Alva Review-Courier -

KDH moving forward with new therapy addition

• Manor receives good survey from the state


The Kiowa District Hospital Board of Directors met for their regular monthly meeting Feb. 25. Board President Pat Myers called the meeting to order. Board members present were Miranda Allen (via telephone), Chantae Simpson, Jeff Miller and Jim Parker, along with Janell Goodno, CEO/CFO; Dr. Paul Wilhelm; Tara Girty, business office manager; Krisgina Fossoh, manor DON; Philip Anton, operations/IT director; Brandy McKitrick, quality manager; Heidi Courson, RHC manager; Robyn Whitaker, hospital DON; Judy Schrock, foundation president; and members of the public.

Myers confirmed that all members and Goodno attended their board retreat held at the hospital the previous week. He said the gathering was not an official meeting and no action was taken.

Goodno said KDH had a visit from the USDA regarding the loan for the new therapy addition. Goodno said KDH is in the queue for approval. The architect and engineer are finalizing the plan. Goodno said the interest rate is dropping a quarter of a percent (0.25) in April so they will push ahead working around that timing. The hope is to break ground in June. She said all the plans are coming together nicely and thanked Foundation President Judy Schrock for all she and the foundation do with financial assistance for the district.

The floors at both the manor and hospital need to be stripped and waxed. The board received two bids and went with the lowest bid of $9281.60 from Good to be Clean of El Dorado for the job. When approving the bid, the board specified the total cannot exceed the above-mentioned amount.

Goodno said they've found someone who will replace longtime facilities manager Rory Reed who is retiring. She hired Glenn Roberts of Alva who was formerly HVAC and electrical manger at the University of Houston.

The CEO complimented the manor staff for having a very good annual survey from the state.

Hospital and Manor Statistics and Financials

Presenting the hospital and manor financials and statistics, Goodno said admissions at the hospital were the highest in January that they've been in a few years. There were 25 total admissions. Of those there were 82 days of acute and swingbed (43).

Outpatient visits totaled 607. Of those noticeable numbers were therapies, 121; X-ray, 50; ER visits, 45. Clinic visits were 407.

Despite having a high volume month with patients, the hospital still showed a loss for January due to contractual adjustments; many insurance payments, service contracts, etc., that are due at the first of the year. Goodno reminded toward the end of 2019 had reduced KDH's Medicare reimbursement rate. The CFO said the auditors should have the hospital's cost report available by the end of March.

The hospital's net patient revenue was $291,692. With the addition of the 340B drug program revenue totaling $11,580, total operating revenue was $303,272. The higher than usual expenses were $599,058. This made a loss from operations of $295,786.

The addition of total non-operating revenue in the amount of $81,042 (mainly tax revenue) reduced the loss to $214,744.

For January the manor had 23 residents. The day of this board meeting the patient census was 22. Goodno said the manor's budget is based on 25 residents so that makes a constant financial struggle.

The manor was short-handed so had to use lots of the more expensive agency nursing care. With total operating revenue of $134,833 for January, the manor had expenses of $202,237. The $67,404 loss was curbed to $61,095 with the addition of $6,309 mainly tax revenue.

Manor DON Fossoh said she is on-call 24-7 and needs to hire CMAs, RN/LPNs, ADON. This has caused high levels of more expensive agency nursing. Fossoh said she's hopeful the nursing issue will level out mid-March.

Fossoh said proudly that the manor's annual survey from the state had only four minor deficiencies and a plan of correction is already submitted to the state.

In her report for the manor, Fossoh mentioned these other items: furniture for the lobby was ordered last week; there was a fire marshall waiver on power strips until June 2020; a need for a portable walk-in freezer possible kitchen addition.

More KDH Business

The 2020 Jeans & Gems foundation fundraiser is set for Sept. 26 at the Community Building. Steaks and dueling pianos – save the date.

The next board meeting will be Tuesday, March 24, at 7 p.m. at the KDH lobby.

Medical staff appointments approved were: Carrie Bloedel, CRNA; Jennifer Westerman, APRN; and Naveen Penmasta, MD (Docs Who Care/Family Medicine).

Following an executive session, the board approved RM/QA reports for both the hospital and manor.


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