FCHS Calls for Refinancing Bond Election May 4

Faith Community Health System Calls for Refinancing Bond Election May 4

Strategic move to save the local healthcare provider $200,000 a year while allowing more nimble operations.

JACKSBORO, Texas (Feb. 12, 2019) – The Faith Community Health System (FCHS) Board of Directors unanimously approved to move forward with a refinancing bond proposition election during a special session held on Feb. 4. The move will allow the district to refinance debt for better terms and save approximately $200,000 a year in debt service payments.

In a strategic move by the FCHS board, the refinancing will provide more flexibility for the district to continue participating in supplemental state and federal programs while continuing to grow. The proposition will allow the district to pay off the existing debt of $22.5 million and have the opportunity to refinance with more favorable terms. Existing debt is down from approximately $30 million over the last five years, with a combination of general obligation and revenue bonds.

According to Lori McBrayer, Chair of the FCHS Board of Directors, this proposition is simply a normal course of business that will not increase taxes for Jack County residents or add additional funds to existing debt.

A shifting of finances

The district will be reducing the current maintenance and operations tax rate by the amount needed to refinance existing debt.

McBrayer says that in a review of the 2012 tax rate proposal presented at numerous meetings with taxpayers, it was projected that of the 0.3150 tax rate we would set, the district would need approximately 0.1550 for debt service. At the time, the tax receipts of the district were estimated at $4.1 million.

It is projected that refinancing will take approximately 14 cents of the existing rate of 0.3127 to pay for the refinanced debt placing that amount into an interest and sinking (or debt service fund). This means that the new maintenance and operations rate will be approximately 0.1727.

David Spiller, general counsel and community member, for FCHS, echoes McBrayer in that this critical move will not cost taxpayers anything and will not change current tax rates.

“This refinancing of the existing debt by the district, and issuing refunding bonds in their place, will allow the district greater flexibility of the terms of the debt and will not increase taxes or add any new money,” Spiller explains. “This is like you refinancing your home mortgage for better terms.  It is the fiscally responsible thing to do.”

Not a new process for Jack County

The refinancing bond proposition is not a new process for the hospital district. In 1990 when the district was first formed, Jack County had a debt that the district absorbed. As a result, the district was issued the same type of bonds in 1991 to refinance the debt.

Due to a change in state legislation, the district must now hold an election for the proposition to allow the refinancing of the current existing debt.  This is a routine procedure used frequently by school districts, cities, counties, and special districts all over the state.

McBrayer says that the FCHS board moved for the proposition because it is a practical business decision that will positively impact cashflow, allowing the hospital system to continue growing.

Maintaining fiscal strength amid industry turbulence

Nearly 30 percent of counties in Texas are without access to local healthcare. Also, small and community hospitals across the state continue to see a reduction in programs and services to keep their doors open.

In recent years, as two hospitals, within a 30-mile radius, have closed, and another has discontinued obstetrics, FCHS has embarked on supplemental programs to bring outside revenue to the district.

By operating and generating additional revenues, the district has been able to rely on fewer taxes. Over the past eight years, FCHS has participated in 15 federal, state and private supplemental revenue programs that have brought more than $23 million to the district.

Additional positive revenues have also come from outlying rural health clinics FCHS operates in Bowie and Alvord, as well as the four nursing homes licensed through the health system.

“Jack County has seen much growth and success when it comes to being able to provide the healthcare programs and services the local community expects, needs, and deserves,” McBrayer explains.

Refinancing Bond election set for May 4 in Jacksboro

The bond election is scheduled to take place on May 4 at Faith Community Hospital.

McBrayer encourages anyone needing further information to call and meet with hospital administration on the topic.

“What seemed impossible years ago is now a reality,” McBrayer says. “We have faith that Jack County will continue to be a shining example of what can be achieved in rural healthcare when all options are accessed, and leadership continues to make strategic decisions.”

About Faith Community Health System
Founded in 1958, Faith Community Health System (FCHS) provides healthcare services for residents of Jack County. Anchored by Faith Community Hospital, the local healthcare provider offers a wealth of medical services, including in-patient care, minor surgeries, obstetrics, a Level IV 24-hour trauma center and advanced radiology services (including CT & MRI scanning), an outpatient lab, physical therapy, social services, minor surgical services, patient education, 3 rural health clinics and more. FCHS now serves patients from a new $28 million, 87,000-square-foot replacement hospital facility and $2 million, 10,000-square-foot wellness center. For additional information, please visit www.fchtexas.com.

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Executive Chef, Kathy Warnell, becomes CDM | CFPP

Faith Community Health System’s Executive Chef, Kathy Warnell, becomes Certified Dietary Manager | Certified Food Protection Professional!

The Certifying Board for Dietary Managers verifies that Kathy Warnell has successfully passed the credentialing examination and has met the qualifications of a Certified Dietary Manager | Certified Food  Protection Professional on December 20, 2018.

Congratulations to Kathy Warnell!

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Physician in the Spotlight

Dr. Shivum Agarwal, MD — Family Practice

About me:

As a lifelong Texan, I am a true rural Texas physician with specialized training for rural and global settings.  I attended college at Duke University and studied Economics, Markets & Management, and Biology.  After college, I worked in Global Strategy, Operations, and   Innovations Consulting in exciting places such as New York City and abroad.  Despite the excitement of international business, I sought a profession that would allow me to more personally serve others.  Working in under-served rural and international settings, I found a passion for such populations and I dedicated my training to becoming a comprehensively trained physician to help those who needed it most in parts of the world furthest separated from resources.  I was lucky enough to train at one of the top medical schools (UT Southwestern) and Family Medicine programs in the country (John Peter Smith Hospital in Fort Worth, TX).  At JPS, I completed my Family Medicine residency and advanced training in Advanced Rural-Global Medicine & Surgery (ARMS), an intensive training program focusing on higher-level surgical skills, obstetrics, endoscopy, intensive care, emergency, and pediatrics care.

What aspect of your job do you enjoy the most?

My favorite part of the job is the feeling you get when patients get better.  There’s no better feeling than that.  As physicians and nurses, we think about our patients well past the hours in the clinic and hospital — doing everything we can to bring our patients back to their families in better health.

What part of Family Practice is your favorite?

I enjoy taking care of a breadth of ages and ailments — from new moms to newborns to new senior citizens.  I appreciate the rural   Family Physician’s ability to take care of a range of ailments including pediatrics, medical, obstetrics, and surgical issues safely and competently — it’s important for the health of our community to be able to access these services locally.  My physician, nursing, and  administrative partners at Faith Community Hospital have really set a standard of excellence for rural, broad-spectrum, primary-care led health care.  There are numerous studies showing access to high-quality local primary healthcare including surgical and obstetrics care is essential and incredibly important.  As a rural citizen, I know how taxing (and at times, unsafe) traveling long distances for healthcare can be for our us.  The physician-nurse-administrator team at FCH has really enabled our community to receive excellent, broad-spectrum healthcare locally.

What do you like to do in your spare time?

I enjoy spending time with my wife, children, and our energetic husky.  When I’m not taking care of patients, I also enjoy hiking, culinary arts, playing various instruments.  I also really believe in giving back to the medical education that has enabled us to care for patients, and I enjoy teaching medical students and serving on international aid projects around the world.

Words to the community:

I thank you for the privilege of caring for you and your family and entrusting us with your health. There is no greater honor and responsibility.

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Relieve Yourself from Stubborn Allergies!

Sneezing? Coughing? Itchy Red Eyes? Runny Nose?

With the help of Allergy 123, a test for 58 most common local airborne allergens is performed by your local provider in 15 minutes.

All our procedures are FDA approved, very safe and covered by majority of insurances.

Testing is done using a microscopic skin prick. Life-long relief is possible!

Contact Faith Community Rural Health Clinic to learn more about how you can relieve yourself from stubborn allergies!

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4th Annual Shape Up in Faith

Sign-Up and Get Started January 14th

Join a weight loss competition that creates accountability and produces results! Shape Up in Faith is a 10-week competition open to all Jack County residents and sponsored by the FCH Charitable Foundation and conducted by the Swan Family Wellness Center. Available in both individual and team competitions, winners in each division can turn their success into cash prizes!

To kick start your fitness goals and learn more about Shape Up in Faith, contact Joe Copeland at 940-216-2380 or jcopeland@fchtexas.com

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About Faith Community Health System

Faith Community Hospital is a community hospital serving the residents of Jack County, Texas. We offer a wealth of medical services including inpatient care, minor surgeries, obstetrics and other health care services.

Rural Health Clinics

Alvord Clinic
115 East Bypass US Highway 287
Alvord, Texas 76225


Bowie Clinic
1010 N. Mill St.
Bowie, TX 76230


Jacksboro Clinic
215 Chisholm Trail
Jacksboro, TX 76458


Contact Us

If you need to contact us for general inquires or comments, please use the methods below. For emergencies, please dial 911.

215 Chisholm Trail Jacksboro, Texas 76458