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A 'win-win deal' for rural health care

by Heather B. Hayes
Virginia Business

February 2005

It’s déjà vu all over again for Carilion Health Systems. Just one year after disposing of its minority share in Wythe County Community Hospital, the Roanoke-based nonprofit corporation is now negotiating the details of an arrangement that would allow it to take over hospital operations. Wythe County, though, isn’t selling. Instead, it has agreed to lease the hospital to Carilion for the next 30 years (with an option for a second 30-year lease). Carilion will pay the entire lease upfront, purchase all operating assets and invest $20 million to update and expand the building during the first eight years of the agreement.

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“We realized that we needed a significant amount of capital if the hospital was going to add services and grow over time,” says Jerome Horn, president and CEO of Wythe County Community Hospital, a 104-bed hospital with 450 employees. In seeking a partner, though, the hospital board wanted to retain ownership of the facility “so that it would remain a community asset,” he adds. Horn says that the contract is likely to be signed by the end of February.

As for Carilion, leasing rather than purchasing provides two key benefits: running the hospital on its own terms and realizing a faster rate of return on its investment.

“It’s really a win-win situation for everyone involved,” Horn says.

Return to Virginia Business - February 2005