Alva Review-Courier -

The Kiowa District Hospital is a tax-supported entity that relies on local and county taxes and also reimbursement through Medicare. As a small rural hospital, KDH has status as a Critical Access Hospital. Those reimbursement rates vary based on a healthcare facility's volume of business in a complicated formula. Critical Access Hospitals see a larger reimbursement rate per patient service to offset less volume than a larger urban facility.

At the late October regular monthly meeting of the KDH board of directors CFO Janell Goodno had arranged a phone call with their auditor BKD. The BKD repre...