Davie Hospital 1989DAVIE COUNTY ENTERPRISE RECORD, THURSDAY, Jan. 26,1989-51)
More County Residents Using Davie Hospital
By Dwight Sparks
Davie County Enterprise -Record
A larger percentage of county
residents turned to Davie County
Hospital when they need hospital
care in 1988.
But hospital trustees were told
Monday even bigger gains must be
made to stay financially healthy.
A survey found that 51 percent
of those county residents who re-
quired hospitalization turned to
Davie County Hospital. That is up
six percent, but still short of the
hospital's goal.
Director Chris Dux told trustees
the increase had been measured for
the first half of 1988. He credited
better marketing and promotions.
"We've generated interest in the
hospital. People have come to see
us," he said.
The figures mean that of all
Davie County residents who re-
quire hospitalization, 49 percent go
outside the county.
Dux said the hospital may not be
able to increase its penetration
much more by the methods used
last year. The hospital has been try-
ing to recruit an obstetrician to
revive its baby delivery service.
He said Mocksville township
continues to provide the bulk of its
patients. It continues to lose
residents of the outlying areas to
out -of -county hospitals.
He said 87 percent of the
hospital's patients are Davie Coun-
ty residents.
The trustees took one step Mon-
day to increase the hospital's ser-
vice. They voted to expand the
hours a physician is on duty in the
emergency room.
Physicians now staff the
emergency room 74 hours a week.
The trustees voted to expand the
service to 90 hours but indicated
they hope eventually for around-
the-clock coverage.
Financial officer Rose Benfield
said 60 percent of the hospital's ad-
missions come through the
emergency room.
"If we did have 24-hour
coverage, it could increase even
more," Dux said.
Primarily, the emergency room
has not had a physician on staff
during midweek daytime hours. If
an emergency happens during
those hours, a local physician is
called from his office.
"It has caused some p.r. pro-
blems," said Dux. He said patients
expect a physician to be on hand
when they arrive.
Under the new proposal, a physi,
Hospital Shows $41,000 Profit
An infusion of tax money and
private gifts allowed Davie Coun-
ty Hospital to operate at a profit for
its last fiscal year.
The hospital showed at gain of
$41,525 for the year ending Sept.
30, 1988.
Its operating expenses actually
lost $62,519, auditors told the
hospital trustees Monday.
The hospital covered the losses
with investment income, a $37,500
allotment from the county tax
revenues and gifts from private
foundations. Those totalled
$104,044.
"Quite simply, your expenses
went up more than your
revenues," said auditor Gil
McGeorge, of the firm Peat Mar-
wick Main & Co. of Greensboro.
"I don't think that's a surprise
to anyone here. That's the way it
is with almost every hospital in
North Carolina," he said.
The hospital's gross revenue was
$7,062,046 — up almost a half
million from the prior year. Ex-
penses were up almost $600,000.
The hospital had to deduct
$1,416,710 from its expenses due
to Medicaid contracts. Medicaid
sets limits on how much it will
reimburse the hospital for treat-
ment it provides to Medicaid pa-
tients. The hospital must charge off
costs that exceed the contract
amounts.
Actual operating revenue was
$5,780,523 for the year.
McGeorge said the hospital had
been able to significantly reduce its
uncollectable accounts during the
past year.
Among the hospital's
$5,567,529 operating expenses
were: salaries, $2,983,680; sup-
plies, $654,175; professional fees,
$360,840;, outside services,
372,612; employees' health and
welfare, $605,557; other,
$590,665.
clan will be in the emergency room
full time on both Saturday and Sun-
day. The only hours a physician
will not be on staff is Monday 7
a.m.-6 p.m.; Tuesday, Thursday
and Friday, 6 a.m.-6 p.m., and
Wednesday, 6 a.m.-2 p.m.
Trustee James Clark called the
emergency room one of the
hospital's best strengths.
In other business, the trustees ap-
proved a contract with the Blue
Cross/Blue Shield Personal Care
Plan that will give its members a
one percent discount for service.
Dux said the contract designates
the hospital for all services to PCP
members living in the county as
long as the hospital offers the
necessary care.
Last year, PCP patients
generated $200,000 in revenue for
the hospital. Mrs. Benfield said the
contract should benefit the hospital
even if it generated only one addi-
tional patient.
Also, Dux -said the hospital
should consider establishing a pro-
gram that would attract financial
gifts for the hospital.
"We're not simply talking about
a capital giving campaign like the
YMCA is doing," he said. Poten-
tial donors would be told how they
could include the hospital in their
will and how to receive tax breaks
with their gifts.
Dux said he is exploring ways to
establish the program.
Also, the trustees approved a
voluntary life insurance policy for
employees. They may subscribe
through payroll deductions.
Nursing supervisor Ann Stiller
reported the hospital has two
registered nurse vacancies.
Trustees were told three people
have been added to the staff in re-
cent weeks: Caroldine Winebarger
as a registered nurse, Cora Carter
as a nurse assistant, and Sharon
Holland as a CAP choreworker.
The trustees also voted to in-
crease its compensation for mileage
expense by employees for travel in
their personal cars. They will be
paid 25 cents per mile — up from
17.5 cents.
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DAVIE COUNTY ENTERPRISE RECORD, THURSDAY, Aug.31, 1989-5
Physician Recruitment Top Priority For Hospital
By Karen Jarvis
Davie County Enterprise-ROcOrd
Physician recruitment is still utie
top priority for members of th<
Davie County Hospital Boare d
Trustees. . I
Last month, the board appro
ed a contract with a recruiting fm,
Harris, Kovac and Alderman u
recruit an OB/GYN (obstetri
clan/gynecologist) doctor to the
hospital.
Members of the firm visited the
hospital and the community recent-
ly and will report back on the
feasibility of conducting a suc-
cessful search, said Hospital Ad-
ministrator Chris Dux. JI
Dux said he is concerned about
the excessive workload for one
OB/GYN at the hospital and hopes
to recruit two.
"They (firm) think there's
enough volume here to get two
OB/GYNs," said Dux.
Dux said the hospital is also in
need of an additional surgeon, but
is not sure if there is enough
volume here for two surgeons.
Dr. Francis W. Slate retired last
month leaving Dr. Per Montero as
the only full-time surgeon in the
county.
"I think the county would like
to see two surgeons," said trustee
Bud Hauser.
Dux urged trustee members to
think about Dr. Montero before
making a final decision on hiring
a second surgeon.
"It may adversely impact him,"
said Dux. "He's afraid a second
surgeon will not pull in the market
share from the outside."
Dux said Montero is concerned
about losing some of his patients
to another surgeon if more clientele
is not gathered.
ning stages and information can be
obtained through the hospital."
Public Education Planned
A county -wide education plan
is under way to inform residents
about the hospital's plans for future
growth.
Marketing Director Kathy
Tomlinson said the education pro -
Dr. Bob Foster, family prac-
tioner, disagreed.
'Suppose I said don't bring any
more family practioners in because
it's going to hurt my business,"
said Foster. "Would you listen to
me? No."
�) Board members took no action
at the time.
Walk-A-Thon Planned
/ Residents of Davie County can
participate in a five mile walk-a-
thon on Oct. 7 sponsored by the
hospital.
-It will be a joint effort with the
town of Mocksville help the United
Way.
"It's a fairly major function,"
said Support Services Director Dan
DesNoyers. "It's still in the plan-
ject is to help Davie residents
understand the results of the
hospital's recent survey on future
hospital expansion.
Tomlinson said she wants to
schedule meetings with all clubs
and civic groups to explain the
survey.
She said she is developing a fact
sheet and a brochure with "a very
simple question and answer for-
mat."
"It will contain about 20 of what
I perceive as the most asked ques-,
tions," she said.
Troy Winfrey Re -Elected
Hospital Trustee Chair
Troy Winfrey was re-elected
chairman of the Davie County
Hospital Board of Trustees Mon-
day night.
Also re-elected were Mike Hin-
shaw as vice chairman and James
Clark as treasurer. All three were
re-elected by unanimous votes.
Bud Hauser was elected by
another unanimous vote to replace
Hudson Hoyle Jr. as secretary.
Hoyle is rotating off the nine -
member board after serving two,
three-year terms.
According to the hospital's
bylaws, a trustee can only serve six
consecutive years, after which he
or she must go off the board for at
least three years before being eligi-
ble for reappointment.
Hoyle was presented a framed
certificate of appreciation Monday
night for his service as a trustee.
Hospital . Administrator Chris
Dux said Hoyle had been a loyal
supporter of Davie County
Hospital. "His leadership and in-
fluence will be missed by the
hospital and the trustees," he said.
The Davie County Board of
Commissioners will appoint a
replacement for Hoyle. Trustees
have recommended George Jordan
for the position, Dux said.
Recommended for reappoint-
ment are James Clark and Frank
Markland, both of whom are com-
pleting their first, three-year term.
Commissioners postponed a
decision on the appointments at
their meeting last week.
DAVIE COUNTY ENTERPRISE RECORD, THURSDAY, Sept. 28, 1989-7
Gina Burton with 1 -day-old daughter, Ashlee Elizabeth, Saturday at Davis Hospital.
— Photo by Robin Fergusson
Hugo Baby
Storm
Forces Mom
To
Have
Child
In
Davie;
First
In
Years
By Mike Barnhardt
Davie County Enterprise -Record
Ashlee Elizabeth Burton is the first Davie
County native in years.
Thanks to Hurricane Hugo.
The 6 lb. 81h oz. baby girl was born in Davie
County Hospital just before 8 a.m. Friday, right
when Hurricane Hugo was letting loose with a
fury of wind and rain on Davie County.
Her parents, Gina and David Burton of
Mocksville, are proud their new daughter is a
Davie County native. But they wouldn't want the
experience repeated.
Drs. Joel Edwards and Per Montero Pearson
delivered the baby. Dr. Edwards had just quit
delivering babies when the Burtons first child,
Alisha, now 4, was born at the hospital.
"I told him I wanted another Davie County
baby and I want you to deliver it," the mother
said Saturday afternoon from Davis Hospital in
Statesville. "But I don't want to do it that way
again."
Babies have not been delivered at Davie County
Hospital since 1986.
Burton said she knew she was closer to hav-
ing a baby than what her doctors had predicted.
"According to the doctors, I had 3'h weeks
left. I tried to tell them different. I didn't even
have a bag packed," she said.
"All we needed was a catcher's mitt," said her
aunt, Martha Proctor, a neighbor who was Bur-
ton's Lamaze coach for the first baby.
Burton said she woke just before 6 a.m. with
back pains. "I thought, `I think I'm going to have
the baby'." She called her mother.
Proctor stepped in, calling the emergency 911
telephone number. EMS director Johnny Frye
said it was too dangerous to transport anyone to
Statesville during the storm's fury — especially
since the storm's eye was passing to the west.
Labor pains were 1 I minutes apart at home.
When she reached the Davie hospital emergen-
cy room, they were two minutes apart. The
emergency room doctor said, " `You've got a
while'," Proctor said.
"It's not her first. We knew what was going
to happen."
It was about 7 a.m. then.
Proctor and Burton both said they were pleas-
ed with the service at the local hospital.
"You wouldn't believe the excitement in that
hospital," Proctor said. "People were lined up
to see that baby."
Burton said: "They all worked together, not
to be trained in OB."
Even the 4 -year-old, Alisha, helped. When the
baby was born, the hospital staff realized they
didn't have a diaper.
"She came down the hall with a diaper and rat-
tle," Proctor said. "Nobody knows why." The
little sister had brought them from home.
Proctor said Davie residents need to work to
make the hospital viable.
"We have a healthy, wonderful child who was
born in Davie County," she said. "Without a
facility, we will never have another Davie County
baby. We can't let our hospital become a nurs-
ing home. We need a facility."
Hospital staff members on duty Friday morn-
ing will remember Ashlee Elizabeth Burton. Even
members of the ambulance service will
remember. They transported the mother to Davie
hospital that morning, and transferred mother and
baby to Statesville after the storm passed.
But they won't necessarily remember Ashlee
Elizabeth. "The guys in the ambulance said she
would always be Hugo," Proctor said.
DAVIE COUNTY ENTERPRISE RECORD, THURSDAY, Oct. 5., 1989—
g D
Inside Front
Au ust Banner Month For Davie Hospital
22 industries now. We jus[ had we need to take care of our elder -
By Kathy D. Chaffin
Davie County Enterprise -Record
August was a banner month for
Davie County Hospital.
Chief Financial Officer Rose
Benfield told hospital trustees at
their Sept. 25 meeting that the
hospital showed a $20,000 profit
in August.
"In 1987, we showed a profit of
$40,000, and in 1988, we showed
a profit of $70,000," Benfield said,
"so to have a month like August,
where we showed a profit of
$20,000 just for the month alone,
it's a good month for the hospital."
An average monthly profit, she
said, would be considerably lower.
Benfield said three factors con-
tributed to the large profit.
"First, we are using two new
collection agents who we turn our
bad debt accounts over to," she
said. The bad debts collected by
these two agents in August
amounted to about $10,000.
The other two factors were high
revenues generated by the
hospital's Community Alternatives pays for some of the services, we
Program (CAP) and its occupa- do take private -pay patients, also," more work that was requested in ly at home."
–,,,,, h-41, .,.., _ ,, e,, ,h Qhp QAid the last couple of months." Though the hospital's fiscal year
had their highest months ever,"
Benfield said. "They just have in-
creased their services."
Janice McDaniel, the ad-
ministrative officer in charge of
both programs, explained their in-
crease in profits.
CAP, which provides in-home
services for disabled adults, has
received a lot of referrals recent-
ly. Though Medicaid and Medicare
McDaniel said CAP's patient
census has grown from 52 earlier
in the year to 74 at present. "Every
day, we're taking care of about 74
patients in their homes," she said.
The occupational health pro-
gram, which provides nursing ser-
vices to industries on a fee-for-
service basis, has also grown.
"Most of our industries do not
have their own nurses," McDaniel
said. "We're working with about
Nurses with the occupational
health program provide such ser-
vices as pre-employment physicals
and urine drug tests.
McDaniel said both the CAP and
health occupations program are ex-
amples of the hospital's efforts to
expand into areas other than acute
health care.
"That's the only way a hospital
can survive this day and time," she
said. "We need our industries, and
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DAVIE COUNTY ENTERPRISE RECORD, THURSDAY, Nov. 30, 1989-5
Consultant To Present Fi ndings On Davie Hospital -
By Kathy D. Chaffin put is needed from both boards. Williams $7,000 to do the study. $32,000. "Basically, what that would be," hospital is a county hospital, Dux
Davie County Enterprise -Record "We all know that we're all in this This was considerably lower than Trustees included in their motion Dux said, "would be to prepare for said any bonds would be issued
together," he said. the bids submitted by the "Big to hire Williams a provision to pay the selling of bonds." through the N.C. Medical Care
A private health care consultant
contracted to study the financial
viability of renovating Davie
County Hospital at its present site
or building a new facility on Far-
mington Road is ready to announce
his findings.
Doyle Williams will present the
results of his study at a joint
meeting of the hospital trustees and
county commissioners.
Hospital Administrator Chris
Dux said the meeting, scheduled
for 10 a.m. Monday, will be held
in executive session because possi-
ble contracts and land acquisition
will be up for discussion. The N.C. '
Open Meetings Law allows public
boards to discuss these matters in
closed session.
Dux said the study results will
be presented again at a, public
meeting a few days later.
A major expansion/renovation or
a new facility are the two options
being considered by hospital of-
ficials. Williams was hired to study
how either of those options would
be financed and what impact either
would have on the ability to recruit
additional physicians to the medical
staff and subsequently, increase the
hospital's market share.
In addition to talking with
hospital employees and trustees and
county officials and residents,
Williams talked with represen-
tatives of six other hospitals which
faced the same decision.
Among them were Hoots
Hospital in Yadkinville and the
Lake Norman Regional Medical
Center in Mooresville, both of
which opted to renovate and ex-
pand existing facilities, and Davis
Hospital in Statesville and the
McDowell County Hospital in
Marion, which built new facilities.
Dux said he wanted the report
presented to trustees and commis -
Hospital trustees voted at their Eight" accounting firms, Dux said him up to $10,000 to conduct a se- It's unlikely that a second phase Commission or the N.C. Local
September meeting to pay then, the lowest of which was coed phase of the study if needed. will be necessary. Because the Government Commission.
Hospital Delays
Option Decision
By Kathy D. Chaffin
Davie County Enterprise -Record
Davie County Hospital
trustees have postponed until
Jan. 8 voting on whether to,
renovate the existing facility in
Mocksville or to build a new
one on I-40.
"I don't see how we can do
what we need to do, split," said
Jerry Anderson at Monday
night's trustee meeting. "I don't
know anything to do about it.
"But before you bring
something up for a vote, we
need to have an understanding
of the minds. Let's don't stake
ourselves out until we're
ready."
Bud Hauser said he wasn't
ready to vote anyway, adding
that he wanted time to study the
report on a financial feasibility
study conducted by private
health care consultant' Doyle
Williams. Copies of the 36 -page
report, which conclude that
building a new facility would be
more financially viable, were
distributed to trustees at the
meeting.
"There's no way that I'd
make a motion, not knowing the
whole facts," Hauser said.
Anderson's comments were
made later in the three-hour.
meeting after Chairman Troy
Winfrey asked trustees for some
direction.
James Clark said he would
like to see a decision made
soon. "We're going to have to
face the music at some point,"
he said.
Hauser suggested calling a
special meeting in one or two
weeks.
Betsy Cochrane agreed with
Clark that a decision needs to
made, adding that maybe a vote
could be taken at the board's
weekend retreat scheduled for
Jan. 19-21.
"From an operational stand-
point, the sooner we can resolve
the issue, the better," said Dan
Desnoyers, director of
Please See Hospital — P. 9
Hospital Decision
Delayed .To Jan. 8
Continued From P. 1
support services for the hospital.
"We already have a small medical
staff and we can't afford to lose
anybody else."
What about meeting on Monday,
Jan. 8, or the following Monday
_(the 15th)? Winfrey asked.
This would give trustees time to
,study Williams' report, Clark said.
In the meantime, "Is there some
stone we need to look under that
,we haven't looked under?" Ander-
son said.
Hauser responded: "We've got
about $130,000 worth of stones
that we've done looked under.`
'That is the cost of the studies on
the options available to trustees.
Williams was paid $7,000 for the
most recent study.
Rose Benfield, chief financial of-
ficer for the hospital, also en-
couraged trustees to made a deci-
sion in the near future.
Four years ago, Benfield said the
hospital experienced a $400,000
loss. Since then, she said the
hospital has cut its losses due to a
major commitment to turn things
around.
"We've given wonderful raises
to our people, but there's no more
money left to do that," she said.
"There's just no money left at all.
.This year, 1 feel like will be a
downhill year for us,
"Nobody knows the finances of
the hospital like I do, and I'm tell-
ing you the truth," she said. "The
money's not going to be there in
the future if we don't make some
kind of decision."
Cochrane made a motion that the
board meet again on the 8th to vote
on the matter. Clark seconded the
motion, which passed without
opposition.
Clark asked Dux if trustees could
get a draft of the various options
prior to the meeting.
Winfrey said: "We need to go
one way or the other, either throw
up our hands or decide on it."
Williams, who was at the
meeting to answer questions about
his report, said he would be hap-
py to meet again with trustees. In
the meantime, he suggested again
that they visit hospitals which have
faced the same decision.
Until the Davie trustees make a
decision, Dux said they won't be
able to justify that choice to the
general public.
"The board is going to have to
make a decision and untie our
hands and get on with giving them
reasons," he said. "Everybody
that's got an emotional, gut reac-
tion as.to what should be done is
out there talking."
Move To Interstate Helped McDowell Hospital
First in a series
By Kathy D. Chaffin
Davie County Enterprise -Record
For McDowell Hospital in Marion, building
a new facility closer to the interstate proved to
be a positive move.
"Since we moved into the new facility, we've
been able to improve the financial position of the
hospital considerably," said Administrator Les
Donahue. "It's allowed us to recruit physicians
and expand services. It's allowed us to gain com-
munity confidence."
Though Donahue was not one of the hospital
administrators interviewed by health care con-
sultant Doyle Williams in his financial feasibili-
ty study for Davie County Hospital, Williams
encouraged Davie commissioners and hospital
Continued From P. 111
Building a new hospital on the
interstate closer to Davie County's
population base was also the
recommendation made by a
Charlotte consulting firm hired by
trustees in January.
Marion General Hospital
relocated from its facility in
downtown Marion to the new
facility near I-40 in December of
1983' The name of the hospital was
then changed to McDowell
Hospital.
Donahue said a feasibility study
by a Greenville, S.C., management
consultant firm determined that if
McDowell County was going to
have adequate and comprehensive
health care in the future, the old
facility would have to be replaced.
"The facility was outdated, in
bad need of modernization and ad-
ditional space," he said. "Also, it
was landlocked. There just was not
adequate parking, and there was
nowhere really in that area to ex-
pand. "
When the feasibility study was
completed, Donahue said
McDowell County commissioners
stepped in and donated 50 acres
outside of Marion for a new facili-
ty. "There was a major community
fund-raising project that raised
over a million dollars from in-
dustries and the community and the
Duke Endowment," he said.
The major portion of the con-
struction, however, was financed
through a bond issue.
Though he was not hired as ad-
ministrator until afterward,
Donahue said he is certain hospital
officials considered renovating the
old facility. "But we were
landlocked," he said. "It was
decided that that was not the best
option."
In some ways, McDowell
Hospital was in better shape in its
old facility than Davie County
Hospital is now.
Its market share of the county
residents was 54 percent compared
with Davie's 35.2 percent.
McDowell's market share increas-
ed to 65 percent with the new
facility.
"We're the only hospital in the
county," Donahue said, "and
we're located geographically right
in the center of the county. Marion
is the largest population center in
the county, so we're located pro-
perly."
McDowell also had a larger ac-
tive medical staff going mto its
building program. The medical
staff was 17 then and has since in-
creased to 24.
Davie County Hospital's active
medical staff, however, is down to
seven. Recruitment efforts have
thus far been unsuccessful.
While the new facility made
recruitment of additional physi-
trustees to visit McDowell Hospital in deciding
what to do here.
The new facility is more comparable to Davie
County Hospital in size than the hospitals includ-
ed in the study. McDowell is licensed for 65
beds, while Davie is licensed for 81, though a
master facility plan gives trustees the option of
cutting back to 60 with a new facility.
Williams recommended at a joint meeting.. of
cians easier, Donahue said it was
not the most important factor.
"It is more difficult to recruit
physicians to smaller communities,
but it can be done if you have a
commitment from the medical
staff," he said. "That's the most
important factor. If you have a
medical staff that either covertly or
overtly is not in support of expan-
ding the medical staff, it's going
to be very, very difficult to do.
"It's my opinion that any com-
munity that needs physicians that
does not have physicians can blame .
that on their medical staff. It's the
medical staffs responsibility to be
committed enough to the hospital
and the health care of the com-
munity to ensure that there's a pro-
per mix of physicians and a pro-
per mix of specialists."
With a new facility, Donahue
said McDowell Hospital was able
to increase the number of
specialists on the medical staff
along with its technical capabilities.
"That all equates to improved
care," he said. "As for the nurs-
ing care, I think we've always,
even in the old hospital, provided
a very personal and warm nursing
care, so that's part of it. We've just
been able to build on the good
reputation that we had."
As in Davie, Donahue said there
was some resistance to, plans to
build a new hospital in McDowell
Davie commissioners and hospital trustees two
weeks ago that they build a new facility on either
U.S. 601 or Farmington Road at Interstate 40.
A 36 -page report on Williams' study, for
which he was paid $7,000, says most Carolina
hospitals with more than 50 percent occupancy
are located near major thoroughfares.
County. "There was some
resistance on the medical staff,
there was some resistance in the
community," he said, "but the
overwhelming feeling was one of
support."
Community support is crucial to
the success of a new facility,
Donahue said.
"It may be that it's not possible
if you're going to have county
commissioners that are going to
throw up a roadblock at every junc-
ture or if you have a medical staff
that won't allow new physicians to
come in and be successful," he
said. "If you have all these political
roadblocks along the way, I would
say it probably wouldn't work.
"It's got to be a selfless kind of
endeavor, and it absolutely is not
without risk."
Donahue said he would be hap-
py for Davie hospital trustees and
commissioners to visit McDowell
Hospital in considering whether to
renovate their present facility or
build a new one. "We'd love to
have them," he said.
Chris Dux, Davie County
Hospital administrator, said earlier
that he expects trustees to discuss
the options at their next meeting on
Monday night. The meeting, open
to the public, is scheduled for 6:30
p.m. in the hospital conference
room.
Next week: A hospital that
renovated.
Please See Interstate — P. 8.