BOARD MEETING:  Regular Meeting   DATE:  October 25, 2022    MEMBERS PRESENT:  David Norman, Kenneth Cochran, Robert  Green, Michael Nation, Brenda Smith, Pat White. MEMBERS ABSENT: Jennifer Fant, Ronnie Festavan, Mary Irvin (Arrived at 4:09 p.m.) TIME CALLED TO ORDER:  4:01 p.m.    OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dr. John Woods, Chief of Staff, Stacy Alexander, Chief Nursing Officer, Dakota Robinson, CFO, Brent Leonard, NCMC Controller,  Kourtney Tyson, Foundation Director, Britney Stringham, Administrative Assistant.     LOCATION:  NCMC Café     BOARD CHAIR:   David Norman   SECRETARY: David Jones   I.  CALLED TO ORDER – David Norman, Board Chair called the meeting to order at 4:01 p.m.     II. Invocation and Pledge of Allegiance – Robert Green offered the Invocation and Kenneth Cochran led the group in the Pledge of Allegiance.    III. Approval / Amend Agenda – David Norman stated we need a motion and a second to amend the agenda. Robert Green made a motion to approve the agenda as presented.  Brenda Smith seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Robert  Green,  Brenda Smith.  Nays: None.  Absent:  Jennifer Fant, Ronnie Festavan, Mary Irvin. Abstained: None. The vote was unanimous in favor.   IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments.   V. Minutes – Regular Meeting September 27, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Brenda Smith made a motion to approve the minutes of September 27, 2022 as presented. Robert Green seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Robert Green, Brenda Smith.  Nays: None.  Absent:  Jennifer Fant, Ronnie Festavan, Mary Irvin. Abstained: None. The vote was unanimous in favor.   VI. Foundation Report –  Kourtney Tyson, Foundation Director, stated that Mr. Jones gave an update last month on the Safari 2022. Right now we have our Cupcakes for Cure going on. We teamed up with a high school student, Analyce Jeane. She bakes beautiful and tasty cupcakes and all proceeds goes to our Mammography Department here at North Caddo Medical Center. We also have our Christmas Bazaar Auction coming up. We are going to do Christmas wreaths. If you would like to do a tree or a wreath let me know and I will get with you. David Norman thanked Kourtney Tyson for her report.   VII. Chief of Staff Report – David Jones stated Dr. John Woods, Chief of Staff is here but is currently busy in the Emergency Room. He may come in later. David Jones reported that we did have a Medical Staff meeting today. Pretty much business as usual and everything seems to be going fine. They do have a few changes or amendments they are probably going to add into the bylaws. Once that is done we will bring it to the Board for final approval.  David Norman asked if there were any questions on the Chief of Staff Report. There were none. (Mary Irvin arrived at 4:09 p.m.)  VIII. Old Business – 1) Update Building Projects:  David Jones stated he will give a quick update on our building projects. The Benton project we will go into more detail in Executive Session. For the most part no work has been done over the last four weeks.  The redo of the old Medical and Surgical Clinic, we are getting closer and closer to get finalized plans done.  We do own more land between us and the Fire Station to be able to encompass the entire area that we need. We closed on that last Friday.  South Bossier, we’re still waiting for some approval from MPC. We’ve gone through two MPC meetings and we have one more to go.  David Norman asked if there were any questions on the building projects. There were none.  IX. Review September 2022 Statistical and Financial Reports:   1) Statistics – Brent Leonard, NCMC Controller, stated looking at statistics for Inpatient / Outpatient, a pretty standard month, no big outliers, pretty straight across the board. Looking at Inpatient Admissions for September we were at 40 and for Swing we were at 13.  Looking at Inpatient and Swing days you can see based on that trend line we are trending in the right direction.  Our Average Daily Census you can see we had a big spike to 12.5 in September.  Newborns, no change from August to September.  ER visits another one just staying right around that 500 mark.  MRI – slight decline from August to September.  September we are at 8.   CT for September 121 – an 8% decrease from August. Endoscopies for the month of September they were 12, a 9% increase from August.  Sleep Studies – we’ve stayed right around that 50 mark. Physical Therapy – Vivian in September was at 410. This is another record since we’ve been keeping track of stats, they continue to do a great job here in Vivian. Blanchard as well with 161 in September. That one just keeps on climbing, too. In the clinics, you can see in September in Vivian we are at 1,698.  Plain Dealing came off a record month in August. September still a great month when you look at the grand scheme of things at 674. Benton is another that came off a great month in August with 558 in September. Blanchard, we finally hit the 1,000 patient mark in September with 1,024. Vivian Dental, 137 in September. Community Rx total scripts filled 1,784. This is another we just expect it to continue to climb.  The Fitness Center has 351 total members with 1,778 total visits and 23 new sign-ups for the month. That is our statistics.  2) Review September 2022 Financials – Dakota Robinson: Dakota Robinson stated as you saw by the stats we did see some really good things this month. Looking at page 1 of the Financial Statement you’ll see that as of the end of September, a little over $12 million in Unrestricted Cash. We’ve spent a little over $4.2 million in Unrestricted Cash on those construction projects and so it is directly reflected in these top lines in Current Assets.  Other Assets at the bottom, you’ll see that Other Assets Not In Service at $1.3 million compared to $1.7 million. What is left there now is the architectural fees related to the projects that we have going on and the Benton construction that is already been completed. On the Income Statement you’ll see that Revenue of $4.3 million compared to $4.56 million; that is a decline of $217,000. Down in Net Patient Revenue you’ll see there only a slight difference of $130,000.  In Operating Expenses you’ll see that for the month we did increase Salaries and Wages a little over $180,000. When we look at a three month time period it’s only a 3% increase over the previous period which is good. When we look at Employee Benefits and Payroll Taxes and it’s below where we were at this time last year through one month and three months. Total Operating Expenses increased from $2.66 million to $2.8 million and then through three months from $7.6 million to $8.15 million. That is a 7% increase. Under Non-Operating Revenue, you see a large number in the Grant line item of $322,000. 340B Revenue – you’ll 340B Revenue did see a significant increase. We are one period for $186,000 to $230,000.  Any questions on the Income Statement? There were none. When you look at Total Operating Expenses you see Total Operating Expense at $2.88 million compared to $2.77 million so there’s a slight difference on the one month but we don’t see a huge difference through three. When you look at Non-Operating Revenue you’ll see Grant Revenue. We booked that much lower when we did the budget. So we will be able to pick up some gains in that category. When we look at Sales Tax we budgeted less and it looks like, at least through three months, about $23,000 in the positive for Sales Tax and 340B we had a lofty goal in 340B and we’re pretty close to budget about $22,000 more than what we budgeted for. So all in all we budgeted for a $38,000 increase one month and we saw almost break even and through three months we’ve actually seen a little over $558,000 in profit compared to the budgeted number of $140,000.  Blanchard Clinic is that clinic that we’ve sort of been waiting for Dr. Chance’s practice to get established. His patient volume has increased. This is the first month they surpassed 1,000 visits in that clinic. I think we are starting to see the bottom line there reflect that. They did turn a profit of $23,000 and have a slight loss through the three months of $13,000. Dental, you’ll see their numbers are slowly but steadily getting better.  Community Rx, you’ll see that they did have a loss of $13,716. My intension was to show their true impact in what Community Rx brings to the bottom line. We see that in the 340B number under the hospital consolidated financial statement. When we pull the number of scripts whereas we were probably capturing in total script volume through 340B about 150 scripts a month. We are capturing almost 600 scripts a month just at Community Rx. David Norman asked if there are any questions. There were none. David Norman said I would entertain a motion and a second to approve the Statistical and Financial Reports. Pat White made a motion that the Statistical and Financial Report be approved as presented. Robert Green seconded the motion. The vote:  Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor of the approval of the Statistical and Financial reports as presented.  X. New Business – 1) LLA Compliance Questionnaire – David Jones said we have one item under New Business. We have the Legislative Auditor Compliance Questionnaire that we approve every year. It goes along to the Legislative Auditor with our audit. We have to get it approved at a Board meeting. David Jones asked Dakota Robinson to expound. Dakota stated that right now on the legal compliance, and I’ll go through these parts. It states that we follow the public law, we have a code of ethics for public officials, that’s some of the training that we do, that we have a budget in place, that we follow all budgeting requirements. It’s basically to say that we have these policies and procedures in place and we do it every year. David Jones said we need a motion and a second to accept the LLA Compliance Questionnaire. David Norman said I would entertain a motion and a second. Mary Irvin made a motion to accept the LLA Compliance Questionnaire. Brenda Smith seconded the motion. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor of the approval of the LLA Compliance Questionnaire.    XI. Administrative Report – David Jones said I just wanted to give a quick update on a few things. We talked to the Finance Committee meeting yesterday we met and talked to them. It is getting very close to Christmas again so the Sick Time Buy Back is going to be, hopefully, accumulated and brought to the Board at the next Board meeting to make a decision on. I’ve already had a few employees already make mention of it and asked if we are going to do it again. It’s always a pleasant thing presenting that to the employees at Christmas time. David Norman asked if there were any questions. There were none. David Norman thanked David Jones.  XII. Medical Staff Recommendations – October 2022 Medical Staff Recommendations: Dakota Robinson presented the Medical Staff recommendations for Board approval.  MEDICAL STAFF APPOINTMENTS: None.   MEDICAL STAFF REAPPOINTMENT: 1) John Crouch, M.D Requests Courtesy Privileges in the field of Radiology for the period of October 25, 2022 through October 31, 2024.   ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1) James Harper FNP Request Affiliated Privileges in the field of General Care/ Ortho for the period of October 25, 2022 through July 30, 2024.   EXTENSION REQUEST: 1) Matthew Mastrodomenico, M.D. – Requests extension upon completion of reappointment application.   2) Brian Dupree, M.D. – Requests extension upon completion of reappointment application.    VOLUNTARY RESIGNATIONS: 1) Gregory Wolfe, M.D. – Voluntary resigns his Privileges in the field of Radiology effective 09/30/2022. David Norman said we need a motion and a second to approve the Medical Staff recommendations. Kenneth Cochran made a motion to approve the (1) Medical Staff Reappointment, (1) Advance Practice Professionals Appointment, (2) Extension Requests and (1) Voluntary Resignation. Michael Nation seconded the motion. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor to accept the Medical Staff recommendations as presented.   XIII. Executive Session – David Norman stated the Board needed to go into a short Executive Session for Strategic Planning. Robert Green made a motion to enter into Executive Session for Strategic Planning. Mary Irvin seconded the motion. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor to enter into Executive Session for the purpose of Strategic Planning. 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. Michael Nation seconded the motion. The vote: Yeas: Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor to enter back into regular session.   XIII. Adjourn – There being no further business Robert Green made a motion to adjourn. Kenneth Cochran seconded the motion. The vote:  Pat White, Michael Nation, David Norman, Kenneth Cochran, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Ronnie Festavan, Jennifer Fant.  Abstained: None.  The motion passed by unanimous vote in favor to adjourn the meeting.  The meeting adjourned at 5:23 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

 

 

___________________________

David C. Jones, Secretary

 

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