DAYTON – Directors of the Columbia County Health System are wrestling with a tough decision: What will the community need from its hospital in the next five to 10 years?

"With legislative changes to Medicare and Medicaid reimbursements and the rapid technology changes going on, this is hard to figure out," CCHS Chief Operations Officer Shane McGuire said. "There is so much going on in healthcare right now, I feel bad for the board coming in once a month and trying to keep up with everything going on so they can make decisions."

One year ago this spring, faced with the loss of depreciatio...