Category Archives: Health Care

Mental Health Center to Move Into the Former Mercy Building

401 Woodland Hills Blvd. May 2023.

Southeast Kansas Mental Health Center in Fort Scott has recently signed an agreement with Legacy  Health LLC for the center to move into the former Mercy Hospital Building at 401 Woodland Hills.

The building was recently vacated by Community Health Center of Southeast Kansas who moved to another Fort Scott building.

The former Mercy Clinic Suites C and D, at 401 Woodland Hills, will be renovated by the Southeast Kansas Mental Health Clinic and move in will be thereafter.

“We don’t have an official date for the move as we need to secure a contractor for some renovations but are hoping this summer,” said Holly Jerome, SEKMHC’s director of marketing and human resources said. “Once a move date has been set, we will be notifying clients and the community.”

“We are certainly not new to Fort Scott,” said Jerome. “We were established in 1961! But due to our growth after becoming a Certified Community Behavioral Healthcare Clinic ( in 2022) we are outgrowing our current building which is located at 212 State Street.”

Southeast Kansas Mental Health Center, Fort Scott.

“We will continue offering our current and expanded services,” Jerome said. “This new space will allow us to continue adding to our team!”

“SEKMHC is one of the first five community mental health centers to earn certification,” CEO Nathan Fawson said in a press release https://fortscott.biz/news/legacy-health-partners-with-southeast-kansas-mental-health-to-expand-services. “The CCBHC model of care concentrates on the overall health of a client, not just their mental health. We have expanded our care to integrate holistic care approaches, connect people with care coordination, and increase accessibility to services throughout our sixcounty catchment area. Looking into the future, we are striving to provide each client with a much more individualized experience by assisting clients in recoveryoriented ways in their homes, in our communities, or via telehealth whenever possible. We know that recovery is possible when you treat the person, not just their mental health challenge.”

According to its website https://www.sekmhc.org/ the services  they provide to the community are:

  • Substance use and addictions counseling
  • Clinical therapy and counseling
  • Community support and groups
  • Crisis intervention
  • Psychiatric and medication management
    They have locations in:
  • Allen County
  • Anderson County
  • Bourbon County
  • Linn County
  • Neosho County
  • Woodson County

Last year they served over 4,000 clients, according to its website. The staff provide school based therapy and case management in 12 school districts. They have 15 team members in the crisis department and 10 in the psychiatry department.

Southeast Kansas Mental Health Center is in transition to become a Certified Community Behavioral Health Clinic (CCBHC), according to its website. A CCBHC provides comprehensive behavioral health services, while also focusing on physical health and whole person wellness.

What the transition means is, the following is added:

  • Patient navigation services
  • Comprehensive behavioral health screening at intake
  • Primary health screening including gathering health metrics (height, weight, and blood pressure)
  • Primary health resources and referral

What won’t change is:

  • Access to counseling and therapy
  • Access to crisis services
  • Access to medical services and psychiatry
  • Community-based services for adults and children
  • Services and programs previously provided, unless otherwise noted

Upcoming Community Self-Care Event:

A Southeast Kansas Mental Health Center Self-Care Fair will be held on May 23, from 5-8 p.m. at the Fort Scott Middle School, 1105 E. 12th.

For more information:

https://www.sekmhc.org/selfcarefair/

For questions about the self-care fair, contact: Dawne Burchett at 620-496-8702 or Vicki Wright at 620-212-9391.

About Legacy Health

Legacy Health has a mission to bring development and healthcare to rural communities through sustainable and proactive approaches, according to the Legacy Health press release. Legacy believes that for a project to be successful, it is necessary to understand the needs of the community and the people.

Legacy Health LLC was registered on  June 7,  2022 as a Limited Liability Company – CA company type incorporated at 269 WEST BONITA CLAREMONT, CA 91711. according to /https://ca.ltddir.com/companies/legacy-health-llc/

Troy Schell is the Legacy Health Chairman of the Board, according to the press release.

Chief Clinical Officer is Jennifer Massey and  she is the contact person at [email protected]

Chief Strategy Officer is  Merrill Eisenhower.

 

Locally, Matthew Wells is Legacy Healthcare Foundation Director of Plant Operations at the 401 Woodland Hills site. His duties are technical and equipment maintenance. Wells recently helped the building receive joint hospital accreditation, which is necessary because of the patient care given in the Ascension Via Christi Emergency Department that is also housed in the facility, he said.

The Legacy Health Foundation received the building from the Bourbon County Commission in November 2022. In addition to the building, the commission gave Legacy Health Foundation  $2 million dollars from funds received from Mercy Hospital and American Rescue Plan Act Funds to develop the property, according to a prior story.

To view the prior story:

https://fortscott.biz/news/bourbon-county-transfers-mercy-building-to-legacy-health-foundation

 

Legacy Health partners with Southeast Kansas Mental Health to Expand Services


Legacy Health is pleased to announce the finalization of an agreement with Southeast Kansas Mental Health.
The agreement will secure an office space in the building acquired by Legacy Health from Bourbon County in October 2022. The new Southeast Kansas Mental Health office will be located at 401 Woodland Hills Blvd, Fort Scott.


“Legacy Health is well aware of the significance of providing access to appropriate mental health services in the Southeast Kansas area,” said Legacy Health Chairman of the board Troy Schell. “We are delighted to be able to furnish an environment that will enable Southeast Kansas Mental Health to expand its services.”

“We have been working closely with CEO of Southeast Kansas Mental Health Nathan Fawson and their Board of Directors for several months to come to this agreement,” said Chief Clinical Officer Jennifer Massey. “We look forward to welcoming them in partnership and to the building.”


“This past year has been a year of tremendous growth for Southeast Kansas Mental Health Center (SEKMHC). We’ve expanded services, hired additional staff, developed new departments, and became a Certified Community Behavioral Health Clinic (CCBHC). By partnering with Legacy Health and expanding our physical
space we will continue to meet the needs of our community. Our certification as a CCBHC establishes a foundation for continuous development in the coming years. SEKMHC is one of the first five community mental health centers to earn certification. The CCBHC model of care concentrates on the overall health of a client, not just their mental health. We have expanded our care to integrate holistic care approaches, connect people with care coordination, and increase accessibility to services throughout our sixcounty catchment area. Looking into the future, we are striving to provide each client with a much more individualized experience by
assisting clients in recoveryoriented ways in their homes, in our communities, or via telehealth whenever possible. We know that recovery is possible when you treat the person, not just their mental health challenge.”Nathan Fawson, CEO


Legacy Health is dedicated to ensuring the sustained availability of superior healthcare services in Fort Scott and Bourbon County. This partnership will allow both organizations to focus on services to the community. In addition, this partnership is only the first step in instituting other clinical services in the building.


“We are thrilled about this development and look forward to upcoming projects and partnerships in Fort Scott
and Bourbon County,” said Chief Strategy Officer Merrill Eisenhower. “Legacy Health remains committed to fulfilling our promise to Bourbon County and its citizens to revitalize the facility and supply essential healthcare services to the community.”

For more information contact Legacy Health representative, Jenn Massey at [email protected].


Legacy Health


Legacy Health has a mission, driven by passion, to bring development and healthcare to rural communities
through sustainable and proactive approaches. Legacy believes that for a project to be successful, it is necessary to understand the needs of the community and the people.


Southeast Kansas Mental Health


Southeast Kansas Mental Health Center was established in 1961 and is a nonprofit. It provides, advocates, and coordinates mental health care, services, and programs throughout southeast Kansas. The 250person professionals and support specialists are committed to assessing, treating, and supporting the mental health
needs of the communities they serve

Ascension Via Christi Hospital in Pittsburg adds OB/GYN

OB/GYN Victoria Shirley, DO, has joined Ascension Via Christi Hospital in Pittsburg.

Dr. Shirley, who has been practicing since 2002, knows the importance of close-to-home, community-based care and is excited to care for women in all stages of life.

Dr. Shirley earned her undergraduate and Doctor of Osteopathic Medicine degree from the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa and then did her OB/GYN residency through Cuyahoga Falls General Hospital.

Prior to joining Ascension Via Christi, Dr. Shirley spent nearly a decade caring for patients at Kings’ Daughters’ Health in Madison, Indiana. During that period, she served as their Chief of Surgery and additionally as Medical Director of Choice’s Pregnancy clinic.

“We are excited that Dr. Shirley chose Ascension Via Christi to practice, further improving access to care for women in Southeast Kansas,” says Drew Talbott, hospital president. “Dr. Shirley’s compassion, experience, courtesy and patient-first mindset makes her a great fit for our OB/GYN team.”

Dr. Shirley wants her future patients to know that they will be coming into a welcoming, non-judgemental environment and encourages them to feel open to ask questions. She looks forward to collaborating on every aspect of her patients’ care, from teens to seniors.

Patients can schedule an appointment with Dr. Shirley by calling 620-230-0044. For more information, visit ascension.org/PittsburgKS.

 

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About Ascension Via Christi

 

In Kansas, Ascension Via Christi operates seven hospitals and 75 other sites of care and employs nearly 6,400 associates. Across the state, Ascension Via Christi provided nearly $89 million in community benefit and care of persons living in poverty in fiscal year 2021. Serving Kansas for more than 135 years, Ascension is a faith-based healthcare organization committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. Ascension is the leading non-profit and Catholic health system in the U.S., operating more than 2,600 sites of care – including 145 hospitals and more than 40 senior living facilities

BOARD OF EDUCATION REGULAR MEETING NEWS RELEASE

 

 

Monday, April 10, 2023

 

Members of the USD 234 Board of Education met at 5:30 p.m. on Monday, April 10, 2023, for their regular monthly meeting at the board office.

 

President Danny Brown opened the meeting.

 

The board approved the official agenda and the consent agenda as follows:

  • Board Minutes from the 03-06-23 regular board meeting and 03-27-23 special board meeting
  • Financials-Cash Flow Report
  • Check Register
  • Payroll – March 9, 2023 – $1,571,728.00
  • Activity Fund accounts
  • Negotiations Training
  • LEA Assurances
  • Point of Interest: Board Meeting on May 8th will be at the normal time of 5:30 pm. The Employee Recognition Reception will be held on May 17, 2023, starting at 1:00 pm.

 

Nick Johnson, Fort Scott Preschool Center Principal, introduced FSPC students Solloman Davis, Ryker Felt, Ronin Flanner, Maizie Fiegener, and Sheridan Stephan. They were joined by FSPC teachers Andrea Heckman, Teresa Hurd, and Megan Webb. The teachers and students did an exercise to teach the board how to “Wake Up Their Brain.”

 

Classified Tiger Team Members – Superintendent Destry Brown recognized Charlotte Thompson and Laurie Bollinger as the Classified Tiger Team Members of the Month.

  • Thompson is a paraprofessional over at the Fort Scott Preschool Center. She has worked 7 years with the District but has been at FSPC for another 38 years for a total of 45 years working with our preschool kids. Charlotte pitches in to help with whatever is needed.
  • Bollinger is a paraprofessional over at Winfield Scott Elementary. She has worked in the District for 30 years as a paraprofessional helping our kids. She is one of those paras that does all kinds of jobs and is an example of the excellence in our classified staff that make our schools work.

 

Licensed Tiger Team Member – Superintendent Destry Brown recognized Brenda Hill as the Licensed Tiger Team Member of the Month.

  • Hill is a 5th grade teacher at Eugene Ware Elementary. Mrs. Hill has an awesome classroom where the kids are always doing something and are engaged. She hosted a “Book Tasting” event that the students really enjoyed. Brenda is the epitome of excellence in teaching in the District. Mrs. Hill has taught for the district for 31 years.

 

Board Members shared comments.

 

Superintendent Destry Brown invited the board to the Employee Recognition Reception that will be held on May 17th at Fort Scott High School.

 

Assistant Superintendent Dalaina Smith updated the board on state assessments and work being done on essential standards.

 

Gina Shelton, Finance Director, noted the June 1 filing deadline for board elections, premium pay, ESSER III plan approval, and the plan to bring in new staff over the summer for orientation.

 

Superintendent Brown updated the board on expansion of preschool options. The board then directed Superintendent Brown to explore options outside of Legacy Health. The cost to relocate to Legacy Health had become cost prohibitive. These options might include mobile units to be stationed at the existing preschool location.

 

The board approved the following items:

  • FSHS Tennis Court resurfacing to Hellas Construction in the amount of $37,400.00
  • Resolution 22-13 to enter into a lease purchase transaction for energy conservation improvements
  • KASB Membership & Legal Assistance Fund for 2023-24
  • Payment to Meridian Roofing in the amount of $90,990.00
  • Science Textbook purchase from McGraw Hill in the amount of $65,705.07 for grades 3-5 and 6-8
  • Contract for Occupational Therapy Services with Outreach Occupational Therapy LLC
  • Premium Pay Rates for the 2022-23 and 2023-24
  • Approval of Personnel Report (following)

 

Additionally, Superintendent Brown noted that letters were exchanged with Fort Scott KNEA and the District regarding negotiations.

 

The board went into an executive session for negotiation and personnel matters.

 

Vice-President Kellye Barrows adjourned the meeting.

 

 

 

PERSONNEL REPORT – APPROVED EMPLOYMENT

April 10, 2023

 

RESIGNATIONS/TERMINATIONS/RETIREMENTS:

 

EMPLOYMENT/REASSIGNMENTS:

  • Brown, Jodi – Speech Language Pathologist, half-time, for the 2023-24 school year
  • Davenport, Annyssa – Eugene Ware Elementary Special Education Teacher for the 2023-24 school year
  • Garzone, Chris – Winfield Scott Assistant Principal for the 2023-24 school year
  • Hall, Kathi – FSMS Summer Conditioning for the 2023-24 school year
  • Harper, Angel – Transfer from Eugene Ware Elementary to New Generation Paraprofessional for the 2022-23 school year
  • Herring, Sean – Eugene Ware Elementary Kitchen Manager for the 2023-24 school year
  • Mead, Jenice – FSMS 6th Grade Math Teacher for the 2023-24 school year
  • Miles, Lacey – FSHS Paraprofessional for the 2023-24 school year
  • Motley, Aubrionna – Winfield Scott Elementary Paraprofessional for the 2023-24 school year
  • Pitts, Jaxon – District Maintenance effective April 24, 2023
  • Popejoy, Curt – FSHS Special Education Teacher for the 2023-24 school year
  • Shoemaker, Billi Jo – Transfer from Eugene Ware Interventionist to Winfield Scott Special Education Teacher for the 2023-24 school year
  • Travis, Hayden – Transfer from Winfield Scott Second Grade Teacher to Eugene Ware Art Teacher for the 2023-24 school year
  • Woellhof, Beckie – Eugene Ware Fourth Grade Teacher for the 2023-24 school year
  • Reemployment of Certified and Licensed Staff for the 2023-24 school year

Air Quality Advisory Issued for the Flint Hill Region

Air Quality Advisory Issued for Parts of the Flint Hill Region Due to Seasonal Burning

TOPEKA – The Kansas Department of Health and Environment (KDHE) is issuing an air quality advisory for the Flint Hill region, through Manhattan toward Nebraska.

KDHE activated the Kansas smoke modeling tool on March 1, prior to widespread burning in the Flint Hills. The computer models use fire data and current weather conditions to predict the potential contribution of smoke to downwind air quality problems.

Modeling has predicted conditions will worsen because of existing smoke combined with weather inversion patterns starting at 10 p.m. – 10 a.m. with a brief reprieve possible between noon and 5 p.m. and may continue for several days. The advisory took effect on April 7 for central and north-central counties in Kansas due to smoke from the Flint Hill seasonal burning between Topeka, Manhattan, and Salina, Kansas. When human health impacts are reduced, KDHE will rescind the advisory.

KDHE reminds Kansans that March and April are when large areas of the state’s rangelands are burned, especially within the Flint Hills. These burns help preserve the tallgrass prairie ecosystem, control invasive species, reduce woody encroachment from species such as Eastern Red Cedar, and provide better forage for cattle. Prescribed burning also reduces the risk of wildfires and effectively manages rangeland resources. Smoke from the burns can influence the air quality of downwind areas.

Smoke management techniques are vital to reduce air quality and health impacts for the most vulnerable individuals, including those with respiratory issues, pre-existing heart or lung diseases, children, and the elderly.

“Because air quality levels can change quickly, we are asking people to remain vigilant,” Doug Watson, meteorologist, said. “Prescribed burns release large amounts of particulate matter and other pollutants that can form ozone. Particulate matter and ozone can cause health problems, even in healthy individuals.”

Common health problems include burning eyes, runny nose, coughing, and illnesses such as bronchitis.

If individuals live or have activities near these areas, they can take these steps to protect themselves when smoke is present:

  • Healthy people should limit or avoid strenuous outdoor exercise.
  • More vulnerable people should remain indoors.
  • Help keep indoor air clean by closing doors and windows and running air conditioners with air filters.
  • Stay hydrated by drinking lots of water.
  • Contact their doctor for symptoms such as chest pain, chest tightness, shortness of breath, or severe fatigue.

For more information about the burning in the Flint Hills, the Flint Hills Smoke Management Plan, April burn restrictions, and the smoke modeling tool, please visit http://ksfire.org.

Ascension Via Christi nurse an Extraordinary Healer Award nominee

Kristen Mitchell, RN, who serves at Ascension Via Christi Hospital in Pittsburg,   is among the nominees for CURE magazine’s 2023 Extraordinary Healer Award for Oncology Nursing.

Each year, CURE gives readers the opportunity to honor an oncology nurse by submitting essays describing their compassion, expertise and helpfulness. Nominations are collected from colleagues, patients, friends and family of nurses throughout the country.

Mitchell’s nomination was submitted by her coworker and fellow Oncology nurse Marcus Yoakam, RN.

“Kristen is the epitome of what every oncology nurse should strive to be,” Yoakam wrote. “I have met and interacted with a countless number of nurses, but Kristen stands out a head above the rest.

“She is always there to help and actively goes out of her way to help everyone. In addition to being incredibly helpful, her clinical skills are second to none. It’s a great comfort to know that we have such a reliable and competent colleague like Kristen.”

Mitchell, who has been with the hospital since 2008, spends her days caring for patients in the Cancer Center. She starts by getting everything ready for that day’s chemotherapy, immunotherapy, blood transfusion, IVIG and iron treatments. She says her favorite part of the job is making her patients smile and being able to spoil them while in her care by being a listening ear, bringing a warm blanket, providing nutrition, or bringing a warm cup of coffee.

“I do this type of work because I honestly believe it was my calling, especially when it comes to oncology,” says Mitchell. “I’m truly honored to have been nominated for this award.”

The winner will be announced on Apr. 6 in San Antonio during the Oncology Nursing Society’s annual Congress. For more information on the award, visit event.curetoday.com.

To learn more about cancer services at Ascension Via Christi, visit ascension.org/pittsburgKS.

 

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About Ascension Via Christi

 

In Kansas, Ascension Via Christi operates seven hospitals and 75 other sites of care and employs nearly 6,400 associates. Across the state, Ascension Via Christi provided nearly $89 million in community benefit and care of persons living in poverty in fiscal year 2021. Serving Kansas for more than 135 years, Ascension is a faith-based healthcare organization committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. Ascension is the leading non-profit and Catholic health system in the U.S., operating more than 2,600 sites of care – including 145 hospitals and more than 40 senior living facilities – in 19 states and the District of Columbia

Mental Health Self-Care Fair May 23

Sending on behalf of Chamber Member
Southeast Kansas Mental Health Center…
In celebration of Mental Health Month in May, Southeast Kansas Mental Health Center is holding the 1st annual Spring into Summer Self-Care Fair on May 23 from 5 to 8 pm! We invite anyone who provides self-care products, activities, or services to participate.
Register online for a FREE booth space! (www.SEKMHC.org/selfcarefair)
We hope to provide an opportunity for participants to learn the importance of incorporating self-care into their daily routines, along with giving them limitless options for self-care in our community! This is a great opportunity to showcase your business, club, or organization to an audience eager to connect with local resources!
If you have questions, please call Vicki Wright (620-212-9391) or Dawne Burchett (620-496-8702).
Fort Scott Area Chamber of Commerce | 231 E. Wall Street, Fort Scott, KS 66701

AWARENESS AS MEDICAID UNWINDING BEGINS

CHC/SEK INCREASING PATIENT AWARENESS AS MEDICAID UNWINDING BEGINS

 

On March 31, thousands of Kansans with Medicaid coverage (KanCare) are at risk of losing their coverage as the state moves forward with eligibility redeterminations for more than 500,000 KanCare recipients.  The process has been referred to several ways, including “unwinding,” eligibility reviews, renewals, redetermination. The Medicaid unwinding process also affects Medicaid recipients in Missouri and Oklahoma and in all states, the redetermination process begins when the Medicaid recipient receives a letter from their respective state that they must respond to in order to remain covered.

 

At Community Health Center of Southeast Kansas about 20,000 patients are enrolled in Medicaid coverage and Community Health Workers are working to inform covered patients that renewals are coming back, and to be looking for a letter from their state plan.

 

At the start of the 2020 COVID-19 pandemic, Congress enacted the Families First Coronavirus Response Act, which included a provision that state Medicaid programs keep recipients continuously enrolled through the end of the month in which the COVID-19 public health emergency (PHE) ends, in exchange for enhanced federal funding.

 

Three years later, the continuous enrollment provision is set to expire on March 31, and states including Kansas are starting to re-determine annual eligibility for all of their Medicaid recipients. All beneficiaries will receive a Medicaid eligibility redetermination letter requesting information that they must respond to in order to remain covered.

 

Some patients will no longer be eligible due to income, age, or health status change.

 

“One of our concerns at CHC/SEK is that we know the pandemic displaced many KanCare/Medicaid] recipients from their traditional mailing addresses,” says Leah Gagnon, Director of Patient Engagement.  “Our worry is whether or not they thought to notify KanCare or their respective agency of their address change, because if not, they might not know to respond to their redetermination letter.”

 

Gagnon says there are three important questions every KanCare or other Medicaid patient or their guardian needs to ask themselves They are, “Have I moved in the last three years?  If so, did I report my change of address to the appropriate Medicaid agency? And, have I seen an official redetermination letter in my mail box and responded to it? If not, you are at risk of losing Medicaid coverage.” she says.

 

CHC/SEK has planned an extensive awareness campaign including signs and flyers, text messaging, social media posts and videos to educate Medicaid enrollees of the importance of the coming redetermination letters.

 

At CHC/SEK clinics, Community Health Workers and Benefits Enrollment Specialists are available to assist patients in the process and can reach them directly by calling 620-240-8919.

 

Medicaid Recipients can also go to Medicaid.gov and click on their state map, where it takes them to their state Medicaid website to update their address and other information.

 

Medicaid recipients can also contact their appropriate agencies by telephone. The number for Kansas Kancare is 800-792-4884 For Missouri, the MoHealthnet number is 573-751-3425 and, for Oklahoma the Oklahoma Health Authority/Soonercare number is 800-987-7767.

 

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Another Story on Noble Health Corp Following Hospital Closures In Rural Missouri

Editors Note: This story from Kaiser Health News features a story on Noble Health that the Fort Scott City Commission and the Bourbon County Commission signed a contract with in July 2021 to facilitate Noble Health Corp’s feasibility study of reopening the former Mercy Hospital building as an acute care hospital.
In June 2022, Journalist Sarah Jane Tribble wrote an article on Noble Health:

Noble Health: History of Failed Health Care For Patients

Noble Health did not reopen the hospital in Fort Scott and the Bourbon Country Commission transferred ownership of the former Mercy Hospital Building at 401 Woodland Hills on November 17, 2022 to Legacy Health Foundation.

To view that contract:

View the Bourbon County/ Legacy Health Foundation Agreement

 

Yesterday, Tribble published another article on Noble Health failure aftermath and here it is.

 

Legal Questions, Inquiries Intensify Around Noble Health’s Rural Missouri Hospital Closures

Audrain Community Hospital in Mexico, Missouri, is one of two rural hospitals in the state that Noble Health shuttered in March 2022. A year later, both remain closed. (Matt Kile for KHN)

A year after private equity-backed Noble Health shuttered two rural Missouri hospitals, patients and former employees grapple with a broken local health system or missing out on millions in unpaid wages and benefits.

The hospitals in Audrain and Callaway counties remain closed as a slew of lawsuits and state and federal investigations grind forward.

In March, Missouri Attorney General Andrew Bailey confirmed a civil investigation. He had previously told local talk radio that there was an “ongoing” investigation into “the hospital issue.”

Bailey’s comment came weeks after the U.S. Department of Labor’s Employee Benefits Security Administration notified executives tied to Noble Health, a startup, that they had violated federal laws and asked them to pay $5.4 million to cover unpaid employee health insurance claims, according to a 13-page letter detailing “interim findings” that was obtained by KHN.

The January letter confirms KHN’s previous reporting, which was informed by employees and patients who described missing paychecks; receiving unexpected, high-dollar medical bills; and going without care, including cancer treatment. According to the letter from federal investigators, the Noble hospitals and their corporate owners collected employee contributions for medical, dental, and vision insurance in 2021 and 2022 but then failed to fund the insurance plans.

The owners and executives were “aware of the harm to participants and, in some cases, were attempting to resolve individual participant complaints,” the letter states, adding that “despite the volume and gravity of complaints and bills received,” they failed to respond.

A photo of a two-year-old boy with spina bifida in a walker.
Ryder Hagedorn was born with spina bifida. His parents have struggled to pay for specialty care since claims were denied by a health plan his mother, Marissa, was offered through her employer. She is one of several former employees of Noble Health who say they were left with substantial medical bills after the company shuttered its two rural Missouri hospitals.(Marissa Hagedorn)

‘Tomfoolery’ and Doing ‘Everybody Dirty’

Marissa Hagedorn, who worked as a hospital laboratory technician, has spent much of the past year starting a new job, caring for her 2-year-old son who was born with spina bifida, and haggling over unpaid medical bills. She told KHN the family owes at least $8,000 for son Ryder’s specialty care in St. Louis, with $6,000 of that in collections. As a Noble employee, Hagedorn said, she was told repeatedly that her employee health insurance would cover Ryder’s care. It didn’t.

Noble has “done everybody dirty,” she said. “We just would like for some responsibility to be taken by this company that didn’t feel the need to get their act together.” Hagedorn’s story of unpaid bills, which was first reported by the local newspaper, the Mexico Ledger, is common among former Noble employees a year after the hospitals closed.

A former employee of the Fulton hospital has filed a class-action lawsuit intended to represent hundreds of employees from both hospitals.

The Jan. 13 letter from federal officials called for responses by Jan. 27 from Noble corporate and hospital executives as well as Platinum Neighbors, which last April bought the hospitals and assumed all liabilities. The letter instructs executives to contact the agency “to discuss how you intend to correct these violations, fund participant claims, and achieve compliance.”

Former employees say their claims have not yet been paid. A Labor Department spokesperson, Grant Vaught, said the agency could not comment on an ongoing investigation.

Separately, the Kansas Department of Labor is reviewing Noble and Platinum’s failure to pay wages and severance to corporate employees. Agency spokesperson Becky Shaffer confirmed that hearings took place in early February on a half-dozen cases totaling more than $1 million in claims for unpaid wages and severance.

Dave Kitchens was among those who filed claims against Noble Health. Kitchens worked briefly as a contract employee and then was hired in October 2021 as a corporate controller, an accounting role in which he was responsible for financial reporting and data analytics. Kitchens provided an audio recording of his hearing to KHN and hopes to eventually get paid more than $90,000 in lost wages, benefits, and severance pay. During the hearing, Kitchens told the administrative judge: “I would just like to be paid what I’m owed.”

Kitchens, who is also named as a fiduciary on the federal investigation, said he was not on Noble’s executive team. When asked by Kansas Administrative Law Judge James Ward whether he expected Noble or the secondary buyer Platinum to pay his wages, Kitchens responded he had “no idea who was in charge.”

“I believe there was some tomfoolery,” Kitchens said.

A ‘Rabbit Hole’ of Responsibility

Noble launched in December 2019 with executives who had never run a hospital, including Donald R. Peterson, a co-founder who prior to joining Noble had been accused of Medicare fraud. Peterson settled that case without admitting wrongdoing and in August 2019 agreed to be excluded for five years from Medicare, Medicaid, and all other taxpayer-funded federal health programs, according to the Health and Human Services Office of Inspector General.

By March 2022, the hospitals had closed and Noble offered explanations on social media, including “a technology issue” and a need to “restructure their operations” to keep the hospitals financially viable. In April, Texas-based Platinum Neighbors paid $2 for the properties and all liabilities, according to the stock purchase agreement.

Despite receiving approval for nearly $20 million in federal covid-19 relief money before it closed the hospitals — funds whose use is still not fully accounted for — Noble had stopped paying its bills, according to court records. Contractors, including nursing agencies, a lab that ran covid tests and landscapers, have filed lawsuits seeking millions.

In Audrain County, where community members still hope to reopen the hospital or build a new one, county leaders filed suit for the repayment of a $1.8 million loan they made to Noble. Former Missouri state senator Jay Wasson also filed suit in September, asking for repayment of a $500,000 loan.

Two Noble Health real estate entities filed bankruptcy petitions this year. One Chapter 11 bankruptcy filing names the Fulton hospital property in Callaway County as an asset and lists nearly $4.9 million in liabilities. A third bankruptcy filing by FMC Clinic includes Noble Health as a codebtor.

In the U.S. District Court of Kansas, Central Bank of the Midwest is suing Nueterra Capital over a $9.6 million loan Noble used to buy the Audrain hospital. The bank alleges Nueterra, a private equity and venture capital firm that in 2022 included Noble as part of its portfolio, signed off as the guarantor of the loan.

Federal investigators listed nearly a dozen people or entities connected to Noble Health as fiduciaries who they say are personally responsible for paying back millions in unpaid medical claims. The letter also detailed Noble Health’s ownership for the first time. The owners included William A. Solomon with a 16.82% share, Thomas W. Carter with a 16.82% share, The Peterson Trust with a 19.63%, and NC Holdings Inc. with 46.72%.

NC Holdings is also listed on the stock sale agreement with Platinum along with several signatures including Jeremy Tasset, chief executive of Nueterra Capital.

Tasset did not respond to a request for comment for this article. In an email to KHN in March 2022, the Nueterra Capital CEO wrote, “We are a minority investor in the real estate and have nothing to do with the operations of the hospitals.” In May 2022, Tasset wrote in an email to KHN that “everything was sold (real estate included) to Platinum Neighbors, a subsidiary of Platinum Team Management.”

It is unclear who owns and controls The Peterson Trust, which federal investigators identified. Peterson, who is listed on Noble’s state registration papers as a director and in other roles, didn’t respond to requests for comment for this article. He previously told KHN that his involvement in Noble didn’t violate his exclusion, in his reading of the law.

He said he owned 3% of the company, citing guidance from the Office of Inspector General for the U.S. Department of Health and Human Services. Federal regulators may exclude companies if someone who is banned has ownership of 5% or more.

In March 2022, Peterson created Noble Health Services, which federal investigators note in their letter was “established to restructure the ownership of multiple Noble entities.” Peterson dissolved that company in July 2022, according to a Missouri business filing.

In September, Peterson posted on LinkedIn that he was “sitting in the Emirates Air lounge in Dubai” to finish up due diligence on “launching a new business.”

A 2013 OIG advisory states that “an excluded individual may not serve in an executive or leadership role” and “may not provide other types of administrative and management services … unless wholly unrelated to federal health care programs.”

KHN examined the federal system meant to stop health care business owners and executives from repeatedly bilking government health programs and found that it failed to do so.

The OIG keeps a public list of people and businesses it has banned from all federal health care programs, such as Medicare and Medicaid. KHN’s review found a system devoid of oversight and rife with legal gray areas.

In the wake of KHN’s reporting, Oregon Sen. Ron Wyden, a Democrat who is the chair of the powerful Senate Finance Committee, said “it’s imperative that federal watchdogs can ensure bad actors are kept out of Medicare.” Sen. Chuck Grassley (R-Iowa) said the government needs to do more and “it’s also up to private-sector entities to do a better job checking against the exclusions list.”

“We can’t just depend on one or the other to do everything,” Grassley said.

In recent months, the Missouri hospitals appear to have been sold twice more, according to public records. Oregon-based Saint Pio of Pietrelcina notified state officials of a change of ownership in December and requested an extension of the hospital licenses, which was denied. In January, Audrain County officials, in its lawsuit, revealed another owner named Pasture Medical, which registered as a Wyoming company on Dec. 27, 2022.

“We haven’t come out of the rabbit hole on this one,” said Steve Bollin, director of the division of regulation and licensure for the Missouri Department of Health and Senior Services. Bollin’s agency, which conducts inspections and approves hospital changes in ownership, said he would support his agency doing financial reviews.

“It’s probably not a bad idea that someone takes a little bit deeper dive. We don’t have that many changes of ownership, but we would need appropriate staffing to do that, including some really good CPAs [certified public accountants].”

The Bourbon County Commission Minutes of March 9

March 9, 2023,                                                                                        Thursday 9:00 am

 

The Bourbon County Commission met in open session with all three Commissioners and the Deputy County Clerk present.

 

Michael Hoyt, Tiana McElroy, CJ Robinson, Patty Ropp, Deb McCoy, Jason Silvers, Lora Holdridge, and Clint Walker were present for some or all of the meeting.

 

Jim Harris opened the meeting with the flag salute, followed by a prayer by Mark McCoy.

 

Clifton Beth made a motion to approve the minutes from last week’s meeting. Nelson Blythe seconded, and all approved.

 

Clifton made a motion to approve accounts payable totaling $160,243.72 and payroll totaling $208,645.33. Nelson seconded, and all approved.

 

Eric Bailey, Public Works Director, presented the monthly fuel report. Jim asked if the Sheriff’s department was still getting fuel from the county barn. Eric stated they quit around January 1st or the 4th, but that EMS is still getting fuel as well as all other departments. There was a delay getting the card system installed, but Eric made some phone calls last week and they are moving forward. The sidewalk and concrete have been completed, but there is some painting that still needs to be finished up.  There are four or five more stalls than before, we had 15-16 open previously and now there are 20 parking spaces available. Eric spoke about citizens having problems with nails or metal pieces in the roads and he has done some research and visited with other counties. He said Crawford County uses magnets that are attached to the back of their graders. Eric said they ordered 6 magnets to be installed on the back of our graders and will see how that works out for the issue. He also stated that he knows there has been a lot of flat tires from picking up nails and other things in our dump trucks, so we will see about the outcome and if the magnets will work for us as well. The cost for all 6 magnets was $3,000. Jim said this was a great idea and thanked Eric. The soybean paperwork was finalized with ADM, and they will be transporting 100% of the bean dumpsters to our landfill to make compost along with their pod dumpsters, which will be coming to Bourbon County twice a week. Jim asked if Eric if they had found a good used compost machine and Eric replied they have possibly found a compost turning machine because you have to add different mixtures, then you have to turn it so often, and sometimes add moisture. They have found a used one that they are keeping an eye on, and they are going to look at it in about a week. Jim said the compost could be sold, given away, or use it as C and D cover. Eric responded with absolutely, as well as fill in some holes and other things as needed. Jim thanked Eric and said he appreciated all the work he has done. Eric said they have had a few road projects this week with one at 230th and Hackberry where there were multiple potholes that have been milled and leveled out. East of the intersection of 250th & Fern there was a really soft spot, the road is getting a lot of traffic from gravel trucks hauling to Missouri. The area has been torn up, filled in, compacted, and the road is up and going again. 40 MPH speed limit signs are installed on Eagle Road from 69 Highway to 250th street. Eric said he had a meeting with Troy Howard from KDOT yesterday and that the meeting went very well. They met for about an hour and a half and went over various topics such as asphalt, chip and seal, rights-of-way, and equipment. They also talked about grants coming up and Eric said Troy is going to have an individual get back in touch with us that is more familiar with grants. Jim asked if he was our area engineer, and Eric said yes, he is our area engineer, and he is out of Iola. Last week Eric received his yearly order of culverts, and now they will be working on getting crossroad tubes put in and replacing some entry tubes as well. A total of $53,000 was order and they also received some larger culverts; and that they have bigger projects they need to address. Eric said they have the demolition permit in hand for the house at 201 Crawford and have made contact with the utility companies and as soon as the utilities are removed, they will proceed with tearing the house down. Eric reminded everyone that March 20th at 9:00 a.m. there is a work session for hard surface roads. Nelson asked Jim what was the name of the gentleman that was at the commission meeting last week who spoke about Maple Road, and Jim replied with Mr. Arnold. Nelson asked Eric where we were on that situation. Eric stated he looked it up in the MUTCD, the Manual on Uniform Traffic Control Devices, and that Jim was correct with his statement you shall have striping anything over 6,000 vehicles. Anything less is dependent on whether the Commissioners would like to make a policy or not. Eric looked at the average flow through KDOT, and the average daily traffic count was approximately 768. Nelson stated that Mr. Arnold said it was west of town, but where does he live exactly and what hill is he talking about? Nelson stated that 185th is the cell tower, and asked where would it be in relation to that. Eric stated it would be a mile back East. Nelson then stated what would it look like following rules to put some striping to make Mr. Arnold happy and make it a little safer. Eric said if you’re setting a policy, there you are going to have other requests, it’s completely up to you, the Commissioners, whether you want to start. Nelson said we could deal with the request as they come. Jim stated his thought is if we do one hill we should consider doing all hills, because there’s no difference. He said he sees the attorney standing there who will say well you striped that hill and my client got hurt on this hill why didn’t you stripe it, and we will have no excuse. Jim doesn’t have a problem if they want to go that direction, but he thinks that it is all or none. Nelson stated on Eric’s point, he thinks it’s the one that people complain about the most often would take priority. Jim said he would think it should, but it shouldn’t tell us what the law says as far as us setting policy. Nelson asked what’s all the hills on pavement? Eric said you’re talking about a lot, it’s going to be very expensive, because we do not have the material or the equipment to be able to paint that. So, we would have to either buy equipment, or contract out with someone. Jim said he certainly didn’t want to sound negative on safety, because he does support it 100%, but he thinks before anything gets passed, they need more information from Eric on what it might cost us to do all the hills. Then it is just a domino effect from other things, such as the white passing lines, or no passing zones. Jim would like all the information on how the project would be performed, he told Eric he knows it may take a month or two, but he wants all information before he can make a decision. Nelson said if he is really concerned about that hill then an easier and cheaper solution would for that section to be decreased from 45 to 30. Eric said we can decrease the speed limit all we want, but it doesn’t control people. Clifton said as far as he is concerned, it is all or none.  Eric said he will work on getting pricing for the Commission.

 

Clifton made a motion to amend the agenda to add Teri Hulsey, EMS Director, to demonstrate the LUCAS 3 equipment. Nelson seconded, and all approved.

 

Clifton said he saw the LUCAS a few days ago, and asked Teri to come and explain and demonstrate this phenomenal piece of equipment that will save lives in Bourbon County. Teri Hulsey, along with Chris Rosenblad and Taylor Morrison spoke and gave a demonstration of the new device. The LUCAS device is an automated CPR device that delivers non-stop, completely perfect, CPR every time. Without this device it takes two people to perform CPR, one to do compressions and one for ventilation. A board is placed behind the patient’s back, the device is strapped over their chest, you attach their hands to the device, you press a few buttons, and the machine does perfect CPR every time. Chris said these are a huge benefit and you are very lucky if you work in a truck that has one because he has seen ER’s that don’t even have them. Teri said the great thing about the device is it is connected to the patient, so they can move the patient, carry them downstairs even all the while it is performing CPR. Without this device when you are trying to move someone, especially in older Victorian homes with the winding staircases where you are having to try to turn and maneuver a backboard down the stairs, you are not giving good quality CPR. Clifton said this is an unbelievable piece of equipment, and it is his goal to get at least two more to put one in each ambulance and one in the ambulance housed at the fire station and he has received commitment from Legacy Health to help purchase one device. Clifton said he is going to reach out to other entities, organizations, and foundations in our community to help purchase the devices, which are $18,500 each. Clifton said they also are needing to get new Hamilton ventilators in each of the ambulances which are $16,500 each. Teri said the first time they used the LUCAS device it saved the life of a Bourbon County resident. Clifton commended Teri, Chris, and Taylor; stating that Teri is now fully staffed and has a paramedic on each ambulance in her service. Clifton said the quality of service is unbelievable and Teri said they are probably the only ones in a 200-mile radius that is staffed that way. Teri said she spoke with Jon, who came from Mercy, and he said it has probably been six years since they were fully staffed. Jim said thank you to Teri and to Clifton for going out and trying to get funding for these devices. Teri handed out a form showing manual CPR vs CPR with the LUCAS device. Chris stated that they work in 2-to-3-minute shifts performing CPR and you can visibly see the difference on the monitors when a new person starts CPR as their compressions are stronger: but with the LUCAS device the compressions are always consistent. Clifton made a motion to allow Teri to go out to bid for a new ambulance. The Commission approved a re-mount two years ago, before Teri was EMS Director, but it didn’t get ordered. Nelson seconded the motion, and all approved. The Commissioners thanked Teri, Chris, and Taylor for coming and demonstrating the new device.

 

Clifton presented Resolution 09-23 which creates an ambulance equipment reserve fund to move additional funds from the end of the year to a separate fund that will be used to cover the cost of ambulance replacement. Clifton made a motion to approve Resolution 09-23, Nelson seconded, and all approved.

 

Clifton said people should realize how lucky we are to have what we have in regard to EMS. Jim said he was very impressed with what he just saw.

 

Clifton made a motion to adjourn the meeting at 9:34. Nelson seconded the motion, and all approved.

 

THE BOARD OF COMMISSIONERS

OF BOURBON COUNTY, KANSAS

___________________, Chairman

___________________, Commissioner

___________________, Commissioner

ATTEST:

Jennifer Hawkins, Bourbon County Clerk

_______________, Approved Date

 

 

 

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