North Caddo Medical Center

BOARD MEETING:  Regular Meeting   DATE:  April 23, 2024    MEMBERS PRESENT: David Norman, Kenneth Cochran, Jennifer Fant, Robert T. Green, Jr., Mary Irvin, Michael W. Nation, Sr., Brenda Smith, Thomas Tebbe.   MEMBERS ABSENT: None.   TIME CALLED TO ORDER: 4:00 p.m.   OTHERS PRESENT: David Jones, CEO, Dakota Robinson, CFO, Brent Leonard, NCMC Controller,  Kourtney Tyson, Foundation Director, Stacy Alexander, Chief Nursing Officer/Foundation Vice-Chair, Britney Stringham, Administrative Assistant, Ross Hansen, CIO, Mary Coil, Marketing Director, Toni Thompkins, Medical Records Director, Amy Schichner, Visitor   LOCATION:  NCMC Multipurpose Room (Second Floor) BOARD CHAIR: David Norman   SECRETARY:  David Jones   I.  CALLED TO ORDER – David Norman, Board Chair, called the meeting to order at 4:00 p.m.     II. Invocation and Pledge of AllegianceRobert Green offered the Invocation and Mary Irvin led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – David Norman stated we need a motion and a second to approve the agenda. Robert Green made a motion to approve the agenda. Brenda Smith seconded the motion. There was no discussion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green,  Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstain: None.  The vote was unanimous in favor to approve the agenda as presented.   IV. Community Comments – David Norman. Board Chair, stated there we have a guest today, Ms. Amy Schichner. David Norman stated she will be allowed 3 minutes to address the Board. Ms. Schichner stated the reason I’m here today is on behalf of my son, Landon Schichner. At one time we had a whole family membership to North Caddo Medical Center Fitness Center. There’s been an issue that has arose with the director at the facility. I met with David Jones and there was a police officer there at the time. It was a Caddo Parish Deputy. At the time they didn’t want my son to speak. It felt like he didn’t have representation. It’s just been an entanglement of lies. When you go into the gym there’s a blank table. Everybody throws their keys, their belongings, their air pods; there’s no individual coveys, there just one individual white table. I told my son if you lose your wallet putting it there it’s on you. I’m not going to go and find it, that’s your loss. He went on his first date on that Monday. He was seventeen at the time. It was his first time being out with a girl and he was in a rush and he accidently picked up the wrong air buds. The director called my son on the phone and said that was some missing air buds and tried to get him in an entrapment trying to confess that he stole the air buds. I had a meeting with Mr. Jones and apparently they were saying there were some missing glasses and the glasses my husband had picked up in return, the sweater they accused him of stealing I bought for him and have a receipt. I bought it for him on Christmas. So this big web of lies trying to create that my son is a thief and contacting my son’s place of employment and then going through the Vivian Police Department after I’ve already returned the air buds. So at this point I feel like North Caddo Medical Fitness is not part of the hospital. You got North Caddo Medical Fitness and then you have Fitness King 360. There’s a big discrepancy of what type mentorship you’re going to get when you are going and he did not follow policy. He should have talked to Mr. Jones before going to the Police Department in Vivian. Apparently he has a report on me, he has a report on my son and he has a report on my husband. I am coming to you today. I want that to be subpoenaed, I would like to know what was said because they said he was in fear of his safety. I never raised my voice to this man. I just told him I did not agree to his synopsis.  There’s many HIPAA violations. He even took a video of my son and shared it through text message. This has been a defamation of character. His boss will not let him work anymore. This has been a big toll and I feel like security should be rounding on this fitness center and there should be fine line between Fitness King 360 and the Fitness Center and this warehouse liquor license that’s being run. David Norman, Board Chairman thanked Ms. Schichner for her time stating that unfortunately her time is up. Ms. Schichner asked the question if the Board would subpoena the records that he has on me, my husband and my son. David Norman stated that he could not comment at this time.  Ms. Schichner said so will I have to get legal help. David Norman state that that is choice that you will have to make.  We will now move forward with the next item on the agenda.  V. Minutes – Regular Meeting March 26, 2024: David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Kenneth Cochran made a motion to approve the minutes of March 26, 2024 as presented. Brenda Smith seconded the motion. There was no discussion or corrections noted. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green,  Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstain: None.  The vote was unanimous in favor to approve the March 26, 2024 minutes as presented.    VI. Foundation Report – Kourtney Tyson, Foundation Director, stated we are gearing up for our Gala event on August 24th. The Foundation Board has approved sponsor items and things like that.  I will be getting a letter to each of you if you’d like to sponsor we would love that. If you would like to purchase tickets I would like to have all of you there. David Jones asked if the theme has been approved. Kourtney stated the theme is Gala Through the Decades. You will see a lot of people in different decade’s attire. Again, that’s August 24th at the Horseshoe Riverboat. We’d love to have everybody there. David Norman thanked Kourtney for her report.  VII. Chief of Staff Report – David Jones stated that Dr. Woods, Chief of Staff, is not here right now. I did speak to the Vice-Chief of Staff and he said he nothing to report. Everything is going well.  VIII. Old Business – 1) Update Building Projects: David Jones said the Blanchard Community Rx, as you can tell by the photos, the interior of the building is moving quite well. Medical Arts Building I hope some of you came from the back of the building because a lot of the trestle work is done. There’s a lot of lumber back there right now. It’s actually looking like a real building. David Jones asked Dakota if we have been given a timeframe yet that they have given us? Dakota replied it supposed to be August. David Jones said we’ll see if they can get the roof on it and get some walls up and get in the dry the weather is not an issue.. Anybody got any questions on those? Thomas Tebbe stated comment. David Jones said yes sir. Thomas Tebbe said I’ve been over there. I’ve never seen so many trestles in my life. It’s going to be a strong roof.  David Jones said we have some confidence in what’s it’s going to look like when it’s done. They struggled with some things with the old part of the building that we’re keeping and I think they’ve got it settled in now and got that working. David Jones said that’s it for now. David Norman thanked David Jones for the report.   IX. Review March 2024 Statistics and Financials – 1) Statistics:  Brent Leonard, NCMC Controller, we’ll be looking at March Statistics. Overall, between inpatient and outpatient, it was kind of an average month for us. Brent gave an overview of the March 2024 statistics with discussion to follow.   2) Financials:Dakota Robinson, CFO, noted a few things we’ll talk about are construction projects. We’ll spend a little bit of time in the Budget. The Financial Analysis review followed. Dakota asked if there were any questions on the financial statements.  David Norman said if there are no questions or discussion, I would entertain a motion and a second to approve the Statistical and Financial Reports as presented. Robert Green made a motion to approve the Statistical and Financial reports as presented. Jennifer Fant seconded the motion. The vote:  Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green,  Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstain: None.  The vote was unanimous in favor to approve the March 2024 Statistical and Financial Reports as presented.   X. New Business – 1) Adoption of Property Millage of 4.77 mills 2024:  David Jones stated it’s that time of the year, if I can get a motion and a second, that we adopt our property millage of 4.77 mills with Resolution #2 2024 for the calendar year of 2024. Dakota Robinson read Resolution #2 2024 aloud.  Brenda Smith made a motion to approve the resolution to adopt the property millage of 4.77 mills as presented. Mary Irvin seconded the motion.  A verbal vote was as follows: Brenda Smith, yes; Michael Nation, yes; Thomas Tebbe, yes; Kenneth Cochran, yes; David Norman, yes; Jennifer Fant, yes; Mary Irvin, yes; Robert Green, yes. Resolution #2 – 2024 to adopt the millage of 4.77 mills passed by unanimous vote in favor.  2) Engagement of Eide Bailey for 2024 Fiscal Year Audit: David Jones stated item #2 is for engagement of Eide Bailey for the 2024 Fiscal Audit. If I could get a motion and a second we will have some discussion. Mary Irvin made the motion to approve Eide Bailey for the 2024 Fiscal Audit. Robert Green seconded the motion. David Jones said we have been engaged with Lester, Miller and Wells for the past fourteen years that I’ve been here, to do our fiscal audit. Finally, I feel, we have proper support for our CFO when we went with a different firm to do our Cost Report. There’s very complex things that come about trying to figure out how we are cost reimbursed and what we do in certain areas how it shifts cost over and how we’re reimbursed a different way. We talked about it in the Finance Committee, and I will let any of them speak on it if they would but going with a different firm there’s a lot of positive reasons to do that and very few negative reasons to do it. This is going to cost less per year by going with Eide Bailey. Those of you who have been on the Board for a while, we have engaged Eide Bailey before. They are the ones that did our feasibility study for this building that we are sitting in and they are the ones that guided us through the USDA process to get that loan and get it approved. They are a top twenty CPA firm throughout the country. They have over 3,000 employees. Dakota and I will answer any questions that anyone may have. Kenneth Cochran asked would this also possibly improve the situation with some of these delayed findings that we get from them in the past. David Jones said that is one of the main things that I wanted to and we have asked them from the get go, it is normal for your audits to be done three days before they are due. There is no reason in the world to come in December to do an audit report. This should be done in November at the latest and if everything goes smoothly at least a draft should be presented in October. There are very few reasons not to do this and a lot of reasons to do it and that’s one of them. Thomas Tebbe asked has our contractual agreement with the other auditing firm expired. David Jones replied yes, it’s year to year. David Norman asked if there was any other discussion. Brenda Smith asked if the contract would be a three year contract not a year to year contract. David Jones replied that’s correct. David Jones said what we discussed in the Finance Committee meeting if for some reason at the end of that three years the Board is not comfortable with this firm doing it then we will go with another one. Robert Green asked why three and not just year to year. Dakota replied on an engagement moving from one auditor to another, that auditor actually has to perform an audit of the previous auditor’s work. David Norman called for a vote to accept the engagement of Eide Bailey CPA firm to conduct the 2024 Fiscal Audit. Dakota asked to pause for one moment. Additionally Lester, Miller and Wells, in the past, has requested that we accept all three engagements individually because when they send it to the Legislative Auditor all three are separate engagements and require an approval of each engagement if we will remember that. What you see here, obviously, this is in one group discussion but we have our Financial Statement Audit the first year, a Single Audit and Agreed Upon Procedure Audit. If we can get a motion and a second for each one of those engagements separately, that will help me out possibly, just in case. Kenneth Cochran moved that we amend the original motion to approve the engagement of Eide Bailey for the 2024 Fiscal Audit to start with the engagement of Eide Bailey professional services for the Financial Statement Audit for a period of three years – 2024, 2025, 2026. Brenda Smith seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe. Nays: None. Absent: None.  Abstained: None. The motion passed by unanimous vote in favor. David Norman stated we need a motion and a second for the engagement of Eide Bailey CPA Firm to perform the Single Audit for 2024, 2025 and 2026. Robert Green made the motion for Eide Bailey to perform the Single Audit for 2024, 2025, and 2026. Thomas Tebbe seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstained: None. The motion passed by unanimous vote in favor.  David Norman stated we need a motion to approve engagement of Eide Bailey to perform the Agreed Upon Procedure Audit for the period of 2024, 2025 and 2026. Mary Irvin made the motion to approve engagement of Eide Bailey to perform the Agreed Upon Procedure Audit for the period of 2024, 2025 and 2026. Robert Green seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstained: None. The motion passed by unanimous vote in favor. XI. Administrative Report – David Jones said just a quick Administrative Report. I wanted to make sure the Board got the invite. We are doing kind of a large Employee Appreciation day on the May 11th at the Barn at Coyote Creek which is where we had Dr. Taylor’s retirement party. It’s going to be a fun day. We are going to have some great barbeque there. We’re going to have some jumpies. It starts at 11:00 a.m. We have a large area to go inside if it rains. We will have things for small kids. I would ask that you R.S.V.P. so we can plan. It should be a good time and we hope to see you there. XII. Medical Staff Recommendations – March Medical Staff Recommendations were presented by Dakota Robinson for Board approval.   MEDICAL STAFF APPOINTMENTS: 1) Surinder Rai, M.D. – Requests Provisional Privileges in the field of Radiology for the period of April 23, 2024 through April 30, 2025.  MEDICAL STAFF REAPPOINTMENT: 1) Delphia Clarke, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of April 23, 2024 through April 30, 2026. 2) Michael Nissenbaum M.D. – Requests Courtesy Privileges in the field of Radiology for the period of April 23, 2024 through April 30, 2026. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1) April Moody, FNP – Request Affiliated Privileges in the field of Mental Health/Behavioral Health for the period of April 23, 2024 through April 30, 2025.  2) Kristen Hill, FNP – Request Affiliated Privileges in the field of Family Medicine for the period of April 23, 2024 through November 30, 2025. EXTENSION REQUEST: 1) Jere Thompson, FNP Requests extension upon completion of her application. VOLUNTARY RESIGNATIONS: 1) James Turner III, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 02/28/2024.  Mary Irvin asked could you go back and tell us a little bit about the Mental Health. I’d like to hear about that.  David Jones said Ms. Moody is going to be setting up a part-time practice in Benton. From a Nurse Practitioner standpoint they can prescribe medicines where a counselor cannot. Mary Irvin asked does she take insurance. David Jones said yes she does. Pretty much everything.  Dakota stated that some insurances don’t cover mental health but the insurances that have it covered we will take. David Jones said it’s a plan issue rather than insurance. David Norman said I would entertain a motion and a second to approve the Medical Staff recommendations.  Brenda Smith made a motion to approve the (1) Medical Staff Appointment, (2) Medical Staff Reappointments, (2) Advance Practice Professionals Appointments/Reappointments (1) Voluntary Resignation and (1) Extension Request. Michael Nation seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstained: None. The motion passed by unanimous vote in favor to approve the April Medical Staff Recommendations as presented.  XIII. Executive Session – David Norman stated we need to enter into a brief Executive Session for the purpose of Strategic Planning. I would entertain a motion and a second. Robert Green made a motion to enter into Executive Session. Mary Irvin seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.  Nays: None.  Absent: None.  Abstained: None. The motion passed by unanimous vote in favor to enter into Executive Session. The Executive Session was entered into. No action was taken during the Executive Session. Robert Green made a motion to enter back into regular session. Brenda Smith seconded the motion. The vote: Yeas: David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.   Nays: None.  Absent: None.  Abstain: None.  The motion passed by unanimous vote to enter back into regular session.  David Norman stated we are now back in our regular Board session.   XIV. Adjourn – There being no further business David Norman said I would entertain a motion to adjourn. Robert Green made a motion to adjourn. Thomas Tebbe seconded the motion.  The vote: Yeas:  David Norman, Kenneth Cochran, Jennifer Fant, Robert Green, Mary Irvin, Michael Nation, Brenda Smith, Thomas Tebbe.   Nays: None.  Absent: None.  Abstain: None.  The vote was unanimous in favor to adjourn the meeting. The meeting adjourned at 5:46 p.m.

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

________________________________

David C. Jones, Secretary

1

Bd Mtg 04/23/2024

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