North Caddo Medical Center
BOARD MEETING: Regular Meeting DATE: December 27, 2022 MEMBERS PRESENT: David Norman, Kenneth Cochran, Jennifer Fant, Brenda Smith, Pat White. MEMBERS ABSENT: Ronnie Festavan, Robert Green (arrived at 4:51 p.m.), Mary Irvin, Michael Nation. TIME CALLED TO ORDER: 4:06 p.m. OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dr. John Woods, Chief of Staff, Dakota Robinson, CFO, Brent Leonard, NCMC Controller, Karlie Brister, Lester, Miller & Wells CPA Firm, auditor, Kourtney Tyson, Foundation Director, Mary Coil, Marketing 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 4:06 p.m. II. Invocation and Pledge of Allegiance – Brenda Smith offered the Invocation and Pat White 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. Brenda Smith made a motion to approve the agenda as presented. Jennifer Fant seconded the motion. There was no discussion. The vote: Yeas: Pat White, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Robert Green, Mary Irvin, Michael Nation. 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 November 22, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Jennifer Fant made a motion to approve the minutes of November 22, 2022 as presented. Brenda Smith seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Robert Green, Mary Irvin, Michael Nation. Abstained: None. The vote was unanimous in favor. VI. Audit Report: Karlie Brister, an auditor with Lester, Miller and Wells CPA Firm, introduced herself stating we have just about wrapped up the June 30, 2022 initial audit. Overall what you have in front of you are the financial statements. Overall the numbers are what they are; they are not moving. Mrs. Brister reviewed the draft audit. Any questions? There were none. David Norman asked if anyone had any questions. There were none. David Norman thanked Karlie Brister. David Jones said from our standpoint Karlie did a great job transitioning from our long-term auditor and switching gears, and Dakota and his staff said it has been a pleasure working with you and hopefully we will see you for years to come. Karlie said anytime we asked we received what we needed. We are in the home stretch. Come the January meeting you should have the final copies with the normal letters to the Board. David Norman stated if anyone has any questions on this information, please contact David Jones or Dakota Robinson. We would like to approve this in our January meeting. David Jones said the work on this does go on for really the whole second half of the year at least. It is very labor intensive, especially for Dakota and his staff. She thanked them, but are you going to tell an auditor no, I’m not going to give you that. The controls are there to make sure nothing bad is going on, because it is a very large organization. There are a lot of moving parts with healthcare and healthcare finance so therefore you have to have those controls to make sure everyone is doing what they should be doing. VII. Foundation Report – Kourtney Tyson, Foundation Director, stated we’ve had a really great December. We had a couple of Christmas activities with our Christmas Bazaar Auction which was the Christmas Trees and Christmas Wreaths. We had 48 entries for that. We were lucky enough to have someone to donate some large outdoor items and we did a second round of our auction for those items. We also did our yearly ornament Christmas gifting and we raised about $500 on that. We’ve had a pretty successful December. We are very excited and looking forward to the New Year. VIII. Chief of Staff Report – Dr. John Woods, Chief of Staff, said we are just trying to make it through the flu season. Everything is good to go besides that. (Robert Green arrived at 4:51 p.m.) David Norman thanked Dr. Woods. IX. Old Business – 1) Update Building Projects (Benton): David Jones stated the update on building projects is basically just Benton now. David Jones asked Drew Burnham, Attorney, if we have the signed form back from ELA. Drew Burnham responded it is all signed. David Jones said there’s a few things that they have to produce for us that I don’t think we have received yet. Robert Green asked if we owed them a check. David Jones replied they have done some work. It is just about done with them. Once we have everything we need, all the releases that we need, then we will put the rest of the project out to bid. 2) Surplus List: David Jones reported that we did have two bidders. One winning bidder for what they bid on. Some things weren’t bid on and we will dispose of that in the manner we are supposed to. David Norman said so the bids are closed now. David Jones replied yes. They were opened on Thursday. X. Review November Statistics and Financials – 1) Statistics: Brent Leonard, NCMC Controller, stated looking at the Statistics, Inpatient wise you are going to see a slight reduction in admissions and Inpatient days. Last year November we also saw these pretty similar decreases and largely we would say that ER plays a pretty important role in that decrease. As we get into outpatient clinics, you’ll see that we improved in several key areas and this offsets a lot of the inpatient trouble we had in November and some of the strong performers were Blanchard PT, Sleep Studies has been strong for the past few months and Blanchard Medical and Community RX. Sleep Studies – that has been above 50 since June. 268 year to date. Outpatient PT – The chart on the left is Vivian – had 300 in November and year to date they are at almost 1,700. Blanchard, we are turning in the right direction at 201 in November and year to date they are at 783. Looking at the clinics, you can see across the board it is a pretty good month for the clinics. That is it for the statistics. 2) Financials: Dakota Robinson, CFO, I know we hear a lot of Financial numbers so far but a few things obviously as we look at the stats it’s sort of a mixed bag that a lot of areas that saw pretty big increases and then others that saw some definite decreases. Looking at the Income Statement you’ll see that we’ve got a Total Revenue of $4.2 million and over 1 month and through 5 months $21.5 million compared to $10.6 million. Looking at Total Operating Expenses, a little over $3.1 million compared to $2.5 million and through 5 months right at $14 million compared to almost $12.8 million, so that is an increase over the 5 month period. So we’re seeing good numbers in gross revenue and contractual adjustments when we look at in total. Any questions on the financial statements? There were none. David Norman said if there are no questions I would entertain a motion and a second to approve the Statistical and Financial reports. Robert Green made a motion that the Statistical and Financial Report be approved as presented. Kenneth Cochran seconded the motion. The vote: Yeas: Pat White, Robert Green, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstain: None. The motion passed by unanimous vote in favor of the approval of the Statistical and Financial reports as presented. XI. New Business – 1) 2023 CEO Resolution: David Jones stated the first item of New Business will be the last resolution of 2022. We have Resolution #13 – 2022 Granting Signatory Authority to David Jones, CEO, for North Caddo Hospital Service District the year 2023 as stated in the resolution. David Norman said we need a motion and a second to approve the resolution. Brenda Smith made a motion to approve Resolution #13 – 2022 Granting signatory authority for David Jones, CEO, for 2023 as stated. Robert Green seconded the motion. The verbal vote: Yeas: Pat White, Robert Green, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstain: None. The motion passed by unanimous vote in favor of the approval of Resolution #13 – 2022 granting signatory authority for David Jones, CEO, for 2023. 2) USDA Account: David Jones stated for us to actually get the grant from the USDA for the multi-purpose building across the way, they require us to set up separate bank accounts for that money to flow in and out of. We need a Board motion to create those accounts at Citizens Bank and Trust of Vivian. David Norman said I entertain a motion to create an account at Citizens Bank and Trust of Vivian for the USDA grant money. Robert Green made a motion to create accounts at Citizens Bank and Trust of Vivian for the USDA grant money as noted. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstain: None. The motion passed by unanimous vote in favor of the approval of the accounts as noted at Citizens Bank and Trust of Vivian for the USDA grant money. 3) Election of Officers: David Norman stated this was in our bylaws that we elect officers for the upcoming year. I believe that the Chairman seat has been going two years for the last seven or eight years. With that said, I guess I’ll be in the seat another year. Brenda Smith said, yes, please. David Jones said you need a nomination for someone to be elected Board Chair and then voting to go forth with that. Robert Green made a motion that David Norman be our Chairman for the coming year. Pat White seconded the motion. David Norman asked if there were any other nominations for Chairman of the Board. There were none. David Norman said the nomination is closed. The vote: Yeas: Pat White, Robert Green, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstained: David Norman. The motion passed by unanimous vote for David Norman to serve as Board Chair for 2023. David Norman called for nominations for the Vice Chair. Robert Green nominated Kenneth Cochran to serve as Vice Chair for 2023. Kenneth Cochran stated he is enjoying working with Mr. Norman. Brenda Smith seconded the motion. David Norman asked if there were any other nominations. There were none. David Norman said the nomination is closed. The vote: Yeas: Pat White, Robert Green, David Norman, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstained: Kenneth Cochran. The motion passed by unanimous vote for Kenneth Cochran to serve as Board Vice Chair for 2023. David Norman thanked everyone for 2022 for all your support. It has been a learning experience and we will continue to do our best. Robert Green said thank you. XII. Administrative Report – David Jones said I will be brief. 2022 was, again, another challenging year but a year for growth for our organization. We opened up what has quickly become our second largest outpatient clinic and actually into a growth area that I hope for years to come to be the anchor spot for North Caddo Hospital. God has blessed us in many ways. Strategically, we are planning on, which we really are overdue, a Board Retreat. I know there will be some planning going on internally inside the Board from that, but we have some ideas for 2023 and 2024 and possibly even into 2025 that we would like to share with you and get input and see what God has in store for us for the coming year. From my standpoint it’s been an honor to be your CEO for as long as I have and I’m just looking forward to 2023. Brenda Smith said we are too. David Norman said Mr. Jones led me to the Board Retreat, just keep it on everybody’s radar. Be thinking of some places where we could have this at where every Board member can attend. XIII. Medical Staff Recommendations – December 2022 Medical Staff Recommendations were presented by Dakota Robinson for Board approval. MEDICAL STAFF APPOINTMENTS: None. MEDICAL STAFF REAPPOINTMENT: 1) Stephanie Runyan, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 27, 2022 through December 31, 2024. 2) Michael Gates, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 27 2022 through December 31, 2024. 3) Fredric Siskron, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of December 27, 2022 through December 31, 2023. 4) Jill Wrumble M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 27, 2022 through December 31, 2024. 5) Cristin Jackson DMD – Requests Active Privileges in the field of Dentistry for the period of December 27, 2022 through December 31, 2024. 6) John Chandler, M.D. – Requests Active Privileges in the field of Emergency Medicine for the period of December 27, 2022 through November 30, 2024. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1) Kelly Key, CRNA – Request Affiliated Privileges in the field of Anesthesiology for the period of December 27, 2022 through December 31, 2024. EXTENSION REQUEST: None. VOLUNTARY RESIGNATIONS: 1) Robert Miller M.D. – Voluntary resigns his Privileges in the field of Radiology effective 11/30/2022. David Norman said we need a motion and a second to approve the Medical Staff recommendations. Kenneth Cochran made a motion to approve the (6) Medical Staff Reappointments, (1) Advance Practice Professional Reappointment and (1) Voluntary Resignation as presented. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstain: None. The motion passed by unanimous vote in favor of the approval of the Medical Staff recommendations as presented. XIV. Executive Session – David Norman asked if there was any strategic planning for discussion to enter into Executive Session. There was none. XV. Adjourn – There being no further business Robert Green made a motion to adjourn. Pat White seconded the motion. The vote: Yeas: Pat White, Robert Green, David Norman, Kenneth Cochran, Brenda Smith, Jennifer Fant. Nays: None. Absent: Ronnie Festavan, Mary Irvin, Michael Nation. Abstain: None. The motion passed by unanimous vote in favor to adjourn the meeting. The meeting adjourned at 5:35 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
Vivian, Louisiana
___________________________
David C. Jones, Secretary
Reg Bd Mtg 12/27/2022