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Guadalupe County Hospital withdraws $220,000 emergency request after board questions about reserves

State Board of Finance · January 15, 2026
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Summary

Guadalupe County Hospital asked for about $220,000 to replace a failing HVAC unit in an on-site dental clinic, proposed contributing roughly $160,000 from maturing CDs, and withdrew the request after the CEO said he could proceed without board assistance.

Frank Temodio, CEO of Guadalupe County Hospital in Santa Rosa, asked the State Board of Finance for approximately $220,000 to cover replacement of an inoperable HVAC system in the hospital dental office and related losses. Temodio told the board the hospital is one of the state’s smallest rural emergency hospitals and that replacements began December 7 and would likely finish within a week or two.

Temodio said the hospital has reserves in staggered certificates of deposit and indicated willingness to contribute roughly $160,000 toward the cost. He also warned that proposed Medicaid cuts beginning in 2027 could materially affect the hospital’s revenue, saying Medicaid accounts for about 30% of the facility’s revenue and that state-directed payment changes and shorter retroactive billing windows could increase uncompensated care.

Board members queried the hospital’s liquidity, including a CD maturing the day of the meeting and the hospital’s days-of-cash on hand. Director Ashley Leach summarized emergency-balance availability and noted other pending requests to be considered by staff.

After discussion of grants versus loans and possible structuring options, Temodio told the board he was comfortable proceeding without a loan and withdrew the request from the agenda. The board did not take a funding vote on the item.