Checking on Our Success Is Now Urgent
As the Chief Financial Officer for Community Hospital in McCook, I tell people that I have three major worries.
The first concern is demographics. As we model out our population changes in Red Willow County between the 202 census and where we expect to be for the 2030 census, we know that if we continue on our historical trends that we would end this decade with a decrease of about 520 people or about five percent fewer residents.
This drop is compounded by two other factors: an aging community, resulting in 15 percent fewer working-age population members (20-64 year olds) or about 875 fewer people; and a 24 percent increase of the Medicare-aged population in the country or about 515 more people in that category.
From the healthcare perspective, this creates both financial challenges and operational challenges. On the fiscal side, Medicare payments do not cover the full cost of providing care compared to traditional insurance. For day-to-day operations, we will have a smaller workforce to draw upon to take care of more elderly community members.
So Community Hospital made it part of its mission to make the community a better place to live, work and play as we need a vibrant community in order to attract the workforce needed to provide the care our community needs.
We have thrown our support behind the community amenity improvement projects, including McCook’s new outdoor aquatic center and the city’s ball fields, the McCook YMCA renovation and expansion campaign, the inclusive playground at Kelley Park and many more projects.
We have invested in housing, from participating in the McCook Economic Development Corp.’s North Point project to downtown student housing, which serves two purposes: engaging the medical young professionals more fully into McCook’s activities and businesses as well as freeing up some housing currently used by the hospital to house these students.
These are not just frivolous projects that are nice to have. All of these projects and more are needed if we want to maintain a level of economic sustainability over the next decade and for the next generations. Families need them. Young people need them. All ages need them. And this movement in our community cannot be pushed down the road any longer.
On March 13, the U.S. Census Bureau released their 2024 population estimates by county. Unfortunately, as we near the half way point of the decade, we are not moving in the right direction.
The internal forecast we prepared for long-range planning at the hospital showed that the population of Red Willow County would have decreased by 230 people by 2024 to a total of 10,495. The census data, which counts between the regular census every decade, relies on birth and death certificates, as well as other federal data basis such as Social Security, IRS and postal records. Currently, the estimate is for Red Willow County is at 10,409, nearly 100 fewer people than we had projected.
And we are not alone in this fight for people.
Hitchcock County to our west is down 155 people to 2,460, while Furnas County to our east is down 170 people to 4,468. This results in our three-county area losing a total population of 618 over the past four years.
The improvements we have been making have not yet had time to leave their mark. The new city pool is open with the remodeled YMCA, ballparks and playgrounds scheduled for completion over the next few years so we will see their impact down the road.
But I am optimistic that these amenities and projects will have a meaningful impact on our ability to attract and retain people over time, both for the hospital and for the community. We will continue to watch the official counts for signs of progress, working to stop the out-migration and hopefully see a shift to an increase in population. Ultimately, it will take everyone’s effort and input - from local businesses to individuals - to make the community grow and thrive and to say that we have found success.
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Sean Wolfe is the CFO for Community Hospital and the treasurer for McCook Community Foundation Fund, along with numerous other volunteer roles in the community and has a passion for making his hometown an even better place to call home.
