Persistance and Tenacity, requires a new chapter, a new beginning....
Showing posts with label Caldwell Flores Winters. Show all posts
Showing posts with label Caldwell Flores Winters. Show all posts

Friday, August 26, 2011

Why the Lake Isabella Community lacks vital information on local hospital: KVHD

Special meeting on KVHD strategic planning...What does the local media plan to say? Another product review from the Kern River Valley....


Local reporter, for the Kern Valley Sun Newspaper, Sue Barr, showed up last year at a "special" Kern Valley Healthcare District board meeting during the heat of August leading up to the hospital's caper to obtain a tax payer bail out on their debt with a GOB called "Measure G."

Today, the district is threatening to unveil it's strategic plan at another special meeting in August, coincidentally, as the board selected a company to do another in a series of reports that are meant to offer new and improved ideas to the hospital which has been in default on its lingering debt.


Due to the fact that nobody from the Sun ever shows up for these special meetings, last year I knew instantly that Barr was attending to report on the board vote for the tax measure and it had to be expected to pass to bring her there.

My best guess is that Barr likely knew the agenda behind the agenda, that the board was huddling together to put a tax hike on the ballot.

Barr, spent much time around the water cooler as information such as knowledge of the real costs, the potential negative impact, were being batted around by the board, and it's bond sales company, Caldwell, Flores and Winters.


Where did the story go?

None of the information ended up in the newspaper as many key elements needed to make a decision by voters were left out of the weekly tabloid.

Though the information included such issues as potential loss of administrative jobs as Beedle spoke of debt insurer Cal Mtg. who was waiting in the wings for a 20 million dollar GOB promised by the hospital, again, none of this was published anywhere else but on this blog.

Nobody except the small audience and participants knew the board and administration tried to get the bond quietly on the ballot in private but due to inflammation of the joint powers, (KVHD and Cal Mtg.) it failed at this meeting too and they had to drag their bond in front of the concerned community at a "regular board meeting."

But I bet you didn't know that.

How do you get your information?

When I wrote for the Kern Valley Sun many years ago, I realized the importance of having local oversight in the form of a "news"paper. There is another newspaper in town, the "Kern River Courier" but they have had little to do with the hospital in terms of news, but they did accept complimentary materials and advertising.

In truth, the Courier did not want to take letters to the editor for a period of time if they were about the hospital. It's too bad, but recently they published a nice piece on the hospital accomplishments. Due to the lack of understanding that these are basically paid PR pieces that show up occasionally, again you get no real workable information.

People used to care...

I observed the participation, and criticism, of local readers and it made it seem promising that the community cared about it's newspaper and the information it put out.

That is no longer the case.

Likely the Sun will show up for this strategic "event" today, as they covered a bit of it already, but what they never talked about and never showed up for, was the meeting with attorney, David Weinstein.

Shunning the free advice

Here we had in our corner for three hours an attorney who was willing to explain to an uninformed public about the various options the hospital has as it is up against the wall financially.

There was no reporter from the Sun, the moon or the stars at this presentation, only a few gathered in the audience know what was said during that meeting. And of course, there's the audio tape I listened to with perked ears.

One particular moment captured was the question of whether this attorney and his firm, would be a match for the "big guys" at Cal Mtg.

Well, Cal Mtg. has an array of defenses and probably a list of justifications hanging on the fridge in the lunch room, but what they don't want is visibility. They are a company which is off the radar for the average community member, and they are also something of a used car dealership in they sell to anyone, but under what terms?

There's a very timely loan situation which took place in between the vote to bring in David Weinstein for an informational gathering, and the sudden seven million coming from yet another deal with Cal Mtg. Weinstein's visit was put off several times, while the loan papers were in the oven, and once that was accomplished Weinstein finally made the trip to the valley.

At this point the information or analysis of hospital financial standing, was different as this loan went through prior to his arrival.

What would he have said had the hospital told him, we don't know what to do with our current situation and we would like to get out from under Cal Mtg.'s program? You see the board and administrators are working for Cal mtg. and the interests of that agency and the conflict of interest with this valley, the keeper of the debt.

It's our debt when it's said and done. When we vote in board members for the hospital we, the voter, resident, expect they will be working for us, just as any political position, senate, congress, etc.

And when the elected board doesn't follow thru on their promises, or are found to be inept, this is when the news becomes so important as people need some cold, hard information. .

Since our media are paid directly by KVHD in terms of advertising, it will be no surprise to see a story pop up on the strategic planning meeting which took place this afternoon. As long as it is positive...


Scott Costa, shown above covering a recent meeting, also known on this blog as "Smooth News" is your other option for news and information on the only radio station covering this community.

Costa came on the information wagon with sparse supplies of hospital history, but did owe the community some research into the hospital, but there was some conflict there as board member, Bob Jamison, shown above in front of Sue Barr, is the engineer for the radio station.

Most of his reports I caught, anyway, were always modestly inaccurate as well as missing most of the major issues the community would need to understand to allow them to decide whether or not to use the healthcare services provided by KVHD...or even to pay more property taxes.

Sadly, during the election results, Smooth News reported that the bond measure passed due to his lack of knowledge regarding the 2/3 vote needed for general obligation bonds.

For several weeks people thought the bond had won. They even wrote me to say how sad it was that the hospital won the bond. I told them that there was an errant report on the radio causing the confusion.

That in and of itself tells the tale of how important it is to have a good source of information such as now that we face some serious issues at the hospital, it's failing rural health clinic, the lawsuits, the quizzical new loan with Cal Mtg. as well as even potential collapse.

Where was the last article?

Noticeably missing from the last meeting at KVHD in the beginning of August, was a story about how board members were served involving the lawsuit being brought about by former employee, Surgeon, Dr. Kent Skoegerson.

According to an audience member, there was a request to hear the nature of the lawsuits, and acquire paperwork associated with it.

Follow the crumbs to the truth about what is happening with this surgeon and his former employer, because you won't find it in the KV Sun or broadcast on the radio.

Two thumbs down

Yes, the Sun can attack private citizens with their police reports and ultra zoom pictures of defendants right smack on the front of the paper, but they won't be doing that to their advertisers. This is what I have observed in terms of my regular media review.

If you hear about this special meeting in the paper or on the radio, you will likely hear what the hospital wants us to hear...like I said, advertising dollars are opinions of their own...

Friday, August 6, 2010

initial information on selling or leasing KVHD: too much liability?

Why are these organizations offering to buy Sierra Kings Hospital and not KVHD?

I've only been able to get a few answers today regarding a possibility of leasing or buying the Kern Valley Hospital District, and there's good news and bad news.

First off, I found out that there is no reason we as a community could not convert from government to private healthcare.

In many cases, I've been told, that is a remedy which could work both for the community and the employees who "usually make more money" under the helm of a hospital which is privately funded.

Good things such as administration changes can turn around a lowly hospital and bring it back to life.

Because of the contract with Cal Mtg. the insurer of the 1986 "revenue bonds" it may not be possible unless they agree with the modifications as well as paying off the debt.

But the bad new is that because of the legal troubles currently facing the Kern Valley Healthcare District, and it's lack of collateral (except for the community's money) it may not be able to find a buyer or someone to lease and lead the hospital away from it's history of financial problems.

There are also maybe issues with the reimbursement structure, the medi-cal program, and "other things to consider."

I've been given some homework to look up certain statutes which directly apply to our ability to even consider this transition.

But it was also mentioned that the "new healthcare reform" may be holding up many deals on wheels regarding hospitals.

Now, for another possibility is to keep it government owned and utilize a 501 C3 contractor who would lease the facility and continue to be able to utilize types of government programs.

The major concern regarding this problem of finding a solution to fit the community and to keep our hospital not only open, but safe and properly staffed, is the spector of lawsuits and continuing hardship in the valley. Our demographics and loss of employment will not entice a buyer, unless it's a garage sale priced deal.

We heard at the board meeting August 4th from a disembodied attorney's voice over the phone, that indeed, these GOB monies could be garnished for lawsuits and I'm going to confirm that fact as well.

So, friends and neighbors, there may be no solid answer at this late date to solve the problems with the hospital only more risks.

There is no guarantee that this bond with only a partial payment on the debt burden, a two million dollar loan with interest, loss of reimbursement from Medicare to the tune of 1.6 million said, CFO Chet Beedle, payments on the loans and the ten year issuance of these bonds, a construction project overseen by OSHPD that must be completed in a certain time frame, could be just like the last time in 1986 when they issued the same amount of bonds, 22 million. (Kind of makes you wonder about this thing)

Oh, and don't forget the people who did our community survery, Caldwell, Flores and Winters are not just getting the payment of $15,000, for the apparently irritating and repetitious phone calls, they will take a percentage of the bond monies they sell too.

So, many will have their hands in the pot of gold provided by the community. There will be lots of promises between now and November, but there will be lot's of other things as well.

Does anyone ever take responsibility? Will this board tell you they were wrong if they did something wrong so as to correct the situation before it develops into a disease?

Will they be here 30 years from now?

The answer comes to light as 22 year board member, Brad Armstrong dodged the show the other night at the meeting, not stepping up to fulfill what one audience member reminded, "the fudiciary responsibility" of our representatives.
Will the board be willing to put our money where their mouths are?
No. So far, it's all been fingers pointing at one another.
I'm sure as Armstrong didn't have any answers from his experience with putting us in debt, he had no idea how to get out of it and his presence wasn't necessary.

Whatever happens next is a gamble. And the odds are not in our favor.

Tuesday, June 29, 2010

updated: Caldwell Flores Winters: advice on writing the ballot Part 3 "special Meeting"

Caldwell Flores and Winters, a bond consultant company, out of Oakland California, who was instrumental in the 2006 Kern Valley Healthcare district general obligation bond, Measure M. Though the bond missed by less than 100 votes, and the early surveys showed that it would be close, the plan the hospital, under former CEO, Pam Ott, had was not workable.

Here's the CFW link: http://cfwinc.com/

Ott eventually admitted to serious problems with the architectural plans and the hospital would not have been able to complete it's project.

But had it passed, and even though they couldn't do the project, the community would still have had to pay for the bond: you vote for it and you pay for it.

If you vote for a GOB for the hospital this year, don't forget you pay for it. You're paying money and I will go quickly into the elections aspect of the bond in another post.

The monies derived from a GOB are supposed to be protected, but like she did here in the valley telling us one thing and doing another, Ott, moved up to Sierra Kings District Hospital and was able to use the bond monies for things like payroll and other sundry items the bond was not voted in to be used for.

(I'll be following up with Ott in Fresno county to see if the DA will charge her for misuse of the public funds. How will the Fresno DA handle Ott's indescretion, better than they did here in Kern I hope.)

Sierra Kings went into bankruptcy shortly after Ott was charged with elder abuse, last September. She was then relieved of her position as CEO.

Here's the advice from CFW

Since the hospital wants to use the GOB to pay off a project that took place more than 20 years ago, and failed to be built to the plans. Half a skilled nursing facility is better than nothing? No, I"m afraid not.

Now, CFW, says they have surveyed this community and amazingly the community wants to pay more property taxes to the tune of more than 67% of the people contacted.

AMAZING! In 2006, with community members swarming around the hospital, meetings and volunteers, CFW's survey showed that less than 60% agreed to pay for a GOB.

The advice to the board at the time was to take their time to plan and gather volunteers prior to deciding whether or not to put Measure M on the ballot.

New advice at special meeting 5/17/10

I tried to get you the video last night, but things didn't quite go the way I wanted.

So, as I said, the representative from CFW had new advice for the board and administration, not to have to explain the debt history to the community, but rather say it's paying off a "lease."

I contacted KVHD CEO, Tim McGlew, to ask whether he felt it was fair to put in couched language to avoid the truth. Is it par for the course. Haven't heard back, yet.


(As we know the ballot that has been written, does not contain the word taxes, debt relief or bail out. It is unfair and it shall be fought, the ballot itself.)

I also sent off a letter to Caldwell asking about the survey they did up here, and how I could get in touch with the "objective" company who did the survery.

The reason: several people contacted me asking why it sounded like old women doing the survey, like the Pink Ladies, one person suggested.

Again, I get no response which makes me wonder what are they covering?

The CFW rep explained to the KVHD board members people understand buying is better than leasing. And then an audience member asked him straightforwardly if he was lying. Is the term "lease accurate?"

No. But it sounds better than admitting to failure and asking the community for a bailout because nobody is able and willing to say the terrible word, "bankruptcy."

And that aside, a bargain, a reorganization, anything else. We will take up Parcel Tax, as it excludes seniors from seeing the raise in funds and only lasts a few years, and may only produce a couple million dollars, but a creative management team can always find a way.

Temporary technical problems

Blogger is being problematic about the videos, so we will attempt to get these videos onto Youtube. And continue to get some more videos on the blog.

YouTube "orderbipolardisorder" Look for Leaselying 1 and 2. More to follow...if the upload gods will allow it.

And if you can't find us that way, just plug in "Ask Bob Jamison," and that seems to be easily found...

The week before the board meeting has just begun. Next up interview with elections department on how to write the verbiage for a GOB. A look at the answers other rural hospitals are finding to stay strong during the economic crisis...But a more serious matter is at hand, I'll get to that the day of the board meeting....June 3, at 5:30 PM in the cafeteria.

Monday, June 14, 2010

Special Meeting: video's from Caldwell Flores and Winters: advice on presenting GOB

It seems google is having a problem uploading videos right onto the site, so I used YouTube last night and managed to get two important videos up.
The quotes are part of the "special meeting" series, and hopefully many of you can watch the video's themselves which give you insight into what is happening at the hospital.
http://www.youtube.com/user/OrderBipolarDisorder

Press control button and click on link to open or copy and paste to the address bar.

I'll sell you that $15,000 study for half price: undercutting Caldwell, Flores and Winters

At our mid May special meeting at the Kern Valley Healthcare District, we got to meet up again with, Abel, the bond consultant from Caldwell Flores and Winters.

Though I had spoken to our CEO, Tim McGlew, about the use of CFW for Tim and Chet's "big plan" to get the community to bail out the hospital and pay off an old debt to their revenue bondholders, then at a meeting he had told me they were going to consider using another company.

But that didn't happen and then McGlew makes an about face at the special meeting and told me and my camera about a contract, a contract with CFW. Last I knew we had no "obligations."

Then Abel after cluing the board in on how to write the bond on the voting ballot, the password there is it's a lease, and people know leases are bad, and buying things are good, has asked the board for $15,000 to do another survey like they did when they were here in 2006 (and on I guess)

I have the survey which has already been paid for and the things the community told the hospital it wanted: guess what? They never got. I'll sell it back to the hospital for oh, maybe, $7,500. That's half of what CFW wants to do it over again.

So, this is how we spend money and this is partially why we are in default.




Now, I wondered, how did Abel get back to KVHD after the bond, Measure M, (malfeasance) didn't quite pass in 2006. And as some of you who volunteered in the community and who have now abandoned the hospital might remember that there was much confusion regarding the help the bond company gave us.
So, to see them stroll right back in had me curious.
Abel, CFW
Well, it seems this can be traced back to Bob Jamison and his construction committee. Well, it wasn't a "real" committee I'm told, they didn't take minutes, maybe ad hoc like, or a lot of contract recruiting. Jamison wants the bond, he's quiet now, but he wants the bond and the taxes and to keep CFW. His committee kept those good contractual relations with CFW as Jamison believed he was going to have to charge in and rebuild the hospital with his bond he could likely sell on the radio. Another board member surprisingly suggested such a thing.
Jamison's concerns were about the seismic laws requiring hospitals to upgrade. He couldn't think ahead far enough to realize that the government was never going to be able to enforce this onto all the hospital's in earthquake zones as there wouldn't even be enough contractors to do them all in the same year.
And OSHPD made that happen when they figured it out too.
So, Jamison might want to take some time before the 2012 election to study up on how specialized and technical hospital construction really can be. It's not something to take lightly.
And next time we use contractors, we might want to make sure they get insured, and the jobs are completed.
As Abel spelled out the plan for keeping the community from knowing "exactly" what the bond monies would go for none of the board members objected. Not Tim or Chet or anybody, except one audience member. And she said straight and sharp: "we don't like to be lied to."
When Abel and Chet assuaged a room full of KVHD skeptics saying that the GOB money could strictly only be used for things within the parameters of which is written and voted in by the community.
I alerted the unknowing, how did Pam Ott get her hands in the basket of bond money at Sierra Kings in Reedley. The chairwoman, Victoria Alwin, asked for more information on how often that happens (does she mean how often do they catch it?) and was told by Abel he's never seen it happen.
I reiterated that Ott found a way. One board member wasn't so convinced, as he asked if she was convicted. I said it just happened last week. But I suggested that he talk to his new management company coming in this week to take a good look at what Chet Beedle has been doing, HFS, as they were the ones who had to go to bankrupt Ott's hospital and now they're here.
I excitedly told everyone I can't wait to see what they find here.
Ott kept all of that information from her board of directors at Sierra Kings District Hospital, as the ship was sinking. She took bond money it seems to pay some payroll and got in some other hot water not paying a pension plan overseen by the IRS.
I'll make sure to find out if criminal charges are forthcoming. But it doesn't matter she sunk a hospital, kept a board in the dark, and that's all after she did what she did here. And she had no credentials. Wow. (I think she has credentials now though, you have to if you can totally bust two hospitals in less than a decade)
Abel gave me the biggest laugh of the meeting when he assured me that the board of directors would be overseeing the monies on the bond. And the community too. I'm still laughing.
But the lying is deeper and deeper, and deception runs from the KRV to Sacramento...Hang in there, I'll tell the story, but I can't quite do it yet...

Sunday, June 6, 2010

GOB's of money in GOB business. I think we will be seeing our friends at Caldwell Flores soon: Special meeting Tuesday 4 pm

I'm so excited to announce that there will be a special meeting of the Kern Valley Healthcare District Board of Directors Tues. March 30, at 4 pm.

The reason I'm so excited about this particular meeting is that they are admitting to having a meeting, that always helps my mood.

Second, they are going to follow up on the secret meeting from earlier in the month where only two board members were allowed. Yes, it was okay to leave the other three out, along with the then CCO, Cynthia Burciaga, who even asked to be part of the meeting but was turned down according to an email I received.

So, I'm glad they are being clandestine because truth is; I don't like the truth around here anymore.

Just because it was like a serial meeting against the "Brown Act" is meaningless, that is done here openly and with no regard for anyone, and nobody really cares or even understands the meaning of following the law.

But having a secret meeting earlier in the month simply tells me and now you, is we are about to have a political split on the board about the general obligation bond. These small plotters are coming out of the closet to tell us all about their meeting, which I'm sure will include how darn legal it was.

I'm sure you are all expecting that I will object to the bond. In fact I won't, that would give it merit as a possibly good idea, which it isn't.

Political split

Oh, what to do? The money just went away, it flew?

Great idea let's make the community pay for the bond and fix the hospital. I think they are going to love the idea, I'll call them and ask them.

In fact, I could help, I have the whole Caldwell Flores kit from 2006, and I'll make the same phone calls, drive people to the polls, make impassioned fictional speeches to get people to agree with me; why I can't wait.

Meetings: Finance commit me, Wed. March 31, 9 am, in your bank account.
Change of schedule for regular board meeting: Tuesday, April 6, at 6 pm. in your wallet.

I'll go to the special meeting with those very special people and see if we have a special plan in mind to suck the money out of the community to pay for something that would have paid for itself had we had any fiscal responsibility or a CFO with a calculator.

The general obligation bond, GOB, is number one on the menu for this special meeting, but then there's a closed session with a lawsuit and personnel issue.

(I'll try to follow up, but if they tell any truth, I'm leaving. I can't handle the truth...)