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Kaldenberg steps down after 17 years on board - Albia Newspapers: News

Kaldenberg steps down after 17 years on board

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Posted: Friday, September 8, 2017 10:04 am

The Monroe County Hospital and Clinics board bid farewell to Lana Kaldenberg last week. Kaldenberg, who is moving from the Albia community, served as a hospital board trustee for 17 years. The board appointed Ann Stocker to fill out her term.

Hospital CFO Larry Brown went over the final month of the fiscal year financials with the board. In June total cash increased $466,800 and total notes payable decreased by $662,056. Total cash on hand has declined from $1.42 million to $830,839 due to several poor revenue months Brown said.

However, gross revenue for the final month of the year was $2.65 million, which ended revenue 8.4 percent ahead of last year. Net revenue was up 1.9 percent.

On the expense side, total expenses were $1.9 million, bringing total expenses for the year up to $20.4 million, a 7.3 percent increase over the prior year.

The hospital’s profit before audit was $301,153, which is $825,000 behind last year.

Brown said that virtually all of the hospital’s losses were on the inpatient side, which is a trend throughout the state in hospital’s the size of Monroe County’s. Acute patient days dropped from 1,244 last year to 939 this year, a decline of 24.5 percent. Skilled patient days went from 748 to 512, a decline of 31.6 percent.

Outpatient business is driving the hospital as it has for the past several years. Ambulance runs ended the year down slightly, 1,071 compared to 1,105 last year. Laboratory was up, 153,804 this year compared to 153,417 last. Physical therapy had a nice increase of 14.4 percent, from 9,593 last year to 10,976 this year.

Medical clinic visits were down 4.2 percent, from 18,649 to 17,662, but operating room procedures were up 5.1 percent from 663 a year ago to 697 at the end of this year.

Total outpatient visits were down slightly (1.2 percent) from 46,572 to 46,035.

Brown also presented the first month of 2017-18 and it followed closely FY2017. Physical therapy was up 1.8 percent, occupational therapy was up 20.2 percent and O.R. procedures were up 12.5 percent. Radiology was down 20.4 percent (637 to 507 in July of 2017) and medical clinic visits were down 4.2 percent, 1,395 last July to 1,336 this July.

Gross revenue for July was almost identical to a year ago, both at $2.368 million, while net revenue was down 6.6 percent. Total labor costs droped 3.1 percent in July, other expenses were up 9.2 percent and total operating expenses were at $1.575 million compared to $1.557 million, an increase of 1.1 percent.

Business was brisk in both O.R. and outpatient clinic visits. Total surgeries were at 45 compared to 40 a year ago in July with Dr. Sokol doing 32 procedures compared to 26 last year. Total outpatient visits jumped from 252 last July to 314 this July, with Iowa Heart, orthopedic, oncology, dematology and neurology all showing significant increases.

In looking at strategic plan goals, most were either met or exceeded for the year. There was a slight uptick in patient falls, but a dramatic decrease in readmissions and adverse drug events.

The board approved the credentialing of sleep studies physician James Meyer, D.O., quick care nurse practioner Darcy Weilbrenner and Radiologist Partners, Steven Klepac, Gregory Henkle, Arlene Richardson, Syam Reddy and Shana Landau, all MDs.

Hospital CEO Veronica Fuhs briefly discussed ongoing interviews with prospective doctors. She said the number of interviews and quality of interviews was encouraging.

© 2017 Albia Newspapers. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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