The proposal that initially shows or does show a projected increase in hospital useage from 1982 to 1988, this is projected as 18.6% and shows the increase retrospectively from 1973 to 1980 of 16.8% as justification. Looking at this more closely, why were seven years' use in retrospect and what happened to 1981? Simple. If a five-year projection were compared to the previous five years, it would not be a 16.8% increase, there would be a 12% decrease in hospital utilization. The average percentage increase in patient charges is proposed to average 13% per year by Lowrance and 14% by Iredell Memorial. The actual increase on a yearly basis is 14%, this is for Lowrance, for 1982. 17% for 1983, 18% for 1984, and 10% for years thereafter. This amounts a 49% increase in the next three years. Why is this important? Congress just last Thursday, three working days ago, passed a bill decreasing Medicare output by $11.5 billion through 1985, In this bill, there's a cap of 10% increase to Medicare recipients. This would mean that our revenues would be limited to an increase of 13% over the next three years, but a 49% increase is projected. Who's going to pay the 19%, where's it going to come from? The original proposal projected 33,000 patient soon 25 pct 987 et 4130 pox 20 rat 986 days. This was a rather high figure; we've never even come close to that. But with this figure they projected by 1985, correction, this was amended after the certificate of need application to 30,500 patient days. This is a decrease of 2,500. The initial proposal using the 33,000 stated in 1985 the hospital would have a surplus of $550,000. When they decreased this by 2500 using the figures of what the hospital cost per patient day for 1985 is, this would realize the result in a loss of revenue to the hospital of $925,000, So instead of a surplus of $550,000, this should show then a surplus of $306,000. The original plans call for no beds, no additional beds, and no new services. The contingency fee for the new equipment we feel is inadequate as a hospital is not a hospital because there's a bed to lie in but because it has equipment, and it has diagnostic services to diagnose and treat illness. Hospitals by the very nature are 100% service oriented. They manufacture no product, To best serve, they must be located in a readily accessible area; and to maintain viability and growth, they must be located in a growing area. The population of Mooresville is not increasing, it is decreasing as proven by the 1980 census, Mooresville has attracted practically no new industry and has been losing jobs and industry at an alarming rate. The population growth pattern is to the south and to the west. The physicans feel that a new structure, located on 4131 I-77 corridor, is a more viable and better solution. This could be either county-owned or privately owned. Now why not do this? Lowrance's medical staff has not increased in the past eight years. A new structure just north of the Mecklenburg line on the I-77 corridor, six new primary care physicans would more than likely be added to the staff. These six new physicans are presently practicing in Huntersville and in Davidson, and this would double our present staff of primary care physicans. And this is important because these are what provide the basis of care and the referral base needed to attract specialists. What we don't need is escalation of our current situation of weekly clinics in Mooresville by out-of-town specialists who transfer patients to other hospitals for care, further decreasing our hospital's utilization. At the present cost of new hospital construction, this comes from CHSS of $143,000 per hospital bed complete, the present proposal would pay for a 74-bed new structure. Imagine renovation costing 75% of a new structure. We feel that the board of directors of Lowrance Hospital has proceeded in an orderly manner for the renovation of Lowrance Hospital. Iredell Memorial has pushedwith great diligence and the utmost speed. Why? Obviously to run competition with the new Davis Hospital in Statesville, For our part, here the pox 2 mee G9 4132 poor ~20 rxce990 attitude has been, Let's hurry up and get in on Iredell's coat tails, because if we don't get it now, we're not going to get it. Ladies and gentlemen, what's the rush? Is this the time to ask taxpayers to burden themselves with a potential tax increase? And should we even ask them at this time to run the risk with a terrible economy? Recent large federal tax increases as well? Is the feasibility study truly feasible? Our needs in southern Iredell County are not at all similar to Iredell Memorial's. We see three possibilities: 1. The present plan of renovation of Lowrance Hospital, 2. To build a new county-owned hospital in southern Iredell County on the I-77 corridor. 3. To sell to a for-profit hospital corporation. If a for-profit hospital corporation erected a new structure, the advantates to the taxpayers are two: 1, There is no potential tax liability. 2. A for-profit hospital pays taxes, Note here that one of the main differences that I see personally, and quite frankly the rest of us see is, the difference between a for-profit hospital is they call their bottom line profit, and a not-for-profit calls their bottom line "excess of revenue over expenses,"' Can a for-profit hospital deliver good care at competitive cost? We really 4133 don't know the answer to that. But we feel it should be investigated just as relocation of our present county-owned hospital should be thoroughly investigated. The truly sad situation of this whole proposal is the timing. To thrust upon the residents of Iredell County a potential tax increase when we are in the pits of a deep recession, 13.2% unemployment rate, which is Friday's figures, and we are losing industry here in Mooresville at an unacceptable rate, we feel is poor. We request the county commissioners not to approve referendum for this in November. But wait until the economy is better and all possible alternatives are adequately considered in an unbiased manner, in order that we might all work together to assure a successful conclusion for the best possible medical care at the most reasonable price for the people of southern Iredell County. This is signed by 11 of the 13 full-staff members at Lowrance Hospital. (Written statement presented to the clerk and filled as an attachment to these minutes.) GEORGE JOHNSON, STATESVILLE, NC Mr. Chairman, members of the board, ladies and gentlemen: soon 25 mt SOL 4134 pox 20 me 992 My name is George P. Johnson, and I, too, live in Statesville but only for twenty-five years. I have never seen such a dedicated group of people like our hospital board of trustees, our hospital administrators, our hospital employees, and our hospital volunteers. I've never seen people have to work so hard for a worthy cause. The cause tonight is pretty simple, the people of Iredell County should have the right to vote on whether or not the hospitals should have bonds for improvements. I, for one, do not understand any justifiable reason that the people should be denied the right to vote on what clearly concerns them on one of the most basic issues of their lives and the lives of the families, their own health care. We're pleased to have this opportunity to provide facts and answers to any and all questions about the hospitals' needs, the amount of money they will borrow and how the hospitals will pay it back, without a tax increase. We will spend the next two months taking advantage of every opportunity like this, but the only reason for this public hearing is to decide whether the people of Iredell County should have the right to vote on hospital improvements, and I still have not heard a single reason why so many dedicated people should have to work so hard 4135 to give people the right to vote. Now I've listened to Charlie talk about his poll. It's interesting the results that he gave you, because in the last four days we circulated a petition simply asking people to sign if they feel they have the right to vote, Now I don't think people that were against this issue would sign that, but we got 4,572 signatures, And practically nobody, nobody refused to sign it or had any comments that we shouldn't be seeking this. I think this is significant. Thank you, JEFF PEARSON, ADMINISTRATOR, LOWRANCE HOSPITAL I would like to provide a little clarification on some of the points previously raised in the previous two presentations prior to Mr. Johnson's, Chairman Troutman asked Pearson wait until all had finished speaking before he clarified. ARNOLD NUNNERY, ADMINISTRATOR, IREDELL MEMORIAL HOSPITAL Mr. Chairman, Commissioners, ladies and gentlemen: I'm Arnold Nunnery. I have been privileged to live in your county for seven years, I look forward to living in your county for many more to come, I will have to live soon 42D e993 4136 poox Zod prse994 with the promises the hospitals will make. I can‘t imagine what it must be like to be a citizen in Iredell County and be faced with this issue based on the information you have been given tonight. I want to try to present just a few facts, and I will keep it brief, On the question of whether or not taxes have to be levied, you don't have to believe any of us. Mr. J. D. Foust, of the Local Government Commission in Raleigh, will be glad to answer your questions, I have his phone number if you would like to have it. You certainly will not have to pay taxes and pay increased hospital costs, It's either one or the other. And I certainly cannot promise you that through some unforeseen circumstances that taxes won't ever have to be used, but we've had three studies done by the national accounting firm of Ernst and Whinney that show that this should not be necessary, that the hospital can with reasonable competitive rates pay off the total principal and interest within twenty years. We can't pay as we go. You can't build a third of a new building. We can't continue to make $2 million a year if we don't have as a purpose for it this project. If we decide not to carry through this project, or if the vote of the taxpayers, if they get an opportunity to vote on it is no, our rates have to do down, 4137 Our agreement with Blue Cross is simply that if the vote is no that we have to drop our rates where we can earn only an allowable 5% and renegotiate. Wo we can't continue to earn money like this. In fact, would it be justified if it were not going to improve the facilities that you own? Another thing that you've heard, and I'm sure that you have heard it, is advocating the sale of your hospitals. The people are talking about being concerned about the rates. One of the most significant costs today in any business is the amount of money you have to pay to borrow money, the interest rate. We can borrow money through using the county's credit more cheaply than any hospital can anywhere in this country for this size project, One of the firms that it has been suggested that the hospital be sold to is Hospital Corporation of America. May 27th, Wall Street Journal, $100 million in bonds at 15 5/8% interest, 15 5/8%, that was the time we were counting on 12%. If you remember our chart earlier, the difference between revenue bonds and general obligation bonds was 2% interest. That amounted in that project to $6 million difference. If we couldn't borrow money cheaper and if we couldn't run the hospitals as well, then there would be no justification for the hospital to continue to serve you other than the fact, and this may be important, that they are locally owned and locally controlled. The bottom line, as Dr. Neiters correctly stated, is called different things. I'll accept the term profit, What BOOK 29 PAG GI ° 4138 pox 20 pxce996 counts is where it goes. If it stays in your local community to improve your local facilities, that's one thing. If it goes all over the world to pay taxpayers, I think that's another thing. Any profit we make goes right back into the facilities to improve them, and these are the facilities that you own. I thank you. DR. WILLIAM SKEEN, MOORESVILLE, NC I will keep my remarks very brief. I just had a couple of points I wanted to direct to the commission that I don't think have been made tonight. My concern is with Lowrance Hospital because that's where I have been on the hospital staff making my living and practicing medicine for the last twenty years. I am really concerned that the renovation program that our board of directors has outlined cannot be paid for under the present program. The feasibility study that's been done is based primarily onpopulation trends and projections. The big thing with me in seeing that this $20 million is paid back, I think the payback is $20 million over twenty years, is not how much population we've got. Your’ 18% increase over the next five years as projected for admissions and hospital days at Lowrance Hospital depends to a great extent or to a whole extent on having enough physicans to admit these people. 4139 My concern and the concern of the 11 of the 13 physicans who signed the talk with Dr. Neiters gave is the program that is outlined is not going to attract the physicans to this community that will be necessary to make these admissions. We're dealing with doctors and patients every day. I know what young doctors are looking for. I've been engaged for two years now trying to find a partner in this community. And this program as outlined is not going to attract new physicans to this community in sufficient number to do what they have projected to do. And I think the people in this community in the south end of Iredell County and all of our county should realize this. The other thing that hasn't been pointed out, it's been alluded to but not really driven home tonight, is that there's a revolution occurring in the delivery of health care in this country. Right now your third party payers, including your government third party payers and your private insurance companies, are making it more and more attractive to do more and more out of the hospital. And this pressure is going to continue to mount and you're going to see more and more work done outside the hospital setting. What this means is that it's going to take more and more doctors to keep the ook 20 rect 997 4140 pon 25 prce998 same number of hospital beds busy. Now with that trend occurring and our bleak future for new physicans in this community with this present program that they've got going, I don't believe that Lowrance Hospital can pay their debt on this. I do think it is going to call for a tax increase, I don't see any way they can beat it regardless of the feasibility study, It's not taking into account these two items which are so vital. Thank you very much. IRA RAY BRYANT, MOORESVILLE Passed, because most of the answers he wanted were already given. ANN MCLAIN, MOORESVILLE Just on behalf of Dr, Bill McLain, who is here tonight, and who has been seriously ill, and me, I would like the commissioners to know the citizens and the medical staff did not consult Dr. McLain about this in any way. What they're saying neither he nor I agree with the statements the doctors have made tonight. 4141 DR. LEWIS BRENTON, MOORESVILLE I'll make this brief. I didn’t come here with any big charts, and I just wanted to give my minority point of view. One thing we have to be is honest with the voters. I don't want to go to the voting polls and have all this presented to me on the ballot and not understand it. Most people don't understand what you're trying to put across. If you scare them into this program or this doing, they'll vote for it because they want to make sure they get taken care of. The thing we're always talking about is old buildings. We do have an old building over there. Theres nothing bad about it. Of course, the lack of bathrooms as we stated in this little talk, and the heating. Now the laboratory over in our little hospital is excellent. In fact, the hospital is excellent. The X-ray department is adequate and very well run. We have a very good X-ray department. The emergency room is adequate, in fact more than adequate, If you ever go there at any time during the day, you will find empty. Those pictures can show you all kinds of false notions. I'm not saying that it was done that way on purpose, but our lab's not full; our X-ray department isn't crowded. At times, you could push a lot of patients down there at one time, but if you adequately used and scheduled your patients, it is adequate and it's a good X-ray department and emergency poox _ 20 sce 999 4142 poox 26 past 1000 room. Now the operating room, we've been cirticized now for a long time. We have three operating rooms. We want to enlarge it and make four, but our schedule is not heavy. Friday, there was one operation done. Today, there was just one operation. Do you think that's overcrowded? No. So actually it is not necessary to go into expanding just for that purpose. What do we actually need? We do need some new beds, Or I should say change the, take the beds from the old wing and move it to the new wing. Now we have a shelled-in area on the third floor. Now we have it set up so it can be enlarged, it can be filled in with private beds, private rooms. They never thought about semi-private, I don't know why they didn't, because you can put many more beds there, and some people want semi-private. They don't want to be in private rooms ; their insurances don't cover it. I was in a private room six years ago in a hospital and I was in for six days and my bill was $1400, just for being in the hospital, Now some patients almost have to pay that for one day in the hospital. So actually I feel that if we had taken all this money that we have used on surveys and surveys and surveys and gone ahead and shelled in that third floor to start with, they would have enough beds to take care of our shortage. When the economy gets good again, we can go ahead 4143 and put on these additions, but I don't think we should do that now. I think we should, however, put in that third floor and possibly, if necessary, put on the fourth floor. It wouldn't cost too much, and it would give us an excellent hospital and excellent facilities. Now I don't want to spend much more time. I have some notes here, but I can't ready them myself. Now everybody speaks about polls, and any poll around election time, it will lie to you. I made a poll of the people who work in the hospital. The nurses and people who work in the hospital, and they feel generally and I can tell, that the hospital facilities are adequate, the only thing needed are new beds. Now I'm actually against selling the hospital. I have been here twenty years, and I'm proud of the hospital. It's a good hospital and when you g0 over there when you're sick, you get good care. And the care isn't necessarily the doctors or the nurses, OT the people who work in the hospital, I feel that you get good care. Now I agree, I think when the hospital makes a profit, it should be spent in this locality. Sol don't know how we should do it, but I feel that we're making 4 big jump here, but I don't think we should go for this large bond. I think we could have done just as well with the money that we have on hand and probably Iredell Memorial, too, I don't know. pox = Past INO! 4144 pox 25 eageldO2 MYRTLE WESTMORELAND, STATESVILLE, NC Mr. Gommissioners and ladies and gentlemen: I'm Myrtle Westmoreland, a director at Iredell Memorial and have been for the past approximately ten years. When I agreed to serve in this capacity, I gave it a lot of consideration. I did not accept lightly. I accepted realizing that I had a great charge to keep to the people of Iredell County. As a director, I can assure you that the other directors, the trustees of Iredell Memorial, and we have worked very closely with the administration and the volunteers, the directors and trustees at Lowrance during the past few months as we head into this issue. And so speaking as a director and as a volunteer who has spent many hours during the past several years in the interest of health care of our community, I can assure you that we do not take this responsibility lightly. I feel that we have a charge to those pioneers of all the hospitals in this county who have given us the health care that we have today. I would like to say on the onset that I am not against anything or anybody, but I am strongly for the institution that I represent. I am for us keeping pace in the health care here in the coming years ahead. I feel that many people have sacrificed 4145 during the past to give us the institutions that we have and that this generation has a charge to move forward to assure our children and grandchildren that they will have the best health care in the years that come. As a director, I do not know all the answers to all the questions and I don't believe any of the others do. And so as we have studied this issue, we have called in professional help in many areas, of people who should know the answers or know how to find them. As you know, we started in 1980 with the Hamilton Associates. We joined with the other hospitals inithe county, with the governments, chambers of commerce, and the others in the county to make this study possible to give us direction for the future. When we go to thinking about our expansion program, which was recommended since we were not able to merge in the nothern end of the county, the second recommendation was to move forward with Iredell Memorial Hospital. As we got ready to do this, again we turned to somebody in the field we thought did know how to find the right answers and direct us there, We turned to our Whinney accounting firm, Ernst and Whinney, who is one of the top in the nation to do a feasibility study. pox 25 mcilOOS pox 20 prcelOO4 "146 Now maybe some of you know more about finances than they do, but 1 did not as a director, and we felt that this was one of the top firms that does more feasibility studies for hospitals in the nation than any we could find. They have very thoroughly looked over the financial picture of the past and the projection for the future for Iredell Memorial. They have assured to my satisfaction that we can handle this issue. Then when we got to thinking about whether we should go to the public for general obligation bonds, which are the least expensive way to finance a building and expansion program, we had to know a little more about how the people of the county would feel about it. I do not know how to take a scientific poll. I know how to go running around asking people questions and getting answers, but I do not know how to make a scientific poll, and so we turned to one of the top in this field, the Eply Associates. This is their business, to take polls, and to do it in a manner that we can feel that it is credible. They told us that we could head into the bond issue and expect the people of the county to support the issue. Now if all these experts who have guided the directors and the trustees at Iredell Memorial at our trustees ----- recently, we got an overwhelming vote of the majority to go on. 4147 Now as a director, I felt that I had no course to choose from but from what they and as we feel the people of the county want us to move. Tonight all we are asking our commissioners is that we let all the people of Iredell County who want to vote on this issue. And I don't think it should be up to any one of us in this room or the commissioners as a body to make the decision as to whether we go on with these programs or not. I think we have a charge to the public to give them the facts between now and the election day and to let that group of citizens whom we are representing make the final decision. And I'm willing to let it rest there, and so we are asking the commissioners tonight to give the people of this county an opportunity to vote as to what they want done with their hospitals that they own, that you and I and all the citizenry of Iredell County own. When I was a child I believed in Santa Claus, but as I grew up I found that there were no Santa Clauses; there are no free tieals. And I don't care how the hospitals are built, if we want a hospital in this county, somebody's going to have to pay from them. It is my belief that the citizens of Iredell County can support and maintain and pay for the health care that they deserve and that they want. B00K 29 pase OOS 4148 poor 20 pact 006 And so this is what we are asking for tonight--that we have an opportunity to let the people decide. As for myself, I have faith in the future. I don't know that there's ever any right time to go in debt, but we've all learned in our personal experience if we are ever going to have some of the things we want, this is what we have to do. I have faith in the future; I have faith in the citizens of Iredell County; I have faith in our commissioners that we are going to have a chance to vote on this. Thank you. JACK DUFFY, MOORESVILLE, NC Mr. Chairman, ladies and gentlemen: I intend to keep my remarks very brief tonight, but I do feel like my interest being mostly in Lowrance Hospital because that's where I am more familiar with. I have a great interest in Iredell Memorial because I lived in Statesville before I ever lived in Mooresville, so I'm not a one-sided affair or one-sided man. But I do feel when I must say that I think that thepeople of south Iredell and Mooresville would be very much opposed to the moving of Lowrance Hospital to any other section of the county other than in the section in which it now sits. I also feel deep down in my heart that the people of south Iredell County and the people of the Lowrance Hospital area would be very much opposed and would vote against selling Lowrance Hospital to any profit operating 4149 hospital, therefore I feel like regardless of what I think, I feel like the board of commissioners should give the people of Iredell County the opportunity to say whether or not they want to spend the amount of money. They have been told how much money this was going to cost them; they have been told the situation that they are going to get from it; they have been told the results from this money and what they are going to get from it; and I do not feel like it is up to me although I am a member of the board of directors of Lowrance Hospital. It is not for me to say; it is up to the people to say. And if they say, "It*;want it; I am willing to take the chance; I want to go for it."’ They've got one man 100% behind them. JEFF PEARSON, ADMINISTRATOR, LOWRANCE HOSPITAL Thank you, Mr. Chairman. I would like to briefly respond to a couple of points I understood Mr. Benbow to make and I may have misunderstood his points, but the first one I understood him to mention was 150 bed figure for Lowrance. That figure would not be a correct figure, if I understood that. Lowrance is licensed currently for 104 beds, and there is no immediate change in that that we can foresee. Secondly, I understood Mr. Benbow to state that a new hospital would be provided for Lowrance whether or not the bond issue passed. poor 25) pagelOC'7 4150 poox 25 racelOO8 Perhaps I misunderstood that, but if that was the statement made, I do not understand the meaning of that statement. In Dr. Neiter's remarks, there were three items that I would like to clarify. The first item is that in our projections in our feasibility study, there are no figures that had not already been exceeded in terms of patient day volume. In both the years 1980 and 1979, our patient day volume was larger than the largest projection in our final feasibility study. So I did want to clarify that. In other words, nothing has been projected that we have not already gone beyond in terms of the last three years. Secondly, the remark, I believe, was that the medical staff had not grown in the past eight years. I have been six years, but I have first hand knowledge, 6%, almost seven years knowledge of what has taken place during that time. During that time, we have had three physicians move away, one who has become disabled from the staff at the present time. During the second period, we have had twelve physicians to locate at Lowrance, some of those more active than others. We have had four added to our full-time active staff, including Dr. Donatelli, Dr. C. H. Lieu, Dr. Alfred, and Dr. Copeland. In addition to that, we have had joining our courtesy staff specialists in opthomology, neurosurgery, thorasic surgery (I'm sorry that was Dr. Alfred), orothpedic surgery, two OB/GYN specialists, and two gastroneurologists, 4151 who are very active at Lowrance Hospital. Thirdly, I had a conversation with Dr. Williams of the Davidson Medical Associates last Thursday afternoon late, and he asked that I might clarify any statements that might be made about the future participation or non-participation of that group in the staff at Lowrance Hospital. Dr. Williams stated that that group would be interested in any developments in the area that might impact on their practice whether that be a new hospital or whether it be a renovated existing hospital, and that he would certainly not say in behalf of the group that they would only be interested in a new hospital on the I-77 corridor. He went further to say that it would be of interest to them who built the hospital, what the control would be, whether it would be community oriented or not, the whole philosophy of the organization to be and until they know and hear all those details, they could not determine at this point what their interest might be, but that he did feel that expansions or new hospitals should be the job of the community, should involve the religious leaders, the political leaders, the business people, and the physicans, all deciding on the proper direction to go in the future. poor 25) we OOF 4152 sox 25 past 1010 GRADY SHOE, CHAIRMAN, LOWRANCE HOSPITAL Mr. Chairman, there is a couple of things that bother me a little bit that I would certainly like to make clear, and we have gone around and around to the point that I know a lot of you are saying, Who‘s on first? But I don't know how you make a decision when you are doing what we are trying to do. Mrs. Westmoreland covered it real well. But if you were going to the west coast, and I'll give a very simple illustration, the first thing you are going to do is get a road map. And then you are going to have good transportation to get there. If you decided you are going to Europe, then the first thing you are going to do is study a compass and you are going to build the most sturdy ship you can to withstand the waves and the weather. But if you have done all of this and done your homework, there's no absolute fact that you are going to arrive at the scene. So what I'm trying to say is that during the 2% years that we have studied, we have called in everybody, We have called in Cherry, Beckard, and Holland, a certified public accounting system, fully qualified to make the study. This isn't the first study they have made. We have called in Hamilton and Associates; this isn‘t the first hospital they have built or rebuilt. But they have given us expertise so that we can present to you the facts and we will try to do that fairly. 4153 Now the thing is that we talk about no tax increase, Let me be the first to go on record that if there's going to be a tax increase, I'm not voting for it either, and I'll join Mr. Benbow's side and make it 49, But I firmly believe that our feasibility study, that it is correct, and I firmly believe that we can pay these funds, this debt, back without one cent increase in taxation to the citizens of Iredell County. Thank you. BOB WHITE, MOORESVILLE, NC I came here tonight to ask questions. At this point I have heard at least three different versions of what the polls . . two different parties, medical staff and Mr, Pearson's clarification about what happened in the years 1979 and 1980 at Lowrance Hospital regarding patient days. I will be leaving here sort of in a daze, not any better equipped when I go to the polls in November to make a judgment decision. Perhaps there are some other people who feel as I do. I address the board of commissionrs, Perhaps parties on both sides offer another meeting or some other mode by which we as voters could sit down and review. We don't have a clear truth right now, We have a lot of facts and figures, .. . ask that somehow the data that both sides have thrown at us tonight that it be further clarified, What we do want is the truth, not what poor 25) pace O14 one side says versus the other side. 4154 pox 20 prctlOL2 CHAIRMAN TROUTMAN: Mr, Troutman replied that it was not the county commissioners’ intent to interpret the information for the public; the purpose of the meetings on August 30 and 31 was to conduct public hearings. He informed the public including Mr. White that there would probably be meetings prior to any bond referendum which would clarify the issue. ARNOLD NUNNERY, ADMINISTRATOR, DAVIS HOSPITAL: I want to make one clarification, Mr. Chairman. One of the things that we should talk about is what the additional cost will be to the patient if we carry through this project and that has been misquoted and missstated, and I would like to clarify it. At Iredell Memorial, if this project is carried out, the cost over the next five years from one budget year to the other for operating expenses will average 14.6%. If we do not carry out this project, it will average 11.1% or 3%% difference is what we are talking about. I would also like to say that both hospitals, the organi- zation and concerned citizens, do plan a campaign that we intend to keep on a high level and provide information. It was not, we did not foresee the intense pressure that was going to be placed upon the commissioners to try to keep this thing from being decided by the voters. That was an error on our part, that we did not anticipate there being any difficulty in getting on the ballot. We expected to do 4155 our job in the next couple of months of providing information to the voters. I would also like to add that anyone who has a question feel confident that we would answer correctly, call my office, 873-5661, Statesville, and we will get back to you, do our best the same day, with accurate information. Thank you very much. CHAIRMAN TROUTMAN recognized the consultants and asked the audience to get in touch with the consultants if they had questions. CLINE COMER: CHERRY, BECKARD, AND HOLLAND: My name is Cline Comer; I'm a partner with Cherry, Beckard, and Holland. I have been working with Lowrance Hospital on the various financial projections. I wanted basically to outline the same comparable information that Mr. Nunnery outlined as far as Iredell Memorial is conrerned as it relates to Lowrance. I think frankly we've all seen a lot of facts and figures tonight and some of them are obviously contradictory. I have been working with them fairly closely for the last eight or nine months, and it almost confuses me, so I can appreciate what all you all are going through. Essentially when we are talking about rate increases, I don't think any of us here in this room, or any mere mortal, can tell you with 100% certainty what your rates are poox 25) pecelO13 4156 pox 20 rac Od4 going to be three years from now, five years from now, or ten years from now. We make informed decisions based on assumptions and estimates based on trends and based on the best facts that we have available. But no crystal ball is perfect; however, we think that certainly if these assumptions that we based these projections on come anywhere close, then the projections themselves out to come pretty close to it. With that in mind, when we talk about, I believe a statement was made that in the projections that you are looking at a room rate doubling over the next five years. I think if you look at the last five years we have just finished, generally you can see that most rates have been doubled because of the unfortunate ravages of inflation. In preparing these projections, we have tried to have some estimate of what inflation is going to have, what kind of impact it may have. As Mr. Nunnery pointed out, there's a very nominal difference between the anticipated increase in rates with the new project as opposed to what it would be without the project. At Lowrance Hospital, looking at fiscal 1982 to fiscal 1987, you are looking at an annual increase in average revenue per patient day of 12.8%. That's with the project as it has been presented. Without the project, if it continues as it is, you will be looking at increases of roughly 10%% or 2.3% spread. 4157 If anyone does have any questions now or later about any of these figures, we certainly will be more than willing to try to help clarify what we can. Thank you. CHAIRMAN TROUTMAN asked for any other speakers. were none. There MOTION to adjourn to Statesville, NC, Agricultural Center Conference Rooms 3 and 4, August 31, 1982, 7:30 p.m from Commissioner Ostwalt. VOTING: Ayes - 5; Noes - 0. f i "aie ae 97 07 the ~so ly, 8 APPROVED: Gd. /4 GE A bute Side ze 2 ee YA. OCC Ae . bout pase Fle S. poor 25 rlOJS PAGE Ave 30/982 pox 4620 pcHl016 4158 (1) f\ Members of the county commission, I am here vonnene Lessee the majority of the medical staff to oppose the present bond referendum. Let me preface this by saying we are not opposed to improvement ; quite the contrary. We are strongly in favor of improving the quality of medical care in southern Iredell County in the short term as well as the long run. The present proposal to renovate Lowrance Hospital is offered as the only solution to update and improve. We feel there are other and more viable alternatives which have not been. dequately investigated. Would the present proposal improve the gual atxceteene dekbevesy in Mooresville? Yes, 4t would and—ttr-tiris=respect—it-ie geed. Would it be best for all southern Iredell County and the taxpayers? We do not think so. The proposal shows a projected increase in hospital usage from 1982 thru 1988 as 18.6% and shows an increase from 1973 thru 1980 of 16.8% as justification. Looking at this more closely why were seven years used in retrospect and what happened to 1981. Simple: If a 5 year projection were compared to the previous 5 years for comparison there would not be a 16.8% increase but a 12% decrease. Year Ending Sept 30 Pt. Days thru 5/31/82 1982 28,093 +?) 1981 26,570 =} 1980 30,849 )---Dif. 3837 1979 298. 3 2 1978 29,758 ~12% 1977 30,407 4159 ™he average % increase in patient charges is proposed to average 13%/yr. The actual increases projected yearly are 14% 1982, 17% 1983, 18% 1984, and 10% per year thereafter. This amounts to a 49% increase in the next three years. Why is this important? Congress just passed an $11.5 billion dollar reduction bill for Medicare. There would be a cap of 10% increase per year on Medicare recipients. Approximately half of Lowrance's utilization is from Medicare and Medicaid. This would mean that our revenues would be limited to an increase of 30% over the next 3 years, but a 49% increase is projected. Who pays for the 19% lost revenues? The original proposal projected 33,000 patient days by 1985, (a figure the medical staff felt was unrealistic) and using that figure projected a surplus of $549,220 for 1985. A revised estimate lowered this to 30,553 patient days. (a more realistic figure) This revision would decvones toepital revenues in 1985 by $925,000. This I would project as a $375,780 loss. However, the revised figures show a surplus of $306,000. The original plans called for no additional beds or new services. The contingency fee for new equipment we feel is inadequate as a hospital is not a hospital because it has a bed to lie in, but because it has equipment and services to diagnose and treat illness. pox 20 pace(OL? 4160 PAGE anor 25) pace OL8 hy Hospitals are 100% service oriented, they produce no product. To best serve they must be located in a readily accessable area, ‘and to remain viable and growing, located in an area of growing population. The population of Mooresville is not increasing, it is decreasing as proven by the 1980 census. Mooresville has attracted practically no new industry, but has been loosing jobs and industry at an alarming rate. The population growth pattern is to the West and South. The physicians feel a new structure located on the I-77 corridor is the best solution. This could be either county owned or privately owned. Why do we say this? Lowrance's medical staff has not 4ncreased in the past eight years. With a new structure just north of the Mecklenburg line, six new primary care physicians would more than likely be added to the staff. These six new physicians presently practicing in Davidson and Huntersville would double our present staff.of primary care physicians and provide a strong referral base necessary for specialists. What we don't need is escalation of the current situation of weekly clinics in Mooresville by out-of-town specialists who transfer patients to other hospitals for’care further decreasing this hospitals utilization. At the present cost of new hospital construction of $143,000 per hospital bed the present proposal would pay for a new 74 bed hospital. 4161 PAGE (4) Imagine, renovation costing 75% the cost of a new structure. We feel that the board of directors of Lowrance Hospital has proceeded in an orderly manner for the renovation of Lowrance Hospital. Iredell Memorial has pushed with great diligence and utmost speed. Why? Obviously, to run competition with the new Davis Hospital. For our part here the attitude has been lets hurry up and get on Tredell's coattails because 4f we don't get it now we never will. Ladies and Gentlemen whats the rush? Is this the time the taxpayers should burden themselves with a potential large tax increase and should we even ask them to run that risk now with a terrible economy and a most recent 100 billion dollar federal tax increase. Is the feasibility study truly feasible? Our needs in southern Iredell County are not at all similar to Iredell Memorial’s. We see three possibilities: (1) Renovate Lowrance. (2) Build a new county owned hospital near I-77 (3) Sell to a for profit hospital corporation. If a for profit hospital corporation erected a new structure the advantages to the taxpayer are obvious. (1) No potential tax liability. (2) For. Profit Hospital Corporation pay taxes. One note here: For profit hospital corporations call their bottom line profit; Not for profit hospitals call their bottom line "Excess of revenue over expenses." Can a for profit hospital deliver good care at a competitive cost? We don't know, but feel this should be investigated just as relocation of our present county owned hospital should be investigated. pox 25 eacelOL9 4162 soon 20 past/O20 PAGE "he The truly sad situation in this whole proposal is the timing. To thrust upon the residents of Iredell county a potential large tax increase when we are in the pits of deep recession, have a very high un-employment rate and are losing industry in Mooresville at an unacceptable rate is criminal. : We request the county commissioners not to approve a referendum for this November, but wait until the economy is oo oy all oe ibl alternatives are adequately considered in zie cotta SS caveat avok. doy ethin. a successful conclusion for the best medical care for the people in southern Iredell County. ae - na aes : ‘ Ecwtle oe ez, £292 E11. ron! Wha. 220+ ae ait - IOS viitied, , SS oe Fut — ia B. bl Deputy CAuth DEPARTMENT OF CULTURAL RESOURCES DIVISION OF ARCHIVES AND HISTORY ARCHIVES AND RECORDS SECTION CERTIFICATE OF AUTHENTICITY This is to certify that the micrographics appearing on this film are true and accurate reproductions of records originated during the normal course of business by the IREDELL_COUNTY BOARD OF COUNTY COMMISSIONERS and consist of MINUTES, BOARD OF COUNTY COMMISSIONERS The records begin with VOLUME: 2.5 DATE: Duly 6, / 982_ yy PAGE: 862 and end with PLAT BOOK: 25" DATE: Avs ust 30, 17E 2. PAGE: /ORO It is further certified that the above records were microfilmed in conformity with the provisions of the General Statutes of North Carolina, chapter 8-45.1 and 8-45.4, "Uniform Photographic Copies of Business and Public Records as Evidence Act"; that the microphotography processes accurately reproduce the records so microfilmed; that the film forms a durable medium for reproducing the original, if necessary; and that the film used conforms to American National Standards Institute, Photographic Films-Specifications for Safety Film, ANSI IT9.6-1991 and American National Standards Institute, Imaging Media (Fiim)-Silver Gelatin Type-Specifications for Stability, ANSI NAPM IT9. 1-1992. This is further to certify that the microphotography processes were accomplished by the undersigned on the date and at the reduction ratio indicated below. Date filming of this reel began: 3 ee é L 9B Reduction Ratio ae Date filming of this reel ended 3/2 6 / GG Bll be jaf! Microfilm Camera Operator STATE OF NORTH CAROLINA DEPARTMENT OF CULTURAL RESOURCES Microfilmed by DIVISION OF ARCHIVES AND HISTORY Archives and Records Section Raleigh, North Carolina C.054.93000 Iredell County Board of County Commissioners Minute, Board of County Commissioners The following records are filmed in the order in which they were received by the Microfilm Unit of the Records Services Branch of the Division of Archives & History State of North Carolina - Divison of Archives & dfistory Records Services Branch ~ Microfifm Unit DCR-DAH-ARS-RSB Form IU-T4 The Following Images May Not Be Legible Because of Light Ink or Poor Quality of Original Document North Carolina Division of Archives and History Records Services Branch - Imaging Sub-unit so ialaaiileaiiatenenl Volume: 2 G Year: Augus 1) F | 982-Decembbee 30, i 982 Pages: | - Z 54 North Carolina Division of Archives and History Records Services Branch -- Imaging Unit CAuth DEPARTMENT OF CULTURAL RESOURCES DIVISION OF ARCHIVES AND HISTORY ARCHIVES AND RECORDS SECTION CERTIFICATE OF AUTHENTICITY This is to certify that the micrographics appearing on this film are true and accurate reproductions of records originated during the normal course of business by the IREDELL COUNTY BOARD OF COUNTY COMMISSIONERS: and consist of MINUTES, BOARD OF COUNTY COMMISSIONERS The records begin with___ VOLUME: ab DATE:4 125 us 7 36ITE2. PAGE: / and end with PLAT BOOK: DATE: PAGE: It is further certified that the above records were microfilmed in conformity with the provisions of the General Statutes of North Carolina, chapter 8-45.1 and 8-45.4, "Uniform Photographic Copies of Business and Public Records as Evidence Act"; that the microphotography processes accurately reproduce the records so microfilmed; that the film forms a durable medium for reproducing the original, if necessary; and that the film used conforms to American National Standards Institute, Photographic Films-Specifications for Safety Film, ANSI 1T9.6-1991 and American National Standards Institute, Imaging Media (Film)-Silver Gelatin Type-Specifications for Stability, ANSI NAPM IT9. 1-1992. This is further to certify that the microphotography processes were accomplished by the undersigned on the date and at the reduction ratio indicated below. Date filming of this reel began: 3/26 L178 Redustion Ratio taken & Date filming of this reel ended Microfilm Camera Operator lta, 4163 IREDELL COUNTY BOARD OF COMMISSIONERS MINUTES AUGUST 31, 1982 The Iredell County Board of Commissioners conducted a Public Hearing on Tuesday evening, August 31, 1982, 7:30 p.m,, Agricultural Center Conference Rooms 3 and 4. Present for the meeting were: Joe H. Troutman, Chairman Frances L. Murdock, Vice Chairman B. W. Campbell William A. Mills Samuel L. Ostwalt Staff present: J. Wayne Deal, County Manager Robert N. Randall, County Attorney Alice Fortner, Clerk to the Board CALL TO ORDER: By the Chairman INVOCATION : By the Chairman Chairman Troutman read the following official calling of the Public Hearing: "This is the time, the place and the date fixed by the board of commissioners for the first of two public hearings upon the order entitled ‘Order Authorizing $22,750,000 Hospital Facilities Bonds.’ The board of commissioners will immediately hear anyone “re wish to be heard on BOOK PAGE 4164 BOOK 26 PAGE 2 the question of the validity of said order on the advisability of issuing said bonds. The chairman will request that each person wishing to be heard that he be recognized in order after first identifying himself or herself and stating the place of residence. A summary shall be made by the clerk and any person may submit a written statement at said meeting to the clerk prior to said meeting." The Chairman introduced himself and other members of the board and members of the staff. The Chairman set the ground rules for the public hearing, stating that all those who had signed the list to speak at the meeting would be recognized, those speaking for groups first then those speaking as individuals, after which anyone present whose name was not on the list would be recognized by the chairman. The chairman asked the group to remain orderly and reminded them that this was a public hearing and that all would be heard. 4165 ALLEN KNOX, CHAIRMAN, IREDELL MEMORIAL HOSPITAL BOARD: Mr. Chairman, members of the board of commissioners, ladies and gentlemen: I'm Allen Knox, Chairman of the Trustees of Iredell Memorial Hospital. I will act as spokesman for both hospitals tonight in Statesville, and my colleague, Grady Shoe, chairman at Lowrance Hospital, will then be available to answer questions. We have been working together on this project for a long time and are in this bond campaign together. We have one basic message tonight. The people of Iredell County own both hospitals and they have a right to vote for or againstthe bonds for improvements. Mr. Shoe and I have put together some slides to describe our needs, and we want to take you on about a ten-minute tour of both hospitals with these slides to show you just some of the needs. Mr. Shoe and I have also brought some charts to explain further financial information. We want to show you exactly what we need, how much we want to borrow, and how we'll pay it back. Finally, Mr. Shoe and I have brought with us a question and answer sheet which we hope will clearly explain the many complex issues before the voters. We'll take advantage of this opportunity and every opportunity to answer questions and poor COME oD sox 2O mE 4 sr66 present factual information. The issues of need, borrowing, and repaying are complicated, and they deserve repetition and a full public hearing, and we welcome that. We apologize to the commissioners for having to hear the same story so many times. But many of you have not at this point. First, let's look at the needs of Iredell Memorial Hospital. Mr, Knox narrated the slide presentation.for both Iredell Memorial and Lowance Hospitals, as follows: First, let's look at the needs of Iredell Memorial Hospital. Only one of our four operating rooms is of adequate size, and this is it. In comparison, you can see that the other three just like the one shown in this example are too small for the lifesaving equipment and the team of doctors, nurses, and support staff that are required. Yes, we perform surgery here and quite well, but it is less efficient, and we simply cannot serve as many patients as we should be serving. Our halls are filled with storage, and our head nurse is wasting valuable time directing traffic, We have to work double time to keep things sterile. This red line should be a wall separating the sterile area for surgery. Only extreme effort has kept this from being a 4167 serious problem at Iredell Memorial. Endoscopy is in a tiny room made from a nurses' station. Patients have to wait too long in M-ray for lack of space and often in the halls where there is no privacy. In our north wing, there are 28 ward beds, rooms with four people in them. They are next-door to the semi-private rooms. There are as many as six patients of both sexes in these two rooms, sharing one toilet and with no private bathing facilities. There are many, many examples of crowded conditions like this office for doctors and nurses, and our newborns who have just arrived must be carried down a public corridor when they visit their mothers. And like this hall where parents and friends gather to see the newborns. Like our heart station with two small rooms, and the treadmill and related equipment on a different floor in valuable critical care space, and like our overflowing lab, with this tiny microbiology area. Let me show you some of Lowrarce's similar problems, and I will then show you some examples of what we are planning to do about them. Lowrance's operating rooms are also too small and their laboratory is too small. Both of us need to enlarge the emergency room so we can treat more people more efficiently. And. Lowrance's 1930 patient rooms are simply outmoded. There are 32 rooms with no toilets por 2Orme 5 4168 and 32 with a toilet like this one. None of them have closets and only nine bathing facilities serve all 64 rooms. Respiratory therapy is in a tiny area, and medical records are very hard to get to in this crowded room. Basic hospital services, which must be fast and efficient, like purchasing and the pharmacy, are woefully inadequate for a hospital this size. Nurses stations, waiting rooms, patient admitting cubicles are all too small. Radiology is too small. And preoperative medication must be administered in patient rooms because there is no surgical holding room at Lowrance Hospital. Despite all these hospital problems, both hospitals are doing an excellent job. People are pleased with us and our staff. We are doing an excellent job, meeting all of the standards for hospital accreditation. It is not a question of anyone receiving anything but the best of care at either hospital. It is the question of whether these hospitals will even be around in the future. They simply cannot economically survive with their present facilities. Regulatory organizations won't let us add beds, so we have to make our present services as efficient as possible. There is almost no limit of patients we can 4169 serve by out-patient facilities. The wave of the future is out-patient services. This means fast diagnosis, modern treatment, and quick recovery. It means shorter stays in the hospital for everyone but the most severe cases, and that means it will cost less--much less than the old days when lengthy stays were common, We need modern equipment and places to put it like this modern intensive care monitoring equipment. We need modern private rooms with private bath and shower facilities like this one. People need to have many different kinds of laboratory tests available, and the results of those tests known quickly. Hospital wings should be built with a clear view from the nurses' station of all the area the nurses are responsible for. We are both taking the most cost efficient route possible. We are renovating what we have and adding new only what we absolutely must. It's a lot cheaper than building a new hospital. Iredell Memorial will remodel about 53,300 sq,ft. and add about 110,000 sq. ft. in a new building shown attached in this model. Lowrance will use its existing courtyard space to put a new lab, use the old building for non-patient functions and put new rooms in this shelled-in third floor of the 1971 pox 20 me 7 4170 sox orc 8 addition. A new fourth floor will be added to the top just like it was designed. We have many more slides and answers to questions we have been asked so far. Let us show you the cost structure very quickly for both hospitals. ARNOLD NUNNERY, ADMINISTRATOR, IREDELL MEMORIAL HOSPITAL: We are going to go over the sources and uses statement for the project. We have two columns. We want to concentrate on the column on the right. This column is for general obligation bonds. The column on the left is for revenue bonds. We considered both methods of financing this project. As you can see, the revenue bonds is approximately $6 million more expensive. The main reason being the interest rate usually runs about 2% more. Our cost of construction is $14 million. Cost for construction of the project is $14 million. To that amount we add $4 million for equipment, large and small, for contingencies, architectural, engineering and other fees. So we need $18 million for the project. We need $100,000 for the cost of issuing the bonds, and during the time of construction the interest expense will be a little over $4 million, based on a 12% interest rate. 4171 Where will that money come from? If the voters approve, we will borrow through general obligation bonds $14,050,000. General obligation bonds is the least expensive way that any hospital can borrow money today for this type project. The $14,050,000 is what we are seeking in general obligation bonds. We hope to add $6 million from the hospital. That is broken as follows: We have $2 million currently in reserve for the project, $2 million. Over the next three years, we will be permitted to make $3 more million to contribute to the project, and we are anticipating approximately $1 million in a grant from a private foundation. Six million dollars will come from present reserves, Two million, three million which will be earned over the next three years and $1 million that we are expecting to get in a grant. We will also earn interest during construction if the bonds are issued at the beginning of construction, and that amounts to a little over $2 million. As may be able to see, all of these projections are based on a 12% interest rate. Twelve per cent is the interest rate that we were anticipating even three weeks ago when our latest financial feasibility study was completed. Last week, New Hanover County in this state issued general obligation bonds at just 4 little under nine per cent. sox 2ome 9 4172 pox ©6206 race 10 We want to now talk about the chart that I refer to as the mortgage chart. I see Mr. Anderson Sherrill back there. When I came to Statesville, he was kind enough to sell me a house, or sell me his house. And I paid an amount for it, and when I went down to the savings and loan and signed the papers, the figures were three times that amount. And that's what we're talking about here, is the payback. And this too, is based on a 12% interest rate and we would pay the bonds back over a 20-year, six-month period. The total payback is $39 million for Iredell Memorial. That's based upon 12% interest rate. One of our financial consultants today calculated what the payback would be if the interest rate was 10%. You know how accountants are always being conservative. If they sold in Wilmington last week for 9%, we felt that 10%, would be a reasonable figure to try out today. We don't know what the interest rate will be when the bonds are issued, but we are hoping to be in a position where they can be issued at the optimal time. A 10% interest rate will drop this payback figure by $5 million for Iredell Memorial. Thank you. 4173 LOWRANCE HOSPITAL, GRADY SHOE, CHAIRMAN OF THE #O0ARD: Mr. Chairman, commissioners, ladies and gentlemen: I'm Grady Shoe from Lowrance Hospital. The estimated total construction cost for Lowrance is $5,278,850. The estimated total capital cost, including architect, consultant fees, equipment, contingencies, and capitalized construction period interest is $10,646,000. Now the hospital anticipates financing the project through the issuance of general county obligation bonds to be paid 100% from hospital revenues, and our auditors have determined that this is quite feasible. Assuming an interest rate of 12,5% and a term of twenty years, the estimated borrowing requirement of the financing is $8.7 million, and you just heard what Arnold Nunnery had to say about the interest rate, but our figures are projected at 12.5%. The hospital plans to raise at least $500,000 in contributions and in endowments, and provide $545,000 of equity and $901,000 of capitalized interest during construction for a total cost of $1,446,000 in hospital resources. The total bond issue for Lowrance is $8,700,000, and the total payback over the twenty-year period is $21 million for Lowrance. The two hospitals will contract with the county to pay back the principal and interest 100% from hospital revenues. The cost at © Lowrance will pook 20 ra 11 4174 pox 2D pact 12 rise about 13% per year, of which only 2.3% is the result of the expansion program. This increase is in line with past experience and rates at the two county-owned hospitals, which have been among the lowest in the countrv <ciiu are projected to be quite reasonable in comparison wiih other hospitals nationwide. And we would like to emphasize there should not be any tax increase in the future related to this bond issue. Taxes would be increased only if the hospitals were not able to pay the debt due to some unforeseen economic difficulty. Thank you. ALLEN KNOX, CHAIRMAN, IREDELL MEMORIAL Thank you. We have faith in the people of Iredell County. We have faith they can understand our needs and they can understand that we can and will pay back the debt from hospital revenues, not from taxes. We have two months ahead of us to have a full public discussion of the issues and we look forward to that. Tonight we ask that you give us the opportunity to tell the people about the needs by putting the issue on the November 2nd ballot, which could be held at no additional cost to the taxpayers. We understand an additional special election would cost around $8,000, We know there has been a considerable amount of vocal opposition to the project that both 4175 hospitals plan, and realizing that often those who are opposed are more vocal, more outspoken than those who are for something, the hospitals decided on Thursday, late Thursday, that we would get some petitions signed and from, during Friday, Saturday, Sunday, and until Monday at noon, and a few that have drifted in since, have received 4,800 signatures on a petition requesting this issue to be placed on the ballot. We simply request that you give serious consideration to the request of the people that have signed and to the request of the two hospitals who have been planning all these years and have now reached the point where we would like to go forward. Thank you. MR. CHARLIE BENBOW, STATESVILLE, NC I give up on the chart battle. Y'all win that. I've lost mine, they were so little. I got them. Mr. Chairman, ladies and gentlemen, my name is Charlie Benbow. I live here in Statesville. I have lived here for 35 years. I represent the Concerned Taxpayers of Iredell County, and we are concerned. I have no argument with any of these figures. These figures are true, they are correct. What we are talking pox 20 mse 13 pox 20 ma 14 4176 is $60 million. $60, $60 million dollars. We are not talking about $8 million here and $14 million over here. We're talking about $60 million, and paying it back $3 million a year. Iredell Memorial Hospital says they can pay back $2 million a year. Lowrance Hospital Board of Directors says they can pay back $1 million a year. The question is can we afford it? Now how many of you have told your children we simply can't afford it? Or have you forgotten how to say that? We can't afford it. I think that is one of the things that's wrong with this country today. We were forced into World War II, we fought it and we won it, and then we sat back and we let the federal government take over. And they spent, and they spent, and they spent, and we are almost spent into oblivion. Now there's a time and a place to put a stop to this spending. And if we don't need to spend $60 million, let's don't do it. A few weeks ago, some of us read about a poll that Iredell Memorial paid $5,600 for. In this poll, there were 400 people polled on the telephone, and out of it came the news that 57% people in Iredell County would support a bond issue if the public were educated and if there were no opposition to it, and if, if, if. And I wondered about it. I simply didn't believe 4177 that 57% of the people of Iredell County would support a bond issue. So the Concerned Taxpayers have started taking their own poll, and so far we have talked to 1200 people. We are going to poll everybody in Iredell County. Later on, I'll tell you the results of that poll. But first, I thought it was interesting to hear some of the remarks that some of these people made about our present board of commissioners. Let me read some of them to you. "This is the best board we ever had." "Tredell County is lucky to have people like this on this board." "Sam Ostwalt is not a politican, he's a statesman." "Frances Murdock is a smart lady." "Our county commissioners went over the 1982 budget with a fine-tooth comb." And they really did. This is the 1982 budget. $15 million. The only debt on it is on the old hospital bond that we haven't paid off yet. Here we're talking about new debts, and we haven't paid the old one off. "Joe Troutman will do everything he can to keep taxes down."" These are some of the remarks that we heard. "Bill Mills is smart and he's a honest man." pox Lome 1d 4178 sox 20 pce 16 "Mr. Campbell knows what's going on, and he will do what is right." " Our present board of county commissioners will do what is best for all the people of Iredell County." “They have the guts to do what is risht.” "We can depend on our county commissioners .1 I think the people all over Iredell County are proud of the board of county commissioners that we have. I know I am. It might be interesting to hear some of the other remarks. "Let the doctors pay for it." "It's too much money.” "Hospital bills and doctor bills are too damn high." "T can't stand any more medical payments." "My wife was at Iredell Memorial for one night, and it cost me $1500, and she ain't no better." How can you spend $20 million and not add a single room? Davis Hospital is going to build a whole new hospital for $22 million. Here's a question I have heard hundreds and hundreds of time. Y'all need to think about this. Why don't the Iredell Memorial Hospital people leave the Davis Hospital alone and let them get started building 4179 their new hospital.? O.K. Let's look at my charts. If we go into these bonds, they're either going to fail or they're going to pass, one or the other, Now let's consider first if the bonds fail. I know you can't see that back there, so I'll interpret it for you. The first line says if the bonds fail, Iredell County will not be in debt $60 million. The second line says Lowrance Hospital will probably be sold, and a new hospital built by a for-profit hospital outfit. I have no business monkeying in Lowrance Hospital's affairs, but that's probably what will happen, and I'm honest enough to say it. Now Iredell Memorial, says right here on this paper that they left in your chair, that they have $2 million now and by the end of two years, they'll have $5 million. This would pay for a lot of what they say they will need. My suggestion is we need to think about taking that money and doing what they can with it and every year as they earn more money, go on and do the rest of it, but pay as you go, pay as you go, O.K. This is my last chart. I think that's the prettiest one, That says if the hospital bonds pass, Iredell County will owe $60 million. You need to learn to say that, $60 million. We have never owed that kind of money here in Iredell County before. $60 million. pox «2D ace 17 4180 pox 2oO me 18 That's a heap of money. The $60 million has got to be paid back $3 million a year, and Iredell Memorial says they will pay back $2 million and Lowrance a million each year. In order to do that, they need to raise their patient costs 14% per year, which means that in two years' time, in five years’ time, the patient costs will double. Now if the patient costs per day today is $250 a day, that means in a few years' time, the patient costs will be $500 a day. Now what does that do to your insurance premium? Most of you have Blue’ Cross-Blue Shield, or some similar coverage and where you work, you are paying about $100 a month premium to cover your family. It simply means you are going to pay $200 a month, and you folks that are the employers, it's going to double the portion that you pay. Now, you won't be able to complain about your hospital bill. Let's say that you take your wife to the hospital four years from now, and she's there five days. And when you get her out, your bill is $10,000. Now think about that. And you say, this is terrible, and you take the bill down to the front office and you say, This is too much. Do you know what they're going to tell you? They're going to say, Now back in November 1982