MOUNT VERNON — As Knox Community Hospital explores potential partnerships to strengthen its service lines and sustainability, CEO Bruce White urges residents to take information at face value, not read anything into it.
The catalyst for his concern was a comment that the hospital was searching for a buyer.
The Foundation for Knox Community Hospital board launched an exploratory process in September to determine whether KCH needed an in-depth partnership to help it upgrade to a new electronic medical records system.
White said at the time the board did not want the community to be surprised if the exploration results in something deeper than what it has done in the past. Potential alignments could offer opportunities to invest operating and/or capital resources.
He noted, however, that the process is about exploration, not selling the hospital.
On Thursday, White said, “Nothing has changed from the intent of the exploration process.”
“The board is looking at all options and opportunities. That means partnerships that might only include clinical affiliations in specific areas all the way up through partnerships that could include a complete merging with another system or a larger system,” he said.
White said the board is assessing all opportunities equally.
A whole spectrum of options
White said that when the board looks at options, it is not as clear-cut as either you sell or someone will take you over.
“There’s a whole spectrum of options and opportunities that are out there, and there are new ones being added every day as people are creative to serve their community’s needs,” he said.
The board retained the consulting firm Juniper Advisory to help in the exploration process. White reiterated that the process will continue for another six months.
“This exploration process is thorough and pretty exhaustive because all options are being evaluated and explored and are equally going to be considered,” he said.
“I hope people realize this isn’t something that is going to happen next month, that all of a sudden there’s going to be answers.”
White said the phrase “looking for a buyer” conjures up the image of a hospital that is in desperate trouble.
“We are not. Our balance sheet is strong, our debt service capability is strong, we’re not heavily leveraged, and we have, I think, what is a very appropriate and prudent amount of leverage, but we’re not over leveraged,” he said.
“We’re in a good position; we’re just trying to make sure that it’s going to be the best position going down the road.”
Rural Hospital Caucus supports federal dollars for independent hospitals
Independent hospitals, including Knox Community Hospital, face rising costs, reduced reimbursement, and other challenges.
This past summer, State Reps. Kellie Deeter and Meredith Craig formed the Rural Hospital Caucus to help strengthen and support rural health care systems.
Eastern Knox County Rep. Mark Hiner is a member of the caucus, as is Ashland’s Melanie Miller and Richland County’s Marilyn John.
The Trump administration’s One Big Beautiful Bill created the Rural Health Fund. The fund allocates $50 billion to states to support rural health care.
While the state has not developed guidelines for distributing the money, the caucus says it should go to independent rural hospitals, not those affiliated with a large system.
White acknowledged that independent community hospitals are facing significant strain and could use support. However, he also noted that funding has to be sustainable.
“We don’t know yet what’s going to transpire with those funds. Of course, we’re very interested, but we do not know what’s going to take place,” he said.
White said that the sense that hospitals have to figure out what the future will be overrides the financial strains of so many hospitals that are either in the red or just barely in the black since coming out of COVID.
“In the bigger picture, our board always says it’s not just looking at next year, it’s looking 10 and 15 years out,’” White said.
“What’s this community going to need? And how do we make sure we position ourselves to be as strong as we possibly can be 10 to 15 years out from here?”
Dealing from a position of strength
White said people have asked whether receiving $6 million next year would solve the financial problem.
“The answer, frankly, is no. It would help us with next year’s budget for sure,” he said.
“But unless that’s going to be something that’s going to be coming every year, that only fixes the problem for a year. We’ve got to make sure that we’re positioned and strong 10 years, 15 years, and longer.”
White noted that being in a strong position is the time to evaluate partnership opportunities.
“You want to evaluate partnerships from a position of of strength and stability, not one of dire need. We’re not in that position of dire need,” he said.
