Persistance and Tenacity, requires a new chapter, a new beginning....
Showing posts with label Measure G. Show all posts
Showing posts with label Measure G. 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...

Monday, August 8, 2011

The story behind the KVHD blog picture: Board Blanket Bingo

The Brown Act: When caught on the spot, stand and stare...


Kern Valley Healthcare District Board member, and my mentor (explanation later) Robert Jamison, looks a bit piqued as my camera filmed a Brown Act violation that followed a highly contentious meeting last July regarding the hospital's pitiful attempt to have the community pay for the financial maladies ailing the healthcare district with a property tax hike: Measure G.

During this quickly assembled "special meeting" generally unattended by community members and reporters, it was evident the supporters wanted some privacy to put the measure on the election ballot away from the general board meeting where they would push thru a CEO raise and freeze the salaries of employees, while asking the community for it's money.

After this contentious meeting, I walked out without my camera in the confusion. A woman offered to go retrieve it, and when she returned, she said there are four board members in the room together.

I grabbed my camera and went back to the room, and when I opened the door to the board room, I was blocked by the administrative secretary, "Hidey Sage," with a food cart. (And can you believe I wasn't even offered a sandwich?) So, I took a few pix and went around the other door, as others slipped out, and found board members, Bob Jamison, Victoria Alwin, and Bradley Armstrong lagging behind.

As stood right in front of them, Bob Jamison, knew exactly what I had finally caught on film. Oh, there was a witness who spoke of the "sticky three" meetings, or I should say private meetings, prior to board meetings, where Jamison, and his former team, Barbara Casas, Bradley Armstrong, made their own quorum during the power struggle of 2006 and 2007.

This person spoke directly to the investigator from the county, giving details, but as I have reported and we will speak of again shortly, the Kern County Grand Jury has denied ever receiving a complaint from me and other witnesses back in 2007...when the trail was still fresh.

Had the county followed up with more than a recent glance at the hospital which resulted in the same advice: have the community pay your debt just like they did in Tehachapi...our hospitaless, bond indented neighbors...(Great ideas, why didn't anyone think of a bond, property tax increase? Oh, yeah, they did for the last 20 years. Ask anyone in Tehachapi about the taxes they pay...)

Look for the follow up: "Kern Kounty Korruption"

Tuesday, November 2, 2010

Kern Valley Healthcare District Voter's guide to Measure G: tax hike

I know, I know

Since this blog is loaded with information, more than 400 posts, I wanted to direct the voters to certain issues that may educate you about the story behind the story...

Here are links to posts on the blog. Click on address to go to the story and then simply hit the back button to return and choose another story to read.

Good luck to all of us and thanks to all who vote...Laura Hart

http://kernvalleyhospital.blogspot.com/2010/08/salary-comparisons-and-expenses-kern.html
http://kernvalleyhospital.blogspot.com/2010/09/average-salaries-for-hospital-ceo-and.htmlhttp://kernvalleyhospital.blogspot.com/2010/10/kvhd-campaign-flyer-community-caused.html
http://kernvalleyhospital.blogspot.com/2010/10/kern-valley-sun-newspaper-headlines.html
http://kernvalleyhospital.blogspot.com/2010/09/kern-valley-healthcare-board-of.htmlhttp://kernvalleyhospital.blogspot.com/2010/09/seek-and-ye-shall-find-tax-and-ye-shall.htmlhttp://kernvalleyhospital.blogspot.com/2010/10/what-kvhds-measure-g-will-look-like-on.htmlhttp://kernvalleyhospital.blogspot.com/2010/10/kvhd-oct-board-meeting-public-cant-see.htmlhttp://kernvalleyhospital.blogspot.com/2010/10/seniors-no-cost-of-living-increase.htmlhttp://kernvalleyhospital.blogspot.com/2010/08/hospital-in-trouble-we-thought-they.htmlhttp://kernvalleyhospital.blogspot.com/2010/05/special-meeting-videos-from-caldwell.htmlhttp://kernvalleyhospital.blogspot.com/2010/07/documents-show-kvhd-knew-of-financial.htmlhttp://kernvalleyhospital.blogspot.com/2009/02/request-for-relief-from-cal-mtg.htmlhttp://kernvalleyhospital.blogspot.com/2009/03/interview-cal-mtg-113006.htmlhttp://kernvalleyhospital.blogspot.com/2009/05/chet-beedle-interview.htmlhttp://kernvalleyhospital.blogspot.com/2010/08/group-forming-to-oppose-property-tax.htmlhttp://kernvalleyhospital.blogspot.com/2010/08/kern-valley-healthcare-district.html
http://kernvalleyhospital.blogspot.com/2010/08/they-id-it-caldwell-flores-and-winters.htmlhttp://kernvalleyhospital.blogspot.com/2010/09/kern-county-grand-jury-kvhd-ceo-says.htmlhttp://kernvalleyhospital.blogspot.com/2010/09/kern-county-grand-jury-initial-response.htmlhttp://kernvalleyhospital.blogspot.com/2008/10/candidate-info.html

QAB and Kern Valley Sun: Radio keeps me off the air on Measure G

Political product review of QAB and the Kern Valley Sun Newspaper:

I don't know if I told you the story that I decided at the last moment to write an argument against the Kern Valley Healthcare District as I assumed, and correctly, nobody else would do it.

With no time left to fool around, I hopped in my car, and sped down to the Kern County elections office. I made it ten minutes till five.

When I arrived, I saw KVHD CEO, Tim McGlew, and board chairwoman, Victoria Alwin, sitting on a bench chatting as I came racing through. "Hi guys," I said moving quickly past.

The elections department asked me for my typed statement. I didn't have one. The woman said you have only ten minutes to finish and we have to type it in.

I told her, "no problem I know this by heart."

It was a problem as my handwriting is terrible and unreadable by the average human so we did have a few issues, but I scratched out most of my concerns, and they were able to translate my scribble.

So, I wrote the argument AGAINST measure G, allowing that I feel I have information that reflects a hastily written plan, or plans to make plans which does not need to happen. At the time I was not aware that we have had the opportunity to fight or be nice and negotiate with Cal Mtg. the creditor of our 22 year debt problem or I would have added it.

Then the hospital wrote an argument FOR the measure and I was notified and wrote a rebuttal some of you who read the sample ballots may have seen. This time, okay, I still had no time and quickly scribbled another argument, this time putting some of the burden on the people who could have helped this hospital, even made promises, but are nowhere to be found. (See Jerry Brown story)

A few weeks later the Kern Valley Sun newspaper or actually their website, ran the argument FOR but said they had both arguments.

I didn't complain, I figured they wouldn't play fair, they haven't so far. But when the ballots began arriving in mailboxes across the healthcare district, suddenly at least one of my arguments was posted.

The KVHD board candidates
I recieved several emails regarding the Kern Valley Sun's coverage of the hospital, the election, the bond measure, not printing comments, allowing one candidate to write in while stopping another.


John Blythe, who will get a little extra blog time as he was contacted less than an hour for deadline on his candidate statement and answers to the questions.





When I arranged my candidate forum with questions, I notified all the potential board members and ended up allowing a week for them to ponder their image and ideas.

The reason was that I was asked by another candidate, David Derr, to "be fair" and allow extra time. You know it's not really that difficult to be fair. Why Blythe was slighted in this manner only reflects on the Sun, not the candidate.

First comes the newspaper next comes the radio broadcast

There are laws called election codes which regulate the healthcare districts use of company property or company time. Other types of restrictions include filling out ballots or handing in ballots to the hospital or those employed there. Also, the administrators and board can inform but not suggest to their employees that they themselves vote for it.

The reason I told you the story about the "argument against" I filed with the elections department was a prelude to the radio show last week where KVHD board member, Bob Jamison is employed and known to use the radio for hospital issues...himself.

I contacted all parties and asked as the "argument against" that I join the discussion and answer questions for the opposition, which wasn't who were announcing many things that night.

Disuaded by Marsha Smith, Publisher of the KV Sun, and editor, Cathy Perfect, I went to the station anyway and I told them I would be there.

I arrived with my camera, but the doors were locked and a woman from CARE ambulance, a somewhat imbalance as the radio station and ambulance company are owned by Anthony Bohn and Jamison is a board member/employee.



Since I was in Kernville I spent a little time passing out business cards and talking to people about Measure G. I did hear the program which included threats of closure, reduction of services, and I myself, heard a caller refer to anyone in opposition simply "cheap."






As KVHD CFO, Chet Beedle painted a bleak picture of the loss of the bond, with CEO, Tim Mcglew chiming in. I felt threatened by them myself, they pulled out all the rabbits out of their hats.

But was it truth? No.

Bankruptcy, Beedle answered, is very risky and horrible things could happen like people losing their jobs, the biggest empolyer closing its doors.

According to an attorney in this particular field, complex bankruptcies, describes the possible outcome as this:

the purpose of filing any reorganization case, such as chapter 11 or chapter 9, is to enable the company or district that files to "reorganize", meaning emerge with a more manageable debt structure and a new economic future. While filing a reorganization case is not a guarantee of successfully emerging, filing is not a guarantee of a shut down either. United Airlines and Edwards Cinemas, and Orange County, are examples, among countless examples, of companies and a municipal entity that filed and emerged successfully, showing that it certainly can happen and indeed, happens all the time. A hospital district in the Palm Springs area did the same thing."

Digging for truth

To understand this one must ask for PROOF and that is a must at KVHD with it's administrators and certain board members. Now you have the right and it is necessary.

At the October board meeting Chet Beedle was asked by an audience member about the new, potential, telepsychiatry in the skilled nursing facility. That person asked Beedle if the state program called Medi-cal would reimburse the costs.

Beedle answered, "yes."

According to the Department of Healthcare Services, they do not promote this type of treatment and they will NOT reimburse for the consultation.

That is why I wanted to be there to provide other information or possibly encourage a more open discussion.

Neither the KV Sun or QAB would allow me on the air with the CEO and CFO. The Sun used a picture of McGlew and Beedle on the front page.

But I got a chance to see our CEO's new car

The recent raise, which most likely will be retracted due to a review by the Kern County Grand Jury, to CEO Tim McGlew, has not set well with many people I have spoken with of late.

A strange thing happened on the way to the "Town Hall Meeting"

I arrived late for the candidate forum created and promoted by Susan Barr of the Kern Valley Sun. As I was pulling around back of the senior center, out came the CEO.

We saw each other and I for some reason looked over to see what kind of car he was driving. He saw me do it, and for a big man, he sure can run.

I pulled quickly into a parking space and grabbed for my camera, but he was so agile he was in the car screeching around me and half way to the driveway before I could get my camera pointed and focused.

He was gone.

But then I got another look at the car when I arrived at QAB for the radio show explaining the necessity for Measure G, the general obligation bond.

I really didn't like what I saw...take a look:





I probably didn't have to blur out his license plate as I'm sure he's the only Jaguar driver parked at KVHD. It's a nice car, he does have good taste. A convertible as well.


Glad we could help fulfill your fantasy Mr. McGlew...but it's ridiculous to think the hospital board voted a raise on the very same night they asked the community to raise their property taxes to keep them out of debt or build an ER or whatever this is about. Well, your cat's out of the bag...


Read the Measure G voter's guide a few posts ago...remember tomorrow is election day, Tuesday, Nov. 2, 2010. "God Bless America" (so politically incorrect I know)

Wednesday, October 13, 2010

What KVHD's Measure G will look like on the November ballot

The KVHD ballot measure

Unfortunately, after 234 years of America government, we still do not have the ability to say that our election process is clear of bias and unfairness.

Watching Jerry Brown and Meg Whitman clawing at each other as they fight for the California Governnor's mansion, makes us "have to" change the way we elect officials to office. I am positive we have other options than these two people acting worse than couples in divorce court.

And the unfortunate latitude given to "property tax" driven measures such as the GOB the Kern Valley Healthcare District has put on the November ballot, must be changed to be specifically understood by the average voter.

Much like we "translate" government documents into many languages, Spanish, Vietnamese, etc., to accommodate all, election ballots should be required to translate the legal and couched descriptions so that we are able to understand precisely what we are voting for.

Let's analyze the measure based solely on the verbiage only, no supplemental information, as if you never knew a thing, but came across this as you were "voting" and thinking you were doing your duty as a citizen of neighborhood, state and country.

But if you didn't research, have any sort of background, then you might find this measure difficult to sort out as to make an intelligent vote.

And because you are deciding what you and your community will pay, consideration of others comes into play as well.

Let's look at this ballot language

Proposed Measure G: (Shall the voters determine that ) “To improve healthcare in the Kern Valley, build a new emergency room, meet current seismic standards, purchase mortgaged assets to reduce annual operating costs, and provide modern medical technology, including cardiac, ultrasound and radiology, shall the Kern Valley Healthcare District be authorized to issue up to $22,700,000 in bonds at legal interest rates, with an independent Citizen’s Oversight Committee, annual audits, and provided no funds are used for administrative salaries?”

  1. "Build a new emergency room." (We need an urgent care as it costs more for residents to go to an ER. This has not been addressed. If a voter were to have no information they might think putting a new ER on a 40 year old building which will be out of commission in less time than it will take to pay off Measure G is a good idea.)
  2. "meet seismic standards" (one would have to know that the hospital DOES meet seismic standards and has all the way to 2030 to replace the building. Otherwise it sounds like there is some urgency when, in fact, there is none.)
  3. "Purchase mortgaged assets to reduce annual operating costs" (Most people will quickly read through this and have no idea that it means they are paying a "portion" of the "old debt" from the last attempted construction project in 1986. The average person will not understand that they are NOT paying the whole debt, then are leaving half of the old debt. This may "reduce," but does not eliminate the debt. )
  4. provide modern medical technology including cardiac, ultrasound and radiology. (what savvy voter would know the Hospital Foundation purchased cardiac equipment in 2007, and ultrasound and radiology are both established already. What should be here is chemotherapy and dialysis and even the less radioactive tests such as an MRI instead of the CT scan which is being used constantly at KVHD as they have nothing else because of the "old debt." which won't even be paid off within this bond.)
  5. be authorized to issue up to 22.7 million in bonds at legal interest rates (Can you see property tax increase anywhere in here? Well, that is what this means. And I will be posting next the "estimated" tax rates, not the real ones which nobody will know as it is contingent on the valley staying economically viable. If half the community moved right now at the all time low of assessed property values , and some of these homes were sold, some abandoned, that would immediately change the tax base. WE ARE THE COLLATERAL, get it? There should be a rule, if you vote for this, you can't move away)
  6. Independent Citizen's oversight committee (I have submitted two complaints asking for investigations of fraud, waste, obstruction of public rights, and nothing ever occurred. A committee selected by the board of directors does not convince many that their money is safe.)
  7. no funds are used for administrative salaries (That part was done at the same board meeting the hospital voted to put the bond on the ballot, they also put more money in the pocket of the CEO. Does every voter know that the CEO was already over the top range of salaries for a small rural hospital, but an additional raise added insult to injury?

The hospital and it's consultants wrote the ballot obviously to make it a sweeter sounding deal than to say, we need your money as it was wasted and used unwisely for years by some of us who are still there.

Yes, they could have clarified these things, but the Kern County Counsel allowed it, let it go, even though the average voter could not understand the deeper ramifications that come along with the tax initiative.

I think the election at KVHD is a perfect example of a need for intelligent campaign and election reform. Read the sample ballot which I will get back to, as I am "the argument against" the proposed tax measure.

Tuesday, October 12, 2010

KVHD campaign flier: the community caused our problems

Therefore you owe us a GOB

Kern Valley Healthcare District CEO, Tim McGlew, gave out materials outlining the property tax measure "G" during the Hospital Foundation annual fundraiser, "The Peddler's fair" last week. I have copied the flier in total, and have provided responses to each of the points. My comments are in red.


WE NEED YOUR HELP!

· Our emergency room is overcrowded, has privacy and human dignity issues, does not facilitate proper workflow for optimum patient care and must be seismically updated prior to the year 2030.

(The ER is not an emergency. Most hospital's have curtains and are set up in a similar fashion.)

· After 20 years of paying the principal and interest on the existing revenue bonds, KVHD no longer has the reserves or the projections to continue to pay the remaining $12.7 million in principal.

(What is the true reason they cannot pay? The bonds sold in 1986, also known as the "old debt" only became a factor when the construction project was not finished therefore it could not produce the revenue to pay the debt. From that point on a combination of regulations from the state insurer Cal Mtg., a symbiotic relationship as co-signers for our credit starved hospital, the lack of assistance from our local representatives in trying to obtain help out of a "no win" situation, and the mismanagement in spending, planning, along with higher than normal salaries at the top level of administration.)

FACTS;

· Since its organization in 1964, KVHD has not received an increase in taxes from the property owners in the Kern River " Valley.

(The hospital could have incrementally enjoyed tax increases that were commensurate with the economics of the valley. It is not like the community would come to the hospital and ask, "am I paying you enough taxes?" No, that was their job, so they can only blame themselves. By increasing the support system financially over the last forty years, the hospital may have been able to avert its current, urgent request for help.)

· The patients of KVHD have enjoyed the use of a major renovation in facilities since 1991 without having to support that renovation through taxes.

(I'm quite surprised to find this guilt inducing point, but I guess I will answer it. There are many who did not enjoy the "major renovation" which was mostly the nursing center where the current elder abuse case emanated from. Maybe had the hospital built the whole center, and it was able to surpass minimum staffing standards, they could say that, but I think that is a mistake to blame the community. With a number of civil cases waiting in the wings, I find it hard to even respond to this type of propaganda. Reminder, the elder abuse case resumes in the Kern County Superior court Oct. 15, 2010.)

· The 1991 renovation had to be downsized due to the revised seismic requirements from the Northridge Earthquake, impeding it from generating the projected profits.

(First off, the Northridge earthquake took place in 1994, and it was not the "main" problem which caused the KVHD "major expansion" to become minor. There were problems with contractors, no oversight from OSHPD or the board, and this was before 1991. They were in default in 1988 and tried to get the community to bail them out with the first GOB or sign of weakness. The project was originally 13 million, but in 1989, the hospital worth little more than one million dollars, sold another nine million in bonds and still could not finish. But Cal Mtg. allowed and insured this overpriced and under finished project.)

· The 1991 bonds were replaced in 2003 to take advantage of lower interest rates saving some $2 million in interest.

(The cost of the refinance was considerable and even though the state of California had its worst credit rating, they had to go ahead as bonds can only be called at certain periods of time. They weren't taking advantage of anything, they were forced to have to lower the interest rates on the bondholders so they could survive the major mistakes and this was the only time they could do it.)

· The KVHD emergency room must treat all patients regardless of their ability to pay.

(The hospital CFO, Chet Beedle has told several stories regarding this issue over the past year. First, patients were not being cooperative and filling out "charity care" forms so the hospital could bill for the services. Next, when a couple people at the board meetings complained they were being billed three years back for amounts as low as $8, I asked why the billing was so backlogged. I also commented that the cost to find someone three years ago owing less than ten bucks will only cost more. The final answer to the billing problems, Chet said he was trying to help the community by not billing. Would a prudent person do that? It's all on video, so there's no saying I didn't say that.)

· In the past three years, bad debts at KVHD have increased from $1.9 'million to $3.5 million per year.

(See previous answer regarding billing practices.)

• KVHD has one of the lowest tax bases of health care district hospitals in the State of California.

(Again, blaming the community for not paying enough taxes is only implicating the administrators and board for not doing their jobs. See explanation above.)

· The current annual property tax base of $230,000 for KVHD would not pay one two-week payroll.

(But happily it would pay for a year's salary for the CEO.)

· The mortgage loan Insurance guarantee division of the State of California (Cal-Mortgage) holds a deed of trust on all of the past, present and future assets of KVHD.

(I'm going to hold off on answering this now, as there is something you will all know soon about this sordid relationship...)

· Should KVHD not be able to meet its annual principal and interest payments to the existing revenue bondholders, Cal- Mortgage can perfect their deed of trust and sell or close the KVHD facilities. , Licensing will not allow there to be an emergency room without a hospital.

(KVHD has not met it's obligations and Cal Mtg. allowed them to drain the reserves, change the debt ratio qualifications, and basically has never in the 24 years ever tried to "take" the hospital. I suppose you can guess why...because it's not worth the amount owed. It's in their best interest to keep the hospital open and to collect their premiums than to take a run down building. However, they do have the ability to fire the administrators and replace them with "different" people. That is the concern of the high priced administrators right now.)

· Ambulances cannot stop at urgent care centers, so without an emergency room, all illnesses or injuries of an emergent nature would have to be transported directly to Bakersfield.

(I guess they added this to dissuade those who would like an urgent care available and don't care so much about the rest of the hospital. The flier is correct ambulances would have to transport to Bakersfield if there were no ER. But we have an ER already. What we don't have is an urgent care. We were supposed to have had an urgent care, the hospital was supposed to rent space from Sienna Wellness clinic owned by Dr. Robert Gross DO, hospitalist, board member. It's obviously an issue that continues to be overlooked as the question has been asked repeatedly over the last few years as people would like to avoid the higher costs of going to an ER.)

· The KVHD Board has placed Measure G on the November ballot requesting a general obligation bond measure for $22.7 million to address these issues.

(Money can't address issues, competent and compassionate administrators and board members can though. Don't mistake the bond measure as a "sure fix" as there is very little understanding as to what this will actually do except be an extremely expensive stop gap measure. And considering the need for a second bond measure, we still will be paying for the 1986 mistake, Measure G, and then another bond to complete what?)

YOU CAN HELP BY VOTING YES FOR MEASURE G ON THE NOVEMBER OR ABSENTEE BALLOT!

Final thoughts: There are answers other than a "bail out" from the community who seems to be blamed for the problems at the hospital in this campaign leaflet. No where on this flier does it say anything about the recent raise for the CEO, the past failures and how they could be avoided, or even the DETAILS of how this money is to be used. If they can't create an informative flier with solutions rather than excuses and blame, they how can we in all conscience allow them to govern this healthcare district?

Monday, October 11, 2010

It's tough to miss both the sign and the message: KVHD "Meausure G"

Outdoor blogger...

So many of us are out here in "inner space," on the Internet, discovering and creating with this useful communication tool, but there's nothing like a large sign on the side of a main highway to put out your message.

People are talking about the sign: who put it up? Does this mean people are finally standing their ground? Do you think they will lose?

Having to pass the sign daily, on the way around Lake Isabella, or cruising down Highway 178, keeps the issue in people's minds.

Whether you decide to vote for or against the tax measure, the sign may make you think and consider how important this upcoming election is to everyone. Over burdening the community with taxes could cause a domino effect, leaving other businesses trying to hold down the fort.

But you have yet to hear that there are other options.

Coming soon...

Sunday, August 22, 2010

Youtube update: Hospital in trouble? We thought they were building an ER...Management's risky situation

What is this really all about: bottom line

After reading the comments and emails, I have determined without a doubt that nobody really knows what the Kern Valley Healthcare District's position is financially or what this talk of a bond on the November 2ND ballot is all about.

At the August, 2010, regular meeting of the board of directors, Bob Jamison, read the resolution that the board had written in regards to the loosely fitted piece of election material, now known around town as "Measure G."

He did not clarify any of the legal citations, and I'm not sure why he read it, as it was obvious he skipped a page. Exhibit A.

Exhibit A refers to the "estimates" of property tax increases. I have five videos of different amounts being declared from the meeting one week prior to this last regular meeting. One week from a vote that they didn't know much about.

But we have been told, some of us anyway, that there is no "other" or "contingency" plan. We have been told the causes, were the contractors, the community debt to the hospital, the pharmacy, then the pharmacy being on the "charity cases" side of the lake, and we also heard that new word you never thought you would know, CAL MTG.

Cal Mtg. the insurer of our great big debt, and they had to pay off on some of the debt that Chet said in a meeting could lead to the management being replaced.


This is all because they could lose their jobs?

Could it be that since a couple of board members wouldn't step down during or after the elder abuse disaster allowing others to try and do better, that the administration, CEO, Tim McGlew and CFO, Chet Beedle (shown below at the special meeting prior to the regular Aug. board meeting where they voted in both bond and a CEO salary increase) have some vested interest in staying even if they can't pull the hospital out of the darkness without taxing the community?

I don't know what their motives are but they do have an interest in winning this bond and thereby keeping their jobs, healthcare, and mortgage payments like the rest of the world.

Chet Beedle came from a management company sent in by Cal Mtg., he is himself a management company on wheels. He has a background in management companies he knows that if he can't bail out this hospital, somebody else is going to do it.

He would lose his job. (A vote for Measure G is a vote for Chet Beedle's job)


Cal Mtg. is calling this a "default" no more technical default, as they had to use their money to pay for our shortfall this year.

"Cal Mtg. does have the authority within the bond indentures to replace administration at the hospital, and ask for, effectively, an outside management company." Chet Beedle, special board meeting, July 28, 2010.




(Update: Find these videos with Beedle "new management" and McGlew "the second bond" at our youtube site which will be linking up with the blog soon: http://www.youtube.com/user/OrderBipolarDisorder


And with no other plan, and only a bond, they intend to go to us in the community and tell us all about the new ER.

So, there's your answer.

From an article in the Santa Cruz Sentinel regarding the attempted bail out with a parcel tax, the Modoc Medical Center. This sounds too familiar as you will find these same issues right here on this blog, along with documentation of these practices at the Kern Valley Healthcare District.

"But the facility has been bleeding money for more than 15 years, with annual deficits ranging from $600,000 to $2.8 million in recent years, and the county has gone broke trying to keep the doors open. Monica Derner, interim chief executive officer of the hospital, says the financial trouble stems from mistakes made in the hospital's billing practices and a former administrator's decision to hire costly traveling nurses and doctors instead of retaining local staff."

Chet, remember when we talked about those traveling nurses...the three year old billings and now a salary increase during a bailout?

The term "Bail out" is not being used by KVHD to describe this situation. They are simply calling it a new ER with some new stuff to go along. What's wrong with this picture? You decide.