BOARD MEETING:  Regular Meeting   DATE:  May 28, 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, Brent Leonard, NCMC Controller,  Drew Burnham, Attorney, Mary Coil, Marketing Director, Britney Stringham, Administrative Assistant, Toni Thompkins, Medical Records Director. 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 AllegianceMichael Nation offered the Invocation and Kenneth Cochran led the group in the Pledge of Allegiance. III. Approval / Amend AgendaDavid Jones stated Mr. Chairman, we are technically looking at an amended agenda. We added a couple of items to what was posted. Brenda Smith said so this is the amended agenda. David Jones replied yes ma’am. David Norman stated we need a motion and a second to approve the amended agenda. Robert Green made a motion to approve the amended agenda. Mary Irvin 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 amended agenda.  IV. Community Comments – David Norman, Board Chair stated there was no one present requesting to make community comments.   V. Minutes – Regular Meeting April 23, 2024:  David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Michael Nation made a motion to approve the minutes of April 23, 2024 as presented. Jennifer Fant 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 minutes of the April 23, 2024 Board Meeting as presented.  VI. Foundation Report – David Jones, CEO, stated the Foundation Director was unable to attend tonight but she did ask me to give a quick update. The Gala is definitely set for August 24th at the Horse Shoe River Dome. The Sponsor letters were mailed week before last and we already have one confirmed sponsor and that’s looking good. She plans on giving new funding requests to the Department Heads in the next couple of weeks. That’s what they are gearing up for.   VII. Chief of Staff Report – David Jones stated that Dr. Woods did have something he was trying to finish up on and will try to make it later.   VIII. Old Business – 1) Update Building Projects: David Jones gave an update on the Medical Arts Building.  Community Rx – Blanchard: David Jones said technically Blanchard Community Rx is complete. It is licensed and ready to open.  We don’t have a parking lot for this building yet with a drive thru but we don’t have to have that to be licensed.    IX. Review April 2024 Statistics and Financials – 1) Statistics: David Jones said I would like to introduce Ms. Toni Thompkins. I believe she’s been at a Board Meeting before but she is one of our Bright Stars. She’ll be playing the role of Brent Leonard today and go over our stats. Ms. Toni is doing a great job for us in our Medical Records Department. Toni gave an overview of the April 2024 statistics with discussion to follow.   2) Financials: Brent Leonard stated as we finish up stats you can see we had a pretty good month stats wise and I think we will see the impact financiallyacross the board in our financials. We will look at the construction projects impact on the cash balance along with the budget, which is in great shape and stop loss receivable being booked. The Financial analysis review followed. Brent asked if there were any questions on the financial statements. David Norman said if there are not questions or discussion, I would entertain a motion and a second to approve the Statistical and Financial reports as presented. Michael Nation made a motion to approve the Statistical and Financial reports as presented. 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 approve the April 2024 Statistical and financial Reports as presented.     X. New Business – 1) Purchase of Light Fixtures and Wood Finishing for Community Education Room and Board Room: David Jones stated that #1 and #2 under new business is related to our construction project in the back. We need a motion and a second for the purchase of the light fixtures and the wood furnishings for our new education rooms and the Board Room. It’s going to come in form of a change orderthrough Thrash Construction. Mary Irvin made a motion to approve the purchase of the light fixtures and wood furnishings for the new education rooms and Board Room as stated. Robert Green seconded the motion.  Discussion followed.  David Norman called for a vote to approve the purchase as presented. 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 purchase of the light fixtures and wood furnishings for the new Education Rooms and Board Room as presented.    2) Purchase of Video & Sound System for Community Education Room: David Jones said the second one is related as well. The purchase of video and sound system for the Community Education Room. It will be from Sound Minds. I need a motion and a second on this and will answer any questions you may have. Robert Green made a motion to approve the purchase of video and sound system for the Community Education Room at the purchase price presented. Kenneth Cochran seconded the motion. Discussion followed. David Norman called for a vote for acceptance of the proposal.  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 purchase of video and sound system for the Community Education Room.  3) Wipfli Cost Report Engagement: David Jones stated this is a re-engagement of the people that have been doing our Cost Report, Wipfli. We certainly feel satisfied, and our CFO is very strongly urging us to re-up with them. The cost is $18,800. If I can get a motion and a second for approval I will answer any questions you may have. Robert Green made a motion to approve the engagement of the Wipfli firm to do the Cost Report for fiscal year ending June 30, 2024. 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 engagement of Wipfli to prepare the Cost Report for fiscal year ending June 30, 2024.   4) Approval to Engage in Affiliation Agreement with Willis Knighton Health System: David Jones said if we do need to go into Executive Session if the Board feels there needs to be discussion, I will certainly understand that as well. After discussion Thomas Tebbe made a motion to table Item #4 to be taken up later. 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 vote was unanimous in favor to table item #4 to be take up later.  5) Draft 2025 Budget: Brent Leonard said it’s that time of the year. The big thing that I want to get across here is that we make some assumptions whenever that we are dealing with the budget. As we look at this 2025 Draft Budget we’re going to see on the second slide that we have some new service lines that we’re adding, obviously the new clinic and Community Rx – Blanchard is in this budget. We are seeing quiet a big increase in our gross revenue at $62.5 million. Budget discussion followed.  David Jones, CEO, stated we have tentatively set up a Finance Committee meeting on June 18th to answer any questions that Finance Committee may have on this. That’s not to say you couldn’t call at any time and ask a question as it comes up. We realize this is the largest budget that we’ve ever presented to North Caddo Medical Center and there’s a lot to go over. Dakota and Brent worked very hard in getting this kind of summed up and ready to present today. Kudos to them for sure but the department heads have been working pretty hard on this as well to try to get this ready to present. Again, the budget is a target to aim at. Its’ something we’ve been able to better for a bunch of years in a row now. It’s just a target. Brent explained how to find this information. Kenneth Cochran stated just one point of comment. This is where when we see the philosophy of our leadership come into play that includes department heads in our total population is represented in that particular kind of thing. When we have that kind of philosophy that we’re being lead in that sort of way it gives you more confidence in knowing that we’re meeting every possible scenario that comes up in the budget. So I want to commend our leadership in using that philosophy especially when it comes to the budget but in all other areas as well. David Jones said thank you Mr. Cochran. God has certainly been blessing us and we need to do our due diligence and do what we feel is best, as well. That’s what we look to do and aim to do and hopefully next year we’ll come with the largest budget that North Caddo Medical Center has ever had. David Norman noted if you have a question you may just want send them in or call since we can only have four Board members in attendance at one time without being an official meeting.    XI. Administrative Report – David Jones said I wanted to thank the Board members that came. We had a very good outing at the Barn at Coyote Creek. We do have a new, permanent dentist that will be coming on board in September. Dr. Eric Brasseaux comes to us, living in Shreveport now, working in Natchitoches. He has been out of Dental School now going on three years. He’s very eager to come on board. We are actually going to get our dentist that’s been working here now to stay for assistance so the profit margin in dental probably won’t look real great in the beginning. A really good mentor thorough out the state anyway so we think he will be a really good asset from that standpoint. As you can tell younger admin team is, and I know those of you that have been on the Board longer, can attest to this a little better. I thought Ms. Bree did an outstanding job just stepping straight in doing the stats. Mr. Leonard has done an outstanding job stepping in for our CFO and we really are set up, from a leadership standpoint. Both of those two are, I speak of four really high level young stars, those two are two of those and the sky is the limit with them. I’m really excited on things to come if we do have opportunities to come open, we’ve got people to fill those spots. That’s all I have.  XII. Medical Staff Recommendations – May Medical Staff Recommendations were presented by Brent Leonard for Board approval. MEDICAL STAFF APPOINTMENTS:  1) Christopher Eric Brasseaux, DDS – Requests Provisional Privileges in the field of Dentistry for the period of May 28, 2024 through May 30, 2025.  2) Karen Caldemyer, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  3) Jeffrey Covington, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  4) Demetrice Davis, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  5) Evan Johnson, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  6) Wesley Pruett, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  7)Peyton Roteff, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  8) Robert Ruff, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.  9) Scott Sullivan, M.D. – Requests Provisional Privileges in the field of Radiology for the period of May 28, 2024 through May 30, 2025.   MEDICAL STAFF REAPPOINTMENT:   1) Mansour Mirfakhraee, M.D. Requests Courtesy Privileges in the field of Radiology for the period of May28, 2024 through May 28, 2026. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT:  1) Brady Thompson, CRNA – Request Affiliated Privileges in the field of Anesthesia for the period of May 28, 2024 through February 28, 2026.   2) Amber Mote, FNP – Requests Affiliated Privileges in the field of Family Medicine effective May 28, 2024 through May 30, 2025.   EXTENSION REQUEST:  None.     VOLUNTARY RESIGNATIONS:  None.    David Norman said I would entertain a motion and a second to approve the Medical Staff recommendations.  Robert Green made a motion to approve the (9)Medical Staff Appointments, (1) Medical Staff Reappointment and (2) Advance Practice Professionals Appointment/Reappointments as presented. 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 May 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. 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 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. 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 enter back into regular session.  David Norman stated we are now back in our regular Board session. After brief discussion of Item #4 previously tabled, David Norman called for a motion and a second for Board approval to engage in an affiliation agreement with Willis Knighton Health System.  Michael Nation made a motion for Board approval to engage in an affiliation agreement with Willis Knighton Health System. Kenneth Cochran 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 an affiliation agreement with Willis Knighton Health System. XIV. Adjourn – There being no further business David Norman said I would entertain a motion to adjourn. Robert Green made a motion to adjourn. 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 adjourn the meeting. The meeting adjourned at 5:47 p.m.

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

________________________________

David C. Jones, Secretary

1

Bd Mtg 05/28/2024

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