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Two Rivers Health Clinic needs volunteers
Two Rivers Health Clinic

 RINCON —  Two Rivers Health Clinic needs help to help more people. The facility, which has offered free care to qualified patients since 2015, wants to treat more patients.

“In order to see more patients, we’ve got to have physicians,” said Jacoby Jones, the clinic’s program coordinator. “That can be MDs, nurse practitioners or physician assistants. That’s our biggest (need).”

Two Rivers Health Clinic, located at 1214 N. Columbia Ave. in Dr. Jack Heneisen’s office, currently has two volunteer physicians. Its medical team is comprised completely of volunteers.

“Only one of (the doctors) is at every clinic (session) and that’s where the problem lies,” Jones said. “We’ve got to have more physicians or ‘extenders,’ and by ‘extenders’ I mean nurse practioners or physician assistants.”

The clinic operates every second and fourth Thursday of the month, starting at 5:30 p.m.

“The closing time depends on patient volume,” Jones said. “Closing time is usually around 8:30 p.m. but it depends on patient volume. Sometimes we are out by six or seven o’clock.”

Two Rivers Health Clinic closed in March because of the COVID-19 pandemic. It reopened in June but wasn’t accepting new patients.

“The need for more physicians is going come once the word gets out that we are now accepting new patients,” Jones said.

Jones said the clinic serves 40 qualified patients between the ages of 18 and 64.

“They have to be an Effingham County resident and there are certain financial requirements,” he said. “Qualification is determined by a scale of how much money you bring in (every month).”

Jones said Two Rivers Health Clinic volunteers will gladly help interested parties learn if they qualify for free treatment. They can be reached at 912-527-4884.

“Our intake person would let (prospective patients) know what paperwork they need to bring in and let them know if they are qualified to be seen or not,” he said.

The clinic has a case management intern.

“We are looking at expanding a little bit to do some case management to help set up patients with other resources,” Jones said. “Here again, it goes beyond health sometimes. There can be other determinants of life that are causing them to be sick.”

The clinic hopes to kick off a series of programs next year to combat obesity, diabetes, hypertension and other health problems.

“We’re moving in an upward direction,” Jones said. “We are finally stable but we are seeing a lot of our same patients. ... Our patients love the clinic.”

Effingham Library Board Votes to Leave Live Oak System
Effingham County Library Board
Effingham County Library board members (from left): Becky Long, Sherry Duff, Veronica Edenfield, April Nelson, Joanna Cartrette and Katie Fuller. (Paul Kasko / Effingham Herald)

SPRINGFIELD, Ga. — The Effingham County Library Board voted unanimously Wednesday to end its more than 80-year relationship with Live Oak Public Libraries and transition to the Statesboro Regional Public Libraries system. 

The transition must be completed by June 30, 2026.

What changes for patrons?

Library patrons should see no immediate changes to their services.

“Services will stay the same while we are working through the transition,” said Joanna Cartrette, library board vice chair.

Cartrette emphasized that the board has no issues with Live Oak staff and focused on the financial and operational aspects of the system before making its decision.

“There is no ill will toward LOPL or anyone who works in the current library system,” she said. “All of these are wonderful people. The last thing we want is any ill will.”

After the vote, Betsy McCullar, director of communications for Live Oak, said, “We are looking for an orderly and expedient transition.”

Why the board made the decision

The vote followed two weeks of due diligence after the Nov. 6 public hearing. Cartrette said board members reviewed financial data, compared budgets, and consulted with state and regional library officials.

Trustees focused on four priorities:

  • the county’s financial interests
  • patron services
  • governance
  • the future of library employees

Maintaining jobs for all current library staff was essential, Cartrette said. Employees will keep their positions and retain access to the Teachers Retirement System under the Statesboro system.

What options were considered

Board members evaluated three scenarios before voting: remain with Live Oak, join Statesboro, or create an independent county-run system. The board unanimously rejected the independent option.

“The independent option would have been more challenging and expensive,” Cartrette said.

Collection concerns: What Effingham keeps — and what it must replace

One of the biggest questions raised Wednesday involved what happens to Effingham’s library materials if the county leaves Live Oak.

Live Oak officials say roughly 90% of the county’s physical collection belongs to the regional system and would not remain in Effingham. Live Oak’s legal counsel, Wade Herring, confirmed during the Nov. 6 meeting that the county would retain about 10%.

Live Oak Operations Director Doug Bailey estimated the entire system’s physical materials were worth $1.09 million as of June 30, with Effingham’s share representing 9.48%. Replacing that portion could cost about $900,000, he said.

County officials dispute that estimate. County Manager Tim Callanan said the Live Oak agreement outlines a formal process for determining value, and the Board of Regents or the State Library can resolve disputes. Some audience members expressed concern that determining the collection’s value could result in a costly legal battle, but Cartrette said the valuation and acquisition “will not be a roadblock.”

Statewide resources — including PINES, Georgia’s lending network, and GALILEO, the virtual library system — will remain under the Statesboro system. However, additional databases purchased by Live Oak will not transfer, including Hoopla, a digital service offering movies, music, e-books, comics, and audiobooks.

Cartrette said the county has funds to rebuild the collection and could repurchase select materials from Live Oak. Board member April Nelson emphasized surveying patrons to determine which resources are most used. She noted that Hoopla costs about $50,000 annually and should be maintained only if usage supports the expense.

Financial impact

Callanan told the board the county would save about $338,000 per year — based on 2025 figures — by switching systems. Effingham currently pays about $1.03 million annually to remain in the Live Oak system.

Officials have cited Live Oak’s higher administrative costs as a strain on the county budget. The projected savings could be reinvested in library facilities, collections, and staffing.

Governance changes

Governance also played a key role in the decision. Effingham currently holds two seats on the Live Oak regional board, compared with eight from Chatham County and two from Liberty County — a structure some officials have criticized as imbalanced.

Joining the Statesboro system would give Effingham two representatives, matching other member counties — Bulloch, Bryan, Candler, Emanuel, and Evans — and creating what supporters say is more equitable representation.

Potential pushback

After the meeting, Ivy Gibbins and other supporters of Live Oak said they were researching a possible petition campaign to challenge the County Commissioners’ Oct. 7 resolution that recommended the library board end the Live Oak relationship.