BOARD MEETING: Regular Meeting DATE: December 19, 2019 MEMBERS PRESENT: Mary Irvin, Kenneth Cochran, David Norman, Brenda Smith, Helen Godfrey-Smith, Patricia White. MEMBERS ABSENT: Kenneth Clay (arrived at 2:15 p.m.), Ronnie Festavan (arrived at 2:06 p.m.), Robert T. Green, Jr. TIME CALLED TO ORDER: 2:00 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Dr. John Woods, M.D., Chief of Staff, Walter D. (Doug) White, Hospital Attorney, Mary Coil, Foundation Executive Director / Marketing Director, Lanell Audirsch, Admin. Asst. LOCATION: NCMC Events Center BOARD VICE-CHAIR: Mary Irvin SECRETARY: David Jones I. CALLED TO ORDER – Mary Irvin, Board Vice-Chair called the meeting to order. (Ronnie Festavan arrived at 2:06 p.m.) II. Invocation and Pledge of Allegiance – Brenda Smith offered the Invocation. Kenneth Cochran led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – Brenda Smith made a motion to approve the agenda as presented. David Norman seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. IV. Community Comments – Mary Irvin, Vice-Chair noted there were no signed Visitor Recognition Cards requesting to address the Board. Mary Irvin noted at this time that Robert Green had a heart procedure on Monday and did very well and is getting ready to be moved to a regular room. We will miss his presence tonight but thankful his surgery went well and that he is progressing nicely. V. Executive Session – Mary Irvin, Vice-Chair stated you will note on the agenda that Executive Session is at the beginning instead of at the end and that is due to a conference call with the attorney, Allyson Jones for Strategic Planning. I need a motion and second to go into an Executive Session at the beginning. Helen Godfrey-Smith made a motion that we go into Executive Session at the beginning of our meeting. Kenneth Cochran seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. (Kenneth Clay arrived at 2:15 p.m.) The Executive Session was entered into. No action was taken during the Executive Session. Helen Godfrey-Smith made a motion to enter back into regular session. Ronnie Festavan seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. VI. Minutes – Regular Meeting November 26 2019 – The minutes of the Regular Meeting held November 26, 2019 were mailed prior to today’s meeting for review. Mary Irvin stated she would entertain a motion to approve the minutes. Brenda Smith made a motion to approve the minutes of the Regular Meeting held November 26, 2019 as mailed. Helen Godfrey-Smith seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. VII. Old Business – 1) Purchase of New Chemistry Analyzer Update: David Jones said he mentioned at that last Board meeting that is the only one that really was not in and in-service. That one should be in-service by the next Board meeting. There is a lot of correlation yet to do with different tests on the machines when they cross over and they are in the midst of doing all that now. It should be up and running at that point. 2) Sick Time Buy Back Update: David Jones said we didn’t move a penny from our reported Buy Back amount. Dakota said it did move one penny – due to rounding – sorry! David Jones so we hit our figure dollar wise at our last Board meeting. I thought that the check presentation – the employee comments the next day is always good. I can’t tell you how many people came up and thanked me and thanked the Board through me. It was a very good turnout. I thought a very good time had by all – good food and the saxophonist was greatly enjoyed. VIII. 1) Review November 2019 Statistics – Dakota Robinson: Dakota Robinson stated you will see a little bit of a trend this month that for the month of November, statistically wasn’t all that great of a great month. Looking at Admissions you sort of see this trend. We rebounded in October to 63 Admissions and in the month of November had 47. The one bright area, I would say is, Swing Bed, even though we saw a decrease in Acute Admissions, you saw Swing Bed remained at 11 Admissions. That has been good to sort of see that number stay steady over such a long period of time; it’s been for a year. Looking at In-patient Days, it sort of correlates with the Admissions. You see it went from 174 in October to 140 in November. The Average Daily Census with Acute stays and Swing Bed combined we lost 6.9 for the month of November down from 9.5 in the month of October. Surgery is sort of over that 10 threshold that we talked about. Dr. Banda did 11 for the month. Nine of those were outpatient and two of them were in-patient. He still remains busy in the OR. Endoscopies actually remain unchanged at 11. The ER visits, is one of the numbers that even though we saw less acute stays in the hospital, the ER remained busy at 472. We didn’t see a sharp drop in that. Mammographies – we did 18. You can see the trend where we schedule a lot in a few months and then every once in a while it will drop off as we look back historically. Newborns is the same thing. We did two and the previous month we did 10. Brenda Smith said she is curious about the Mammography since it is a yearly thing. Is there a comparative month – If a lady has it done in the same month every year, is this going to be continual? Dakota replied it could but if you are like me if it is something that is yearly I usually don’t do it right to the day but it could be. Brenda Smith said I was just curious. Dakota said it’s the holidays too and a lot of people (a) don’t want to be in the hospital and (b) don’t want to do anything health related at that time. Dakota continued stating if you look at the Vivian Clinic you will see a decline 2,295 to 1,975. The Plain Dealing Clinic also declined from 573 to 545 visits and there is a slight decline at the Benton Clinic from 510 to 459. We see that across the board. The Fitness Center members went from 420 to 415. That is the statistical report. Not a lot. The trend was pretty much across the board in reduction of numbers from October to November. As we showed, it is not the worst that we typically see in the summer time. Any questions on the statistics? There were none. Dr. Woods said the truth of it is if you do good preventive care, people are going to get sick less. Mary Irvin agreed. That is something I was explaining to my co-workers. The doctor ordered an ultrasound on an artery and I had it set for Shreveport. That is just what they automatically did. I said wait, I can have the doctor send the orders to my hospital stay here in Vivian and support the hospital here. I was explaining to my co-workers because everybody is sometimes going to have a procedure done. You can almost do everything here. It is just educating our community on that. It is just asking the doctor to send the ultrasound order or whatever order to North Caddo Medical Center. A lot of people don’t know that process. Maybe we, as a Board, can be ambassadors for this. 2) Review November 2019 Financials – Dakota Robinson: Looking at November, I will point out a few things, we were issued the first MCIP payment which is the program that we are participating in with Ochsner. It is a quality incentive program for Medicaid patients. There is a program that we basically that we are trying to increase the quality of care in certain aspects and part of that they reimburse us a monetary figure and Ochsner allowed us into that program of theirs. That total amount is going to be over $500,000 but they issued the first payment of about $375,000. That is a good thing. As I said, the numbers are down for the month of November. The cash flow over the next 30 to 60 days is going to be significant. We are talking about receiving Cost Report money which is to the tune of 75% of the $800,000 that was discussed at the last Board meeting, the UCC dollars and the property millage. Those are the things we will be looking forward to in the future. Looking at the Days Cash on Hand, page 1 of the Balance Sheet, you will see that the total cash balance is $3.8 million. There is $721,000 in CD’s and $3.1 million in Unrestricted Cash. That equates to 48 days Cash On Hand. At this point last year, we were at almost 42 Days Cash on Hand. We have seen in increase from this period last year, which is great. If we add the CD’s in we are right at almost 60 Days Cash on Hand. So even though there is a slight reduction from the previous few months we are still doing good. We typically see the lull of our Days Cash on Hand happen in December just because of the way the funding comes in from Cost Reports, the property tax, all of these dollars that typically come in in late December to January. Under Assets Whose Use is Limited, the one thing that I point out, is it looks rather odd to see Sales Tax Fund to go down to $501,000 with it being $519,000 the previous month. That is a timing issue. We did transfer $200,000 of that into the Operating for maintenance, and basically things that the Bond Issuant says that we can use the excess funds for. And, with the holidays, they did not make a transfer until the first week of December. Our largest transfer happens the last few days in the month and with Thanksgiving they did not process that until the first part of December. That is part of why you see a big change there. If we look at the Income Statement on page 3, you will see that we did almost $3 million in revenue, which is down from the previous period of last year by about $324,000. Once again, not surprising when you look at the statistics that were presented a little bit earlier. Contractual Adjustment are up. There were 57.86%, that’s a little high but I expect that to come down in the next few months. Looking at Salaries and Wages are up $105,000 from this time last year and on the year they are up $474,000. We have had a lot of changes in there. It does have the raise in it and next month we will see the Sick Time Buy Back. That number did not happen until the month of December so we will see a little bit in there. Employee Benefits and Payroll Taxes – It is one of the numbers that has been working in our favor here lately. I hope to have some more detail at the next Board meeting on our self-funded insurance plan, but part of that is that the self-funded insurance plan has operated well. We haven’t had any large claims come in. If you look at the Total Expense – almost $2.1 million compared to about $2 million last year and on the year through five months we are at $539,000. If we get into Non-operating Revenue, you will see that there is a large amount booked to Grants. The Grants category is $551,000. There’s two main things that make up that number. The first is the monthly UCC payment that is accrued in that number and also the MCIP money is booked to Grants. There will be another payment on that to the tune of about $120,000 or $130,000. I don’t know quite when that will happen but it will probably be within the next few months, I would assume. Non-Operating Revenue – a total of $712,000. For the month we did have a $76,000 loss. At this month last year we did have a loss of $82,000. This month last was off and not a great month. For the five month period, we are looking at a profit of $470,000 compared to the loss last year at this point of $23,777. Are there any questions on the Income Statement? There were none. Dakota continued stating the AR over that time with the reduction in revenue for that month it does affect one of the rates, you do see it increase to 64.55 with the reduction in that number. What we would look is to see if revenue rebounds in the next month, this number should come back down. This is a trend number. We understand that it will fluctuate up and down occasionally, but if we can keep a trend going that is more of what we are looking for. We will visit that again next month and just keep our eye on it to make sure that we don’t creep much above the 64.55 and I think that you can see in the audit that we have kept that number under control over time and have done pretty good with the Accounts Receivable. Looking at page #5 – Departmental Revenue and Expense, you will see I feel like I’m beating a dead horse but if you look at Inpatient Routine Care you go down the list you see reductions from the previous period. There is one area that I seem to be point out here lately and that is the ER. The ER did have an increase of $22,000 from the previous period so we keep seeing that change there and that is good to see. That is the outlier in this month’s data. If we look at the Budget page, page #8, you will see at this point in time we budgeted for $19.4 million in revenue. We have an actual almost $17.5 million but we are also a million dollars under budget for the Contractual Adjustments. The net difference there is about $890,000 on Net Patient Revenue. Down in the Operating Expenses, you will see that across the board I think we have done a pretty good job of staying under budget especially when it comes to Salaries and Wages, Payroll Taxes, Supplies Expense, Professional Services. We saw it in the audit, we over estimated Revenue but we also over estimated Expenses, too. We are under Expense wise. $10,267,000, that’s $526,000 under what we estimated on the Expense side. That is good. In Non-Operating Revenues, I have already spoke on the Grant Revenue but I will point out that the 340B Revenue, if you look at that it looks rather odd. It is $42,584. Over the 5 month period we budgeted for $67,000 increase and we have seen a $470,000 increase year to date. Any questions on the budget to actual? There were none. Looking at page #9 – the Vivian Clinic – their visits did go down. They did 1,975 visits and they did have a loss of $63,355. In the clinics we typically see this ebb and flow where they make money a few months and then it drops down. For the five month period they have a profit of $430,397. I believe is pretty close if not more than what it was at this point last year. I think there was a difference of about $20,000. Looking at the Plain Dealing Clinic on page 10, they actually saw an increase in revenue. They brought in $142,000 in revenue and they produced a profit of $8,333. Over the five month period they have a slight loss at $2,132. Plain Dealing is that clinic that breaks even; that is a win there. We do get a lot of services that come over from Plain Dealing. This was discussed in the Finance Committee yesterday of how many services come over from Plain Dealing. We get a lot of those residents of the northern part of Bossier Parish that use North Caddo as a facility. Our Benton Clinic did see 459 patients. We do have a new rate established. Mrs. Pam is working on getting some of those rebilled. It is a lot of work but they will get that done. They did have a profit of $4,927 for the month of November. With the new rate established getting that billed we are sort of through the process of converting that clinic from what it was to the way that we wanted and needed it. Hopefully month after month we can continue to start seeing it operate more in line with our other clinics. Mary Irvin commented that is good news. Mary Irvin asked if there were any questions for Dakota on the statistics or financials. There were none. Mary Irvin stated she would entertain a motion to approve the November 2019 Statistics and Financial reports. Pat White made a motion to approve the Statistical and Financial reports as presented subject to audit. Brenda Smith seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. IX. New Business – 1) Approval of Purchase of MRI Injector: David Jones stated we have one article for purchase of an MRI Injector for $38,448.00. If I can have a motion and a second I will explain what the piece of equipment is. Helen Godfrey-Smith stated we discussed this in the Finance Committee meeting yesterday so the Finance Committee will move, I’m sure, to make this purchase as it is integral to effectiveness with our new MRI service line. Helen Godfrey-Smith made a motion to approve the purchase of the MRI Injector. Pat White seconded the motion. Dr. Woods, if need be, can probably talk on the methodology a little more and how consistent the images are if it is done non-manually. We purchased one for the CT back when we bought the CT and this is just the supplement to go with the MRI. Mary Irvin said we need a component to go with our MRI. Dr. Woods said that is correct. Mary Irvin asked if we need further clarification. Ronnie Festavan asked was this was purchased on state contract or thorough one of those buying co-ops? David Jones replied yes. The GPO is Vizient and it is on the quote and we sent it to our auditors. Dakota said I did send it to the auditors and they responded before the meeting all was in line. Ronnie Festavan asked what budget line item this will come out of. Dakota responded that it will come out of the Radiology Department. Ronnie Festavan so their budget. Dakota replied yes. Ronnie Festavan asked if it was the line item of equipment. Dakota Robinson replied yes. Ronnie Festavan said thank you. Pat White stated to clarify I noted that valid until date was the 17th. Is that going to make a difference? David Jones replied no. They knew the Board meeting wasn’t until the 19th. Pat White said I didn’t feel like it would but just wanted to be sure. Pam Hughes replied no I talk to that lady about every day. Pat White said they didn’t give you a very long time to consider it. Pam said the lady wanted it in as soon as possible. Mary Irvin said if there is no further discussion it is time for a vote. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor of the purchase of the MRI Injector. X. Administrative Reports – 1) NCMC – Current Activity: David Jones stated that he appreciated everybody who could make it today. I appreciate Mrs. Brenda doing some judging. Mrs. Brenda stated it was a tough job. David Jones said we didn’t have to twist too hard on her arm to get her to do it. The holidays is always a hustle and bustle thing. Everything is going well, to bounce off of what Dr. Woods said, this is the first time in a long time that no one has had do dodge around anything. This is the way the patients are supposed to flow, these are the waiting rooms they are supposed to be in and we don’t have to make special concessions for anything. Just in time for the busiest part of our year, typically, which is January, February and March. 2) Foundation: Mary Coil stated everything is good. We were very happy with the MRI Grand Opening; very excited to be a part of that. The Foundation Board members were real appreciative and very excited about the MRI room and the expansion on the ER. They said to be sure to let the hospital Board know how impressive they felt like it was and they were happy to be able to call our donors and explain to them what their money is at work doing. We are very happy to be a part of that. Brenda Smith asked did you post any pictures from that day of the ceremony and the presentation of the check. Mary Coil relayed she did. Brenda Smith asked if they were posted on face book. Mary replied yes. Brenda Smith said I missed that I guess. Ok, I will go look. Helen Godfrey-Smith addressed Mary Coil stating before I left the Foundation Board we had raised in excess of one million dollars to benefit the hospital. Do you have any idea of the total you might be now? It has been four or five years. Mary Coil said we are actually totaling that up now for the end of year. We should be knocking on the door of our next million. Mary Coil said we should be getting close. Helen Godfrey-Smith said that is so impressive considering when we started out we couldn’t figure out how we were going to raise $20,000. Mary Irvin thank Mary Coil. Mary Irvin said if any of the Board members participated in the Christmas ornaments it was a beautiful tree and saw lots of names on it. My husband saw his Dad’s name. It really meant a lot. It is neat feeling to see a loved one’s name on there so if you participated in that we appreciate your support. XI. Election of New Officers: Mary Irvin stated it is a new year soon and based on our by-laws, as we move into the elections of our new officers. This is the plan. The floor will open up for the Board Chair first for any nominations and then we will proceed with the Vice-Chair. If more than one person was to be nominated, then we have given our attorney ballots for each position, the Chair and the Vice-Chair. We are now at that point. We know that Brother Robert Green has been our fearless leader for a long time now. He has done an amazing job and been so faithful and so committed and led us in a wonderful direction, but we know that his desire is to move into a chair around the table. We do know his desire there. Just to reiterate for anyone new typically it is two years. He has been willing when we have asked him on several occasions to serve longer but he has shared his desires and we will honor that. If there is not any other aspect that we need to say we will go ahead and move into that. Brenda Smith said if I could just add to that, I believe that the by-laws say one year and we do this every year at this time. It is just through Administration they’ve asked, at the will of the Board, that it be two years because you just get a good working relationship and your feet on the ground and going and then to have to change that position out every year causes a little bit of upheaval and some adjustment. Mary Irvin said the year goes by very fast. Brenda Smith said it does. I just wanted to clarify that the by-laws state one year. Mary Irvin said thank you for clarifying that. That is typically just renewal. Helen Godfrey-Smith said I would like to nominate Mrs. Mary Irvin as the Board Chair. Helen Godfrey-Smith asked would somebody carry that motion for us. Brenda Smith asked is that a motion. Mary Irvin said yes she made a motion. Helen Godfrey-Smith said I made the nomination. Brenda Smith said I will second that nomination. Helen Godfrey-Smith said you can call three times for the nomination and then close it. Brenda Smith said o.k. Brenda Smith asked if there were any additional nomination for the Chair. There were none. Brenda Smith said we can close the nomination. Mary Irvin said we will close the nomination. Brenda Smith said all in favor of Mary Irvin being our Chair for the following year please vote now. The vote: Yeas: Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: Mary Irvin. The motion passed by unanimous vote in favor of Mary Irvin to serve as Chair for the year 2020. Mary Irvin stated I appreciate your faith in me and I look forward to working with David and the Vice-Chair and all of you all with the will of the Board. Now we will move into the nomination for our Vice-Chair. Brenda Smith stated I would like to make a nomination for Vice-Chair and that would be Mr. David Norman. I know it has been said a couple of times tonight, exemplary character of this guy who was appointed in 2009 to the Board. I did not realize it had that long and reappointed in 2014 and has just been, I feel like I’m giving a campaign speech, but anyway, done due diligence and the committees that he has served on and attending conferences and I think it is his time in his life that I feel like he would be a wonderful asset to our administration here on the Board. I would like to nominate David Norman. Kenneth Cochran seconded the nomination. Mary Irvin asked if there were any other nominations. If there are none, then all in favor of Mr. Norman being our Vice-Chair. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: David Norman. The motion passed by unanimous vote in favor of David Norman to serve as Vice-Chair for the year 2020. Mary Irvin told David Norman that we appreciate your willingness to serve. David Norman said I am looking forward to the challenge. Someone said to be successful you have to surround yourself with smart people. I think everybody around this Board is pretty smart. Don’t slack up because we will be pulling each other up. David Jones said I would like to add from my standpoint, and I’m not going to put Mrs. Helen on the record, but as a CEO, working with the Board of Trustees, I can honestly say that I would have no issue whatsoever with working with any Board member as far as Chair or Vice-Chair. That is a luxury not every CEO is able to say quite truthfully. It is truly a blessing to have people that, we don’t always get along, we don’t always agree on every single thing, but everybody’s heart is wanting to do what is best for the hospital. That is the beauty of it. Also, to reiterate, Brother Green has been the Board Chair, while I have been the CEO here, longer than anyone else. He has meant a lot to me personally and I just want to go on record as to thanking him for his service, for doing it as long has he has because until you are the Board Chair you don’t realize how much you really are pulled and how many things are put on your shoulders. He has done an outstanding job. I personally wanted to say that about him. Mary Irvin said, today while I had a few quiet moments in my room, I was thinking about how fortunate we all are to serve with each other. It is an experience we all have a lot of pride in and something that we choose to do. I am very thankful for each person’s commitment and willingness to serve, because we know that it is a commitment to it. I look around the Board and the things that we used to say that we need someone with financial knowledge and we have been blessed with that. To have Kenneth stay with us, we are so thankful to have that longevity and the history, and Mrs. Pat with the legal experience and Mr. Cochran and Mr. Festavan with the knowledge they bring in from the School Board’s environment and David Norman’s wisdom and the stability of Mrs. Brenda being here. We are really fortunate. Most Board members don’t stay on a Board this long. Commitment keeps us here. Helen Godfrey-Smith said it is big results and service to the community. Mary Irvin said I’m going to push it back on the staff. The staff also makes it easy for us to enjoy what we do and the way they take us in as a Board and a friend and the way that they communicate with us as individuals. That is definitely a key component to having the satisfaction as a Board member. We definitely appreciate all of you all Mary, Dakota, Mr. Jones, Dr. Woods and the employees. I really do mean that. If I didn’t work at North Caddo High School I would definitely want to be an employee here. So many wonderful things. I appreciate your confidence in us and look forward to a new year and look forward to Brother Green coming back to be with us as a member. XII. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval: MEDICAL STAFF REAPPOINTMENT: None. MEDICAL STAFF REAPPOINTMENT: 1) Almas Syed, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of December 19, 2019 through March 31, 2021. 2) Ramin Zamani, M.D. – Requests Courtesy Privileges in the field of Pathology for the period of December 19, 2019 through December 31, 2021. 3) Alison Robinette, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through December 31, 2021. 4) James Chen, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19 2019 through January 31, 2021. 5) Ann Marie Pierce, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through February 28, 2021. 6) Ellen Hauptman, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through February 28, 2021. 7) Jerome Klein, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through November 30, 2021. 8) Neil Staib, M.D. – Requests Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through March 31, 2021. 9) Wenwu Zhang, M.D. – Requests Courtesy Privileges in the field of Cardiology for the period of December 19, 2019 through December 31, 2020. 10) Anisha Turner, M.D. – Requests Courtesy Privileges in the field of Emergency Medicine for the period of December 19, 2019 through December 31, 2021. 11) David Burdette, M.D. – Request Courtesy Privileges in the field of Radiology for the period of December 19, 2019 through November 30, 2021. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: None. EXTENSION REQUEST: None. VOLUNTARY RESIGNATIONS: 1) Kirk Martinson CRNA, Voluntary resignation in the field of Anesthesiology effective December 31, 2019. David Norman made a motion to approve the Medical Staff Reappointments, and Voluntary Resignation as presented. Pat White seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor. 2) Chief of Staff Comments: Dr. John Woods, Chief of Staff, stated this time of the year we start seeing potential future Residents showing up. This year there really is an abundance of people wanting to come out here and some really quality potential Residents. We spoke briefly with Ochsner and they do plan on stepping up to the plate and funding that third Resident slot again which will be an added plus. It gets hard to tell somebody you can’t come here, especially when you see that many good applicants that we have had this year. It is really phenomenal. XIII. Adjourn: There being no further business, Mary Irvin called for a motion to adjourn. Kenneth Clay made a motion to adjourn. Brenda Smith seconded the motion. The vote: Yeas: Mary Irvin, Kenneth Clay, Kenneth Cochran, Ronnie Festavan, David Norman, Brenda Smith, Helen Godfrey-Smith, Pat White. Nays: None. Absent: Robert T. Green, Jr. Abstain: None. The motion passed by unanimous vote in favor to adjourn. The meeting adjourned at 5:05 p.m.
North Caddo Hospital Service District
North Caddo Medical Center
David C. Jones, Secretary
Approved by the Board of Directors at the regular meeting held January 28, 2020