Letter to the editor: Hospital District board highlights questions raised at forums

From members of the Liberty County Hospital District 1 board

We want to thank everyone who attended last night’s meeting in Dayton to discuss the proposed new hospital and clinic for our community. This marked the 10th public forum to discuss this opportunity, and provided a great way to answer questions and address speculation and confusion that may have circulated in advance.

Please allow us to discuss the proposed hospital site.  In planning for a new hospital, a team of healthcare planning and real estate experts evaluated multiple properties within the boundaries of the district that might accommodate the facility. The current commercial development dynamics in Dayton greatly limited the available options for a 10-15 acre site within the Hospital District boundaries to locate a new hospital, and the ancillary services and offices that will ultimately follow. Similar difficulties are going to be experienced by any other healthcare system evaluating an acceptable sized site in the immediate Dayton area.

Also, the present and projected population growth of Dayton is a factor, but needs to be considered relative to the population of the district and the county as a whole. The Hospital District has the responsibility to serve a great number of people as conveniently and safely as possible. Our commitment to serve Dayton residents is why we are locating a new clinic just north of downtown Dayton that will provide extended weekday hours and weekend hours for routine exams, urgent care, imaging and laboratory services.

It should also be recognized that planning for a new hospital is more complex compared to other types of development. It’s not just the number of surrounding rooftops, retailers or car dealerships that is key, but rather having the proper amount of available land for future healthcare services as well as convenient and safe access for emergency vehicles, helicopters and the general public.  The hospital district is fortunate to have received a donation of a 35-acre site in the central part of the county for this new development, providing room for the future at no cost to the district or taxpayers.

And on the subject of the Hospital District’s financial stability, we are proud to state for the record that the current hospital is not losing money. In the most recent fiscal year, the district earned more than $1 million in what might be considered profits (all while dealing with the pandemic). The district has not lost money for the past decade.  While it is unlikely that a for-profit or non-profit healthcare system would develop a hospital in our area in the near term, if they were to, the profits would be sent back to their places of origin or corporate headquarters and not reinvested in our community.  The Hospital District has and will continue to reinvest those revenues back into the operations of the hospital to improve and expand services to better serve our community.

The critical need for a new hospital is not based on finances. Rather it is based on acknowledging the aging nature of the current facility, with infrastructure that can’t be replaced or repaired and the reality of a landlocked property in a predominantly residential neighborhood. For these and many other reasons, Proposition A & B makes sense, both operationally and financially, to benefit our community.

The District and the Hospital participate in a number of vital programs supported by the State and the Federal Government. These are called Supplemental Payment programs. Among these is the DSRIP program that has generated more than 1 million dollars for the hospital each of the past ten years. And the Uncompensated Care program (or UC) that generates about a half a million dollars per year for the hospital. The District also participates in a big state-wide program for nursing homes called QIPP (or the Quality Incentive Payment Program). The District partners with 26 of the 900 nursing homes that participate each year. The program has grown considerably and many of our neighboring districts participate as well (including Chambers County Hospital District/OmniPoint Health and the Winnie-Stowell Hospital District). Based on improved quality performance in these nursing homes, the District and our partners earn several million dollars a year that is put back into these nursing homes and our hospital. 

We also have been asked what happens if these programs go away. The State does have programs phase out and new programs begin over time. The providers in the state depend on these programs and the industry works closely with the State to ensure that these programs continue, and that new ones are created when old programs phase out. The QIPP program is relatively new and the only program of its kind for nursing homes. We understand that the state is very proud of this program and we expect it to continue for a long time to come. If any of these supplemental programs were to phase out, we will work with our partners to make sure we participate in whatever replacement programs are created.  

Throughout this process we have heard from many citizens that are grateful for our hospital and support our efforts to replace a very old facility. We are grateful for your continued support. This District and this hospital are yours, and we are accountable to you. We hope that some of the energy applied to this project from both sides continues after this election cycle. No matter what side of this issue you may fall, we’re proud to call you neighbors and we love this community just like you do.

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Before creating Bluebonnet News in 2018, Vanesa Brashier was a community editor for the Houston Chronicle/Houston Community Newspapers. During part of her 12 years at the newspapers, she was assigned as the digital editor and managing editor for the Humble Observer, Kingwood Observer, East Montgomery County Observer and the Lake Houston Observer, and the editor of the Dayton News, Cleveland Advocate and Eastex Advocate. Over the years, she has earned more than two dozen writing awards, including Journalist of the Year.


  1. What about the ridiculous interest you propose to saddle the tax payers in the hospital district with? Are there no better options for financing? Who is financing this endeavor? Where are they located and how will the interest money wasted benefit us the tax payers? If the hospital district is so financially stable and profitable why can’t it sustain and fund itself without the additional burden to the citizens? Why is the proposed cost of the hospital so high? Articles in the Houston Chronicle revealed that Herman built a hospital four times the size for double the money and they had to purchase their property. Where has the 1million dollars in profit the district claims to have made gone? Where is our money going? Finally my most important question is this: the District claims that our hospital is too old and outdated to be repaired at 70 years old but you suggest financing this hospital for a 50 year term. Won’t the new hospital be too old for repair and updates at the end of the loan term based on the current state of the hospital we own now?

    I will vote No, not because I don’t believe that our area would benefit from a hospital but because there are too many questions that are unanswered. We have to think about our kids and I don’t know that I am willing to strap my ten year old with this debt that won’t be repaid until he is 60 years old.

    • Wayne I was hoping for educates answers, these are the problems that taxpayers are having. Explain it to us and we will all have the same enlightenment you do.

  2. Bruce Stratton: why do you say you are a long time resident of Dayton when you live in Liberty. This is very misleading to the taxpayers of Dayton.

  3. Why do I not hear complaints about school, county, city taxes which are huge. This is a tiny tax, if passed a total of 18-cents per $100 valuation or on a home valued at $100,000, $180 annually. I think for a more modern updated facility with an excellent ER, lab, trauma unit, surgical wing, high tech imaging, and 24/7 air ambulance, it is a small price to pay. Also, in house Clinic as well as the one in Dayton which will operate on weekends and after hours.

    • I still don’t think it’s the amount of the tax Linda, it’s the way they are spending it! It’s paying 6% interest on a bond when the sheriffs office just obtained a CO at 1.3%. It’s the ridiculous idea of financing for 50 years when the building we have is 70 years old and unrepairable. It’s the idea of not knowing what financial institution is being chosen to handle our tax money.


      It’s about making informed decisions that make sense for our community and our families, more importantly our children who will pay this debt most of their lives.

      You want to convince people? Stop just saying it’s a good idea and give us the answers.

      I have said before I think we need a new hospital! I just don’t think this is the way to do it. The hospital district needs to be accountable for the way they plan to spend the tax money, and 6% interest shows very little accountability.

    • I read both, the one he meant to send and the one he didn’t mean to send🤣! I’m still not sure why the interest rate is SO HIGH!! I’m still not sure why we are financing something 50years that has a life expectancy of 70 (according to the hospital district) I’m still unclear on who is financing this. Please feel free to highlight those answers and send it to me if it’s in that article.

      • All your questions and comments are on target. It bothers me why they are working so hard to push 135 million debt on the taxpayers they call friends. What are they gaining from this? Why aren’t they answering your questions?

  4. Linda, this isn’t about other taxes. This is about THIS tax. Focus, please. Dayton residents complain plenty about the taxes we pay that many of us feel are too high. This deflection/denial/redirection tactic of yours will not work. This ‘tiny’ tax would cost my family an additional $600+ each year. We don’t even use the local facilities. We see doctors in Beaumont, Baytown, and Houston. For an emergency ambulance ride, the destination was Kingwood. Most of us in Dayton would probably agree that a facility would be great…we just don’t want the government to run it. When the government can’t handle the responsibility and the money they have, why on Earth would we even consider giving them more?
    Vote NO and NO.

  5. Let’s not forget how much they are gonna charge the patients for the service which will be sky-high like the rest and still recieve taxpayers money.
    Sounds pretty cut and dry … no brainer … VOTE NO!

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