KDH considers opening daycare, to open new addition March 29
March 3, 2021
March has arrived and that means the Kiowa District Hospital (KDH) new Therapy and Wellness addition is almost finished. CEO Janell Goodno told the board at the February 23 meeting that the addition is to be finished before the end of March. In fact, she said they plan to move in to the new addition on March 26 and open on March 29.
The board approved a resolution authorizing sale of revenue bonds for the $900,000 USDA loans. KDH can save another quarter of a percent on interest if they can close the loan before the end of March.
All members of the board attended the meeting including: President Pat Myers, Jeff Miller, Jim Parker and Chantae Simpson. CEO/CFO Janell Goodno sat at the board table. Other KDH personnel attending were: Business Office Manager Tara Girty, Hospital DON Robyn Whitaker, Clinic Manager Lacey Volker, and Foundation President Judy Schrock.
CEO Says Waiting List Warrants More Daycare
Goodno told the board she is excited that South Barber USD #255 is putting in a daycare in the new storm shelter/multi-purpose room. "I'm working with the school and Dr. Miller (superintendent), but we still have an extensive waiting list."
A survey shows the need just for hospital employees' children that there are 25 to 30 children in need of daycare. USD #255s daycare is limited to about 12 children, based on a formula of ages. The KDH daycare would be considered home-based and could take 18-20 kids. Goodno said since KDH is a Critical Access Hospital (CAH), they could put the daycare on the cost report as an employee benefit. That means they can get an 80 percent reimbursement on their daycare investment. Goodno said they would discuss the subject further in executive session.
KDH Financials and Statistics for Hospital and Manors
"It was a good month," Goodno said of January 2021 at the hospital. There were 22 admissions and 114 total days of care of which 47 days were acute and 67 days were swingbed. Outpatient visits totaled 650. Topping those were: Lab visits, 355; X-ray, 71; Physical Therapy, 62; Treatment Room, 55. Total clinic visits were 410.
For the hospital, total contractual adjustments were $17,387 with the 340B (drug discount program) revenue increased at $36,398. Added to total gross patient revenue of $499,077, the hospital's total operating revenue was $552,862. Expenses totaled $632,760. This made a loss from operations of $79,898. Tax revenue of $60,272 was added.
Additionally, The Friends of the Hospital and Manor Foundation made their transfer of $526,138 to the hospital for the new PT and Wellness Addition. So, the total of non-operating revenue was $588,417. This made a gain of $508,519 for the hospital in January.
The manor had a challenging month due to Covid. Agency pay was "a huge issue," doubled, due to staff shortage, Goodno explained. The manor's patient census was 20 for January. Their total operating revenue was $116,927. Total expenses were $269,147. This made a loss of $152,220. Adding in $5,000 tax revenue, miscellaneous income and $26,918 of Covid stimulus money, the manor's loss was $117,941 for January.
"February should look a little better," Goodno said.
The comparative balance sheets for both the hospital and manor as of January 31 showed the following: total cash in all funds – $3,652,014; due from Medicare – $85,261; uncollected taxes – $273,078; total assets – $13,389,201.
The balance sheets show current year earnings of $390,578. Business manager Tara Girty said that net accounts receivable is $655,279. The average days in AR is 53.
The board approved the financials and statistics and also the bad debt to turn over to collections.
Covid Vaccinations and More KDH Business
Clinic Manager Volker updated the board on the Covid vaccinations they had administered up to the day of the meeting: Pfizer, 45 times 2, completed; Moderna 367, still to administer some of the second doses. Not included in those numbers are vaccines administered to residents and employees at the manor, about 22. All residents have been vaccinated or have the antibodies after recovering from having Covid.
Volker said Kiowa Prescriptions Plus administered shots last Tuesday through Saturday to Barber County residents age 65 and older.
Goodno said Barber County is in the green now, meaning a reduction in Covid cases. She said they may be able to slowly reduce some of the Covid protocols.
In the hospital administrator report, Goodno said the audit was finished last month. She complimented newly hired Shannon Canaday, comptroller saying, "I couldn't be happier with her." Canaday works directly with Goodno.
The CEO said KDH hired a facilities director, Brad Applegart. He will report to Manor Administrator and IT Director Phillip Anton and train with the maintenance team.
In Anton's absence from the meeting, Goodno reported on the manor. "I have big news about Phillip." She told that he passed his Long Term Care (LTC) national exam. He had a temporary license but now has his permanent National LTC license.
Another negative pressure room is finished Goodno reported. A negative pressure room keeps all that air confined to just that room. It can also be referred to as a Covid or isolation room. The rooms eliminate any cross-contamination of air throughout the building, she explained.
In other business, the board approved medical staff minutes, the QAOI reports for the hospital and manor; and the IT Risk report. Following executive session, the board approved one financial assistance case.
The next meeting of the KDH Board of Directors is Tuesday, March 23.