Kiowa Hospital Board holds final meeting of 2020

• Vaccinated 41, awaiting another round of vaccines

 

January 6, 2021



The Covid-19 pandemic consumed our lives in 2020. Before the new year rang in and as champagne corks popped, vaccines to combat the virus had already started being administered, thanks to President Trump's warp speed project for drug companies to create a vaccine against this contagious disease.

At the Dec. 29 meeting of the KDH Board of Directors, CEO/CFO Janell Goodno announced that KDH had received enough vaccinations to give 41 shots, which they did. KDH is awaiting another round of vaccines. Clinic Manager Lacey Volker said the KDH clinic is taking names of people who want the vaccine. At this point, they are not sure when the next shipment of vaccinations will arrive.

Covid funds will be used to purchase a vaccine storage freezer. The board approved the purchase of $5,607, which includes shipping.

All members were present as board president Pat Myers called the meeting to order, including Jeff Miller, Jim Parker and Chantae Simpson. Goodno sat at the board table and Operations/IT Director/Manor Administrator Phillip Anton was also present. Other hospital personnel attending were Business Office Manager Tara Girty and Hospital DON Robyn Whitaker; and Volker. Friends of the KDH Hospital and Manor Foundation President Judy Schrock also attended.

Building Addition, Equipment Purchases, Budgets and more at KDH

Goodno reported that the new therapy and wellness addition under construction on the south end of the hospital is “right on schedule.” She said workers should be painting this week and physical therapists Lana Smith and Brooke Molz have input on the paint colors in their offices, etc.

The agenda listed purchase of a cleaning device for the Covid room. The board approved this capital equipment purchase, which will be paid for with Covid funds. The cleaning device is a UVB robot for $89,350 from L.B. Davis.

Discussing the 2021 Internal Operating Budget, Goodno mentioned several items. Some of those were that the manor revenue is based on a patient census of 25 in order for them to balance the manor budget and be in the black, and that KDH's Medicaid rate is going up Jan. 1. Goodno said that is in part due to what Brandy McKitricik is doing that is helping the manor's per diem daily payment rate with Medicaid.

“She's doing a great job,” Goodno said. She added that the manor “looks so nice” with new living room furniture and more. The residents and staff comment on the improvements.

The CFO said they always allocate $60,000 tax money annually for the manor. With other adjustments, Goodno said the revenue projection is an increase for the manor of $107,000.

On the hospital side, the projection is going from $5.1 to $5.4 million and due to growth in the Rural Health Clinic, growth in behavioral health and physical therapy and some of their outpatient services. The 340B drug program has some cuts projected for next year so she reduced that figure some.

Goodno said she is trying to reduce the large Medicare swings in receivable and payable status. “We're just trying to get those rates in line,” she said. She has to adjust to receive less tax revenue from the county. The CFO said she is planning on some transfers from the foundation, considered a capital contribution. So for the hospital, Goodno said, she projects a $56,000 increase in revenue. The estimated profit for the hospital and manor in 2021 is $251,997.

The CEO said she has saved nearly $100,000 in education and travel this past year with all the remote trainings and meetings, etc.

The 2021-23 Capital Equipment Budget was also on the agenda. Many items were mentioned for consideration: a kitchen remodel at the manor; a new stove at the manor is a top priority with a price tag of around $11,000; a new whirlpool at the manor; a new refrigerator at the manor; more new resident's beds at the manor; a high/low table for PT; a blanket warmer; etc.

Both budgets mentioned above were board approved. Goodno said budgeting has been “challenging” this year.

The professional and general liability insurance for 2021 rates increased for the manor and hospital. There is an approximately $10,000 increase over last year. The board approved it.

Medical staff appointments were approved for Dr. Paul Wilhelm and Theresa Sutton, CRNA. Other monthly reports were approved: Medical Staff Minutes, IT Risk Report, QAPI (for the hospital and manor) and 2020 Cyber Security Risk Assessment.

A fire marshal report found three minor deficiencies with battery back-up, power cords, and fire drills not done in the midst of Covid. A plan of corrections was accepted.

Giving a manor report, Anton said, “It's been a rough 10 days.” The day of the meeting he said they had two residents in the hospital with Covid. Two staff members tested positive that day. He said manor staff and residents have had “lots of sickness other than Covid.” The board thanked Anton for his work.

Following an almost hour long executive session at the end of the meeting, the board approved the Risk Management monthly report for the manor.

KDH and Manor Financials and Statistics

Giving the financial and statistical information for the hospital in November, Goodno said it was a “very slow October, November skilled days were down and December started picking up a little bit.”

In November the hospital had 18 admissions. Total days of care (acute and swingbed) were 54. Of those days, 31 were acute. Outpatient visits totaled 564. There were 73 therapy visits, 51 X-rays, 46 ER visits and 332 lab visits. Clinic visits totaled 398.

After a recent interim cost report (regarding Medicare), Goodno said KDH made a large contractual adjustment of $191,866. KDH is now looking at an estimated $300,000 receivable from Medicare and will know more when she gets December's book closed.

Due to that large contractual adjustment, total revenue was down at the hospital. Total operating revenue was $244,501. Total operating expenses were $556,190. This made a loss from operations of $311,688. The addition of $78,375 of district tax revenue and other miscellaneous income curbed the November loss to $176,087.

At the end of November, year-to-date the hospital was still in the black $4,472,720. Goodno always quickly points out that is primarily due to Covid stimulus money.

The manor's November financials show total operating revenue was $126,794. They had a resident census of 21. Total operating expenses were $153,811. This made a loss of $27,017. Goodno complimented Anton on having no agency nursing expense in November. With the addition $5177 mainly tax money and $1102 Covid stimulus money, the manor's loss was curbed to $20,738. Year-to-Date, the manor's overall loss was $59,721 at the end of November.

The comparative balance sheets of both the hospital and manor show an overall profit of $4,412,999 at the end of November – once again due mainly to Covid stimulus money.

Girty reported that net accounts receivable at the end of November totaled $694,578. The average day in accounts receivable is 46.

The board approved all the financial reports, including the bad debt report.

The next meeting of the hospital board is Jan. 26.

 

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