Assessing the Fiscal Health of Rural Hospitals

The Auditor of Public Accounts has released information on a plan to conduct a series of 10 public hearings to assess the financial health of rural hospitals. The full press release is below. This is an urgent issue for Kentuckians who may begin to see their access to rural hospitals disappear.  Auditor, Adam Edelen, will be trying to “understand the challenges facing small, community hospitals”.  Healthcare Finance News has explained that “Most bankrupt hospitals didn’t have “a bad year” that caused the financial difficulty. They were in a downward trend that was ignored.”

Some of the issues Edelen may find are: mismanagement of finances, changes in money received from Medicaid and Medicare vs private insurance, construction and overspending, and an overall decrease in patient visits. In bankruptcy, hospitals may be re-organized in order to stay open.

Auditor of Public Accounts Adam H. Edelen


Contact: Stephenie Hoelscher
502.564.5841 513.289.7667

Auditor Adam Edelen to conduct public hearings to assess the fiscal health of rural hospitals

FRANKFORT, Ky. (July 8, 2014) – Auditor Adam Edelen will host a series of public hearings across the Commonwealth this summer to talk about the fiscal health of rural hospitals.

The 10 hearings kick off a study by the Auditor’s office that seeks to understand the challenges facing small, community hospitals that provide health care to 45 percent of Kentuckians and are key economic drivers in those communities.

“Rural hospitals are teetering on the edge of survival in many Kentucky communities,” Auditor Edelen said. “This is an effort to understand the degree to which our hospitals are in crisis and what might be done to save them.”

The Auditor’s office is currently soliciting the financial records of some 66 public, non-profit and for-profit hospitals in rural western and eastern Kentucky. A survey asking key questions about their fiscal health will then be conducted. The Auditor’s office plans to issue a report this fall.

Hospital administrators and staff, local elected officials, other health care providers and the public are invited to attend the hearings to voice their concerns and experiences in rural hospitals.

Scheduled Public Hearings

Prestonsburg 10:30 a.m., Tuesday, July 15 Mountain Arts Center 50 Hal Rogers Dr.

Hazard 2:30 p.m., Tuesday, July 15 UK Center of Excellence in Rural Health 750 Morton Blvd.

Pineville 10 a.m., Wednesday, July 16 Pine Mountain State Resort Park 1050 State Park Road

Morehead 10 a.m., Wednesday, July 23 MSU Center for Health Education 216 W. 2nd St.

Maysville 2:30 p.m. Wednesday, July 23 Mason County Health Department 130 East 2nd St.

Madisonville 10 a.m. CDT, Thursday, July 31 Baptist Health 200 Clinic Dr. 8th Floor

Princeton 2:30 p.m. CDT, Thursday, July 31 Caldwell Medical Center 100 Medical Center Dr.

Leitchfield 10:30 a.m. CDT, Wednesday, Aug. 6 Elizabethtown Community and Technical College, Leitchfield Campus 101 E. Carroll Gibson Blvd.

Columbia 10 a.m. CDT, Tuesday, Aug. 12 Westlake Regional Hospital 901 Westlake Dr.

Campbellsville 2:30 p.m. Tuesday, Aug. 12 Taylor Regional Hospital 1700 Old Lebanon Road


The Auditor of Public Accounts ensures that public resources are protected, accurately valued, properly accounted for, and effectively employed to raise the quality of life of Kentuckians. Call 1-800-KY-ALERT or visit to report suspected waste and abuse.


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