BOARD MEETING:  Regular Meeting   DATE:  April 26, 2022    MEMBERS PRESENT:  David Norman,  Pat White Michael W. Nation, Sr., Ronnie Festavan, Robert Green, Brenda Smith, Mary Irvin. MEMBERS PRESENT VIA TELECONFERENCE:  None   MEMBERS ABSENT: Kenneth Cochran, Mary Irvin (arrived at 4:03 p.m.)     TIME CALLED TO ORDER:  4:01 p.m.    OTHERS PRESENT: David Jones, CEO, Drew Burnham, Attorney, Dakota Robinson, Brent Leonard, Mary Coil, Foundation Executive Director / Marketing, Britney Stringham, Administrative Assistant.  Via Teleconference: None. LOCATION:  NCMC Café and Via Teleconference – Conference ID 216 803 333 #    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 – Michael Nation offered the Invocation and Pat White led the group in the Pledge of Allegiance. (Mary Irvin arrived at 4:03 p.m.)    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. Pat White seconded the motion. There was no discussion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Kenneth Cochran.  Abstained: None. The vote was unanimous in favor. The agenda was approved as presented.   IV. Community Comments – David Norman, Board Chair inquired if there was anyone from the community logged on. There were none.  V. Minutes – Regular Meeting March 22, 2022 – David Norman stated we need a motion and a second to approve the minutes with discussion, if any, to follow. Robert Green made a motion to approve the minutes of March 22, 2022 as presented. Michael Nation seconded the motion. There was no discussion or corrections noted. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Brenda Smith, Robert Green, Mary Irvin.  Nays: None.  Absent: Kenneth Cochran. Abstained: None.   The motion passed by unanimous vote in favor.   VI. Foundation Report – Mary Coil said we are still gathering everything for our Safari ’22. We will have our first committee meeting on Sunday afternoon. We are getting together with a group of people that we’ve asked to join us in planning this event. It’s a great way to involve community members who aren’t on the Foundation Board. We are looking forward to Sunday and what all is to come for Safari ’22 in August. David Norman thanked Mary Coil for her report.   VII. Chief of Staff Report – David Jones said the Chief of Staff called me and gave me his report over the phone and asked if I could give it to the Board. He wanted to make sure that Board knew that our two third year Residents, Dr. McKenzie and Dr. Hopkins passed their Boards and that’s a huge step for most. We are very proud of them and look forward to hearing their future progress from here. David Norman thanked David Jones for the report. VIII. Old Business – 1) Update on Building Projects:  David Jones said I will give some updates on our construction projects. First and foremost we are in the new Blanchard Clinic. They’ve actually been in it for a few weeks now. Weiland is basically telling us about four weeks for completion of the parking lot and all the shrubbery and everything else around it.  Benton Clinic has been worked on. They are doing some work on it but it is still 6 to 9 months behind schedule.  2) Electronic Signage Update:  David Jones said we do have some positives on the electronic sign. Mary Coil said we are looking at next month for the electronic signage to be completed. Brenda Smith said so if there’s any issues with the sign not working correctly, like the Town of Vivian had some issues, our guy will be the one to be responsible. David Jones replied, no, he is just doing the installation. If there’s warranty issues or anything like that, problems with the sign, we’ll have to go back through the company we bought it through. David Norman asked if there were any other questions. There were none.   IX. 1) Review March 2022 Statistics –  Brent Leonard, Financial Analyst, said I have the pleasure of presenting the Statistics to you. Overall, as you will see throughout the stats it’s a pretty good month. A lot of things saw improvement and increases. There’s a few outliers that saw a little bit of decease. Starting with Inpatient Admits we saw 59 admits and Swing Admissions was at 11 for March. We are at 433 admissions year to date for inpatients.  Newborns saw a good increase of 9 for the month of March and we are at 55 year to date. Our ER saw 540 patients. We’re averaging about 535 a month this fiscal year and year to date we are at a 21% increase from last year to date. EMS runs at 148 for the month of March and transports are at 87.  Outpatient PT saw 326 in March, so 22% increase from February and year to date we saw a pretty good improvement a little over 2,500 year to date which is a 5% increase.  Vivian Clinic hit 2,364 and then looking at our year to date number we are just under 18,000 and that’s almost unchanged from last year. Plain Dealing saw a slight increase of 2% – 623 visits and year to date they are at 6,381 which is a 6% increase. Benton saw 631 patients, about a 15% increase from February and just off the all-time high set in January and year to date is about 8% – just over 5,000 visits in Benton.  Blanchard saw a 6% increase to 679 patients.  Vivian Dental didn’t see much of a change from last month. We are at 139 patients in March and 338 year to date. Community Rx filled 686 scripts and we just expect that number to keep climbing as we are now accepting all insurances. The Fitness Center – 341 total members and total visits 1,678. That is it for the stats.   David Norman asked if there were any questions.  There were none.   2) Review March 2022 Financials – Dakota Robinson:  Dakota said we will move on with the Financial Analysis. On page one of the Balance Sheet, one of the biggest changes you see is Total Cash, you’ll see $13.4 million. That put us Days Cash on Hand at 161.6 days. On page 2 of the Balance Sheet you’ll see that there’s very little change in Accounts Payable from $537,000 the previous year to $518,000. All in all the Balance Sheet looks pretty good. Looking at page 3, the Income Statement, you’ll see that Revenue came in at $4.1million that was about a half a million dollar increase over that period in 2021. Looking at Total Operating Expense of $2.6 compared to $2.62, not much net change there when we look at the month and on the year $23.2 million compared to $20.7 million. Dakota continued stating moving on to the Vivian Clinic, everybody saw their numbers of 2,364 visits. They turned a profit of $43,000 and on the year $202,000.  Benton Clinic, on their 631 visits they did turn a profit of a little under $20,000 and they are right over a quarter of a million on the year.  Vivian Dental did $20,000 in revenue. They have $43,000 on the year and had a loss of $23,394. Community Rx did fill 686 scripts and they produced revenue of $32,000. David Norman asked if there was any other discussion. There was none. David Norman said I would entertain a motion and a second to approve the Statistical and Financial Report. Ronnie Festavan made a motion to approve the Statistical and Financial Report. Michael Nation seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Robert Green, Brenda Smith, Mary Irvin.  Nays: None.  Absent:  Kenneth Cochran.  Abstained: None.   The motion passed by unanimous vote in favor.   X. New Business: 1) Resolution #6 – 2022 –  Millage Resolution for 2022:  David Jones said we have one item for new business and that is the acceptance of our millage rate for 2022 tax roll year. Dakota Robinson read the resolution aloud: Be It Resolved, that the following millage(s) are hereby levied on the 2022 tax roll on all property subject to taxation by North Caddo Hospital Service District – Ambulance Service – 4.77 mills. David Jones stated we need a motion and second. Robert Green made a motion to approve Resolution #6 – 2022 to set the millage rate for the year 2022 as presented at 4.77 mills. Brenda Smith seconded the motion. Ronnie Festavan asked if is this an increase in millage or did we stay where we were? Dakota Robinson replied it is a non-roll forward. It is staying at the same level.   The verbal vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Robert Green.  Nays: None. Absent: Kenneth Cochran.  Abstained: None.  The vote was unanimous in favor to approve Resolution #6 -2022 for the millage rate of 4.77mills for 2022.  XI. Administrative Report – 1) Pandemic Update:  David Jones stated I wanted to give a couple of things. We have our Hospital Week coming up in a couple of weeks. Mary and Brent have been pretty active on the committees.  David Jones said the second thing I alluded to earlier, the vaccination mandate that CMS put out about two months ago. Our policy was before, and it still is, that you can apply for a waiver, either a health or religious waiver that says that you either, for health reasons you can’t take the vaccine, and you have to have a doctor sign off on it, or for religious purposes that you feel that you shouldn’t be taking the vaccine. The religious one we can’t ask questions about. If one of our employees says it’s for religious reasons we have to accept it. But you have to have mitigating policy and procedures to keep the non-vaccinated safe and the vaccinated safe from the non-vaccinated employees and they give specific examples on how to do that.  David Norman asked if everyone has met our new attorney. David Jones said hopefully he won’t be giving you an update on that policy in the next few months.   XII. Medical Staff Recommendations – April 2022 Medical Staff Recommendations: Dakota Robinson presented the Medical Staff recommendations for Board approval.   MEDICAL STAFF APPOINTMENTS: 1. Cheng Chu, M.D. – Requests Provisional Privileges in the field of Nephrology for the period of April 26, 2022 through April 30, 2023.  2. Thomas Gallagher, M.D. – Requests Provisional Privileges in the field of Radiology for the period of April 26, 2022 through April 30, 2023.  3. Teresa McQueen, M.D Requests Provisional Privileges in the field of Radiology for the period of April 26, 2022 through April 30, 2023.   MEDICAL STAFF REAPPOINTMENT:  1. Carlos Encarnacion, M.D. Requests Courtesy Privileges in the field of Radiology for the period of April 26, 2022 through April 30, 2024.  2. Michael Nissenbaum, M.D. –  Requests Courtesy Privileges in the field of Radiology for the period of April 26, 2022 through April 30, 2024.  ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT:  None.     EXTENSION REQUEST:   None.   VOLUNTARY RESIGNATIONS:   None.   David Norman said we need a motion and a second to approve the Medical Staff recommendations.  Robert Green made a motion to approve the (3) Medical Staff Appointments and (2) Reappointments as presented. Brenda Smith seconded the motion. There was no discussion.  The vote:  Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Robert Green.  Nays: None.  Absent: Kenneth Cochran. Abstained: None.  The motion passed by unanimous vote.  XIII. Executive Session – David Norman stated there is no business to be discussed in Executive Session. He did state that the Nominating Committee will be sending the Board some update information on our vacant seat in the next couple of days. Be looking for that information and if you have any questions get back with that committee.  XIV. Adjourn – There being no further business Michael Nation made a motion to adjourn. Pat White seconded the motion. The vote: Yeas: Pat White, Michael Nation, Ronnie Festavan, David Norman, Brenda Smith, Mary Irvin, Robert Green.  Nays: None.  Absent: Kenneth Cochran. Abstained: None.  The motion passed by unanimous vote in favor to adjourn the meeting. The meeting adjourned at 4:55 p.m.

 

North Caddo Hospital Service District

North Caddo Medical Center

Vivian, Louisiana

 

                                                           

David C. Jones, Secretary

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