BOARD MEETING: Regular Meeting DATE: February 23, 2021 MEMBERS PRESENT: Mary Irvin, David Norman, Patricia White, Ronnie Festavan, Kenneth Clay, Brenda Smith, Helen Godfrey-Smith, Kenneth Cochran. MEMBERS PRESENT VIA TELECONFERENCE: None MEMBERS ABSENT: Robert T. Green, Jr. TIME CALLED TO ORDER: 4:01 p.m. OTHERS PRESENT: David Jones, CEO, Pam Hughes, COO, Dakota Robinson, CFO, Mary Carroll, CPA with Lester, Miller & Wells CPA Firm, Paul Delaney, CPA with Lester, Miller & Wells CPA Firm, Dr. John Woods, Dr. Catherine Sharpe, Mary Coil, Foundation Executive Director / Marketing Director, Britney Stringham, Administrative Assistant, Lanell Audirsch, Admin. Asst. LOCATION: NCMC Café and Via Teleconference – Conference ID 795 457 146 # BOARD CHAIR: Mary Irvin SECRETARY: David Jones I. CALLED TO ORDER – Mary Irvin, Board Chair called the meeting to order at 4:01 p.m. II. Invocation and Pledge of Allegiance – Brenda Smith noted Psalms 121:1-2 as a word of encouragement. Kenneth Cochran offered the Invocation and Kenneth Clay led the group in the Pledge of Allegiance. III. Approval / Amend Agenda – David Jones stated we need to table #3 – Increase of CEO Purchase Amount and add #5 under Agenda Item XI. New Business – Board Approval of Advisory Committee for Blanchard Clinic. Helen Godfrey-Smith, Finance Committee Chair spoke up regarding item #3. She stated we’ve had this item presented to us at the Finance Committee for two consecutive months. We had asked for some additional information. I did received it this morning at 10:50 a.m. With your indulgence, everything looks alright. We have reviewed it and we have looked at it and we had requested from Mary Carroll, our CPA, some policies so that we could have some idea of what other hospitals were doing and she provided that to us. I’ve read through them and everything looks very good. David Jones said then we could leave #3 alone and just add item #5 for the Board approval for the Advisory Board for the Blanchard Clinic. Mary Irvin said just to clarify we will keep #3 on the table. We were waiting on that information that came and our Finance Chair is satisfied and wants to proceed and we will add the Blanchard Advisory Board. We need a motion and a second and them a vote. Brenda Smith made the motion to amend the agenda to add #5 as stated. Helen Godfrey-Smith seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert T. Green, Jr. Abstained: None. The motion passed by unanimous vote in favor. IV. Community Comments – Mary Irvin, Chair, inquired if there was anyone from the community logged on. Dakota Robinson stated there were no visitors logged on. Mary Irvin noted there are no community comments. V. Presentation of Fiscal Year End Audit – 2019 – 2020 and Cost Report by Lester, Miller & Wells, CPA Firm: Mary Irvin stated we are at Agenda Item V. with our special guests here from our auditing firm. We are ready for the presentation from Mary Carroll and Paul Delaney. Think of it as a clean opinion. Discussion followed about the Draft Audit. Mary Irvin asked if anyone has any questions now from the presentation. We certainly appreciate you being here. Ronnie Festavan said I don’t necessarily have any questions at this time. Did I understand you to say that we are going to digest this a little bit and possibly at our next meeting we’ll be able to go through it? I have some questions for staff, I don’t have questions for the auditors, related to the findings. So we’re going to have time to do that at our next meeting perhaps. Mary Irvin said absolutely. Helen Godfrey-Smith said this week we will be discussing it in Finance Committee meeting in March. Mary Irvin stated this is everybody’s first review of the copies. It will be on the agenda at Finance Committee as well as the regular Board to have discussion. David Jones thanked Paul Delaney and Mary Carroll for joining us today. Helen Godfrey-Smith said I would like to take the opportunity as Chair of the Finance Committee to commend Mrs. Mary Carroll because she is so responsive even when the ice storm, we had at the Finance Committee last Wednesday, we requested some last minute information that we needed and we received it and that is priceless. We do appreciate your responsiveness and your professionalism and your competence. Mary Carroll said it is a pleasure. Mary Carroll and Paul Delaney departed the meeting at 4:44 p.m. VI. Minutes – Regular Meeting January 26, 2021 – The minutes of the Regular meeting held January 26, 2021 were emailed prior to today’s meeting for review. David Norman made a motion to approve the minutes of January 26, 2021 as emailed. Helen Godfrey-Smith seconded the motion. Mary Irvin asked if there was any discussion or corrections to be made regarding the January 26, 2021 minutes at this time. There were none. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. VII. Foundation Report: Mary Coil, Foundation Executive Director, said the Foundation is going to be starting something, hopefully, March 1st. We are still waiting on a license number, but what we are doing is we are going to have a raffle this year. Covid and still a lot of uncertainty we decided again that we would not be doing a Gala or event of sort on that magnitude so we are going to do a raffle. We will be selling 1,000 tickets as soon as we get that gaming number in. We will have an Early Bird drawing on April 30th and then we are going to have a Grand Prize drawing on June 25th. Each Ticket will cost $100. The Early Bird prize in April, which is about the half way mark, so go ahead and buy your ticket before the April date, we will draw and if you win the prize is $1,000 and your name will go back in the drawing for the Grand Prize. The Grand Prize will be $25,000. Your secondary prize will be $10,000 and the third prize is $5,000 and then $2,500 prize and then we have a gift card for half of a cow and processing from Wooldridge Land and Cattle and Valarie and Mike Hoogland. We are excited about this. VIII. Chief of Staff Report – Dr. John Woods, Chief of Staff, the hospital, this year, has met with some pretty interesting and challenging events, biological and environmental to start off with. It is really nice to see how well this hospital pulls together when times are bad and to look at the amount of effort and team work that it took to pull off the vaccinations and basically with this freeze challenge and everybody pulled together and didn’t even have to force people to do anything, they were there asking how can I help. That’s a great bunch of people. IX. Old Business – 1) Purchase of Lab Analyzer for COVID-Ag Testing Update: David Jones said I’ll just quickly give updates on these. We’ll probably take it off old business but to let you know we’re probably be looking summer time before the lab analyzer that we have will have enough reagent to be able to handle the volume we have coming through the Emergency Room and the inpatients. Dr. Woods and our Laboratory Director got together and made some criteria for the PCR tests we have. 2) Update on Blanchard Clinic: David Jones stated that Mother Nature dealt us a pretty bad blow because I was really hoping to be open this week to be totally honest, in the temporary building to be seeing patients and that probably put us back about two weeks because the parking lot is the thing that needs to be done. We are diligently working and God is doing a pretty good job drying it off today and tomorrow but unfortunately there is some more rain coming. Dakota might speak on a little bit later, but they delivered around 200 vaccines down there today. Our Nurse Practitioner was down there actually delivering vaccine shots herself and making herself visible and known. 3) Transport Van Replacement Purchase Update: David Jones said I hope everybody’s taken a look at our beautiful new van. We kind of put it off limits to folks last week for obvious reasons. It’s odd, Pam and I talked about it briefly, but how much transport we’ve been doing over the last couple of weeks. Kenneth Cochran said we may have learned about the next purchase. When serving a rural area that has dirt roads and potential ice storms again it might behoove us to consider on the next vehicle being all wheel drive. David Jones said I think that is pretty much what the statement was that we will not own another truck that is not four wheel drive. 4) Update on Surplus Van: The Van – David Jones said I really don’t feel that we’re quite ready to surplus it yet and we’ll evaluate that in the next probably month and could potentially be coming to the Board for taking a look at another purchase before we get rid of the great van. 5) Update on Pyxis Drug Cabinets: David Jones said there’s really not an update on the Pyxis Drug Cabinets. It’s been pushed out a little bit more because of COVID. We are looking at a potential April, May roll out. Dakota and Pharmacy and Nursing are working through that. X. 1) Review January 2021 Statistics. – Dakota Robinson: Dakota Robinson stated I will start with the stats. First off, you’ll see the Admission went from 46 in the month of December to 58. It’s about 26% increase. When you look at Inpatient Days we sort of brought that six month rolling average up with the inpatient days in January hitting 205 compared to 129 in the previous month. If you look at the Average Daily Census with the increase in admissions and the number of days stayed we saw an increase in the average daily census from 7.5 in December to 10.1 in January. If we look at Surgeries, it stayed exactly the same. We did 11 in January and year to date that puts us at 98. Endoscopies – We went from 16 in December to 12 in January. Year to date we’ve done 91. Mammography – you’ll see that there was a reduction and went from 54 to 38. Newborns – Like I said it’s a cyclical thing. We went from 6 in December to 6 in January. We’re actually at 50 year to date, so it’s a 16% increase from the previous year. If you look at the Vivian Clinic visits, this is another thing that he hit on that our RHC’s, we’re seeing the volume that we did previously, which is a good thing, especially with the environment that we’ve been in the past year. Year to date we’ve seen 14,283 patients. We saw 2,029 in Vivian in January. We saw a slight reduction from the previous month in Plain Dealing. We went from 755 to 662 but year to date they’ve done almost 4,900 visits and that’s actually a 10% increase over the previous year in Plain Dealing. When we look at the Benton Clinic you’ll see that they went from 512 in December to 536 in January. They are actually almost at 3,800 visits in Benton, which puts them at a 13% increase year to date. Increases percentage wise in outpatient visits; a really good job on the outpatient side. The Fitness Center members – we’ve got a total of 308 members and they did almost 1,400 total visits in December. Any questions on the Statistics? There were none. 2) Review January 2021 Financials – Dakota Robinson: Looking at page 1 of the Balance Sheet, we talked about Days Cash on Hand and Cash Balances with the audited financial statements you’ll see that we’re right at 221 days Cash on Hand without the CD’s. If you look at the CDs we’re right at 231 Days Cash on Hand so you can see that right there in the winter months we’re sort of hovering between the 220 to 246 range. More financial discussion followed. Mary Irvin stated if there are no further questions or discussion on the statistics or financial statements we need a motion and a second to approve our January Statistical and Financial Reports. Pat White made a motion to approve the Statistical and Financial Statements as presented subject to audit. David Norman seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. X. New Business – 1) Purchase of S D Wan Web Filter Backup Source: David Jones stated if he could get a motion and a second he will speak on this. Brenda Smith made a motion to approve the Purchase of the S D Wan Web Filter Backup Source. Helen Godfrey-Smith seconded the motion. Helen Godfrey-Smith said we did receive the request at the Finance Committee last week. It was rather a detailed report. David Jones said we knew the meeting was going to be a little lengthy. We could have brought the IT Director in and had him to speak on this but it is basically self-explanatory to some degree. Dakota said I can do it very quickly. It’s two separate pieces in here for the minutes. First piece is SD Wan and it’s actually a backup so we can move all of our systems from one internet source to another. It’s a new service that came in at $26,799 and that’s for a three year term. That’s a three year period. The second half of that’s web filtering, which is a service that we already have, so we’re at end of life and that and it is a monthly payment system of what we’re on and we’re just moving to a new system. Mary Irvin said all of our clinics will be added on. Dakota said correct. Mary Irvin asked if the backup system impact the clinics as well. Dakota said correct. It’s not every one of them just the way that the system is built but the majority. Mary Irvin asked if anyone had any questions that they wanted to ask about the IT needs. There were none. The vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion pass by unanimous vote in favor. 2) Ultrasound Purchase for OB: David Jones said I would like to recommend to purchase a portable ultrasound for our clinic. Dr. Sharpe has come in and out multiple times but she had to go see her patients. I think you may have some material in your packet. It is a GE Venue Go and the cost is $38,799.10. If I could get a motion and a second I will answer any questions. Ronnie Festavan made a motion to purchase the portable ultrasound as recommended by David Jones. Helen Godfrey-Smith seconded the motion. David Jones stated we’ve had a piece of equipment in the clinic for quite some time. It’s something small whether it’s to check a heartbeat or just to give the mother an assurance of something or the Doctor wants something quick. They’ve been using that piece of equipment inside the clinic. That piece of equipment is down and will not be able to come back up. We are looking at a replacement for that. Ronnie Festavan said you said we had one that we were somewhat doing these task with and it went down. David Jones answered that’s correct. Ronnie Festavan asked how old was it. Pam Hughes said it’s very old. It’s probably 15 years old. Mrs. Hughes had been able to get it working but no longer. Ronnie Festavan said basically we are replacing a 16 year old, worn out piece of equipment. Pam Hughes replied yes Sir. David Jones said Dr. Sharpe is here is anybody has any questions. Dr. Sharpe said a lot of times when a patient comes to me for their initial visit in the clinic we have no idea how far along they are and the most important thing is to make sure the pregnancy is inside the uterus. Many times that can take a while to get it scheduled through Britney and through Radiology and sometimes they can’t do it that day and so on. So many times it is much easier for me to do the initial one in the clinic and then schedule their follow up ultrasound with Britney. The initial one is the most important one. If anything is happening it is nice for me to be able to look in the clinic rather than try to get it scheduled. Then if it needs to be followed up then I can send them to Radiology. David Jones said most OB practices have some type of quick access ultrasound equipment that they can use right then and there. Mary Irvin said we are at the place now if there is no other questions or discussion we need to vote. The vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. 3) Increase for CEO Purchase Amount: Helen Godfrey-Smith, Finance Committee Chair, stated we have been looking at our CEO purchasing limits. We all know that his limit and of course we all know that his limit now is at $10,000 and the proposal has been presented to increase his purchasing limit per item or per single item up to $30,000. After reading several of the policies that Mary Carroll sent, maybe three, to choose from. It is very common that we would increase our purchasing limit. So with that thinking, rather than slowing down Administration, and we don’t want to slow down administration, with that in mind, I think it would be a good thing to increase his purchasing limit. What I’d like the Finance Committee to do is with that increase is to put a couple of other controls in place. For instance reporting so that we know on a year to date basis what has been purchased just for disclosure purposes and then maybe, David this is something you and Dakota can help us with, maybe looking at a cap for the year if you get over a certain amount. Those are just controls. I think we could make the motion that we increase our CEO’s spending limit to $30,000 and maybe at the next meeting we would look at a couple offerings bringing back to the Board some controls that would surround that additional increase to help the Board remain aware. At hand we need to have a motion and a second and then if there is any further discussions then a vote on increasing the CEO’s purchase amount. Helen Godfrey-Smith said I made the motion so we are just looking for a second. Ronnie Festavan seconded the motion. Mary Irvin asked if there was any other discussion. Brenda Smith said I would just like Mrs. Helen to expand a little bit on why the $30,000, why that number. Helen Godfrey-Smith said because of state bid law. Anything over $30,000 has to be bid out according to state law so that’s why it would be at that point because otherwise now you know under $30,000, for instance several of these purchases he could have made the decision of the need to make the purchases and then report it to us, which would be a much more efficient process than having to wait and present it to the Finance Committee, presented to the Board and then make a purchase. Brenda Smith said thank you for that. Ronnie Festavan said I’d like to follow up on that just a little bit. I think this a great move after I am the victim of needing to wait until the next council meeting get something done or have to call a special meeting just to get something signed to get to Baton Rouge quickly or something like that. I think this is a great idea. This, also, I think for the record, would not preclude Jones from seeking bids below $30,000. I would hope we do it along with the safeguard. I would like to see some report at some point in time, maybe quarterly. Mary Irvin said the Finance Committee will review all that and bring something back to the Board. Mary Irvin said for those of us that have been on the Board for many years I appreciate the fact that we have a CEO that comes to the Board to make purchases because there was a time in our history that we needed more of that. There was a time in our history that we needed more of that. He is continually making improvements and strives. Any other discussion. We are now ready to vote. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. 4) Board By-Law Review Committee: Mary Irvin stated that as of right now we are thankful to have formed a bylaw review committee and Mr. Cochran is going to be chairing that committee with Mr. Festavan and Mr. Norman. As we go through the process of reviewing our bylaws and we will make sure every Board member gets a fresh copy of those because we want everyone’s input on that. Mr. Cochran do you have anything. Kenneth Cochran said we need to look at them and meet and decide how many meetings it’s going to take to get it together. We can be creative about the meetings. Kenneth Cochran said we might just put our heads together as soon as we leave. Mary Irvin said thank you in advance and we’ll make sure every Board member gets a copy as well. Please review it this next month or two, express any thoughts, feedback, comments to Mr. Cochran and any of those three Board members to be aware of. 5) Board Approval of Advisory Committee for Blanchard Clinic: David Jones stated #5 that we added, the Advisory Committee for the Blanchard Clinic, if I can get a motion and a second. This committee is needed for any Rural Health Clinic, it must have an Advisory Committee. It’s just one of the stipulations to get the licensure process started. Mrs. Hughes has a handout with who is going to serve on the committee. Their base need is to go over the policies and procedures that are created for the clinic and make any improvements or changes in that. That is basically all the authority that the committee really has. They can make comments or take suggestions on how to better the clinic for the community. This is something the Board has to approve. Brenda Smith made a motion for Board approval of the Advisory Committee for Blanchard Clinic as presented. Kenneth Clay seconded the motion. Mary Irvin said we are now at the point where we are ready to vote on the Blanchard Advisory Board. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. XII. Administrative Reports – 1) NCMC – Pandemic Update: David Jones said I want to give an update on everything going on at the hospital. Last week was a very trying time. We got through it. I do want to give a few kudos. This going back to some of the discussion we had earlier. It doesn’t matter if he is a Board member or not, I would like to give, on the record, kudos to our mayor and his staff who worked tirelessly to keep water flowing in this hospital. I appreciate the laugh but it was no laughing matter when you can’t flush toilets and you can’t clean patients that’s a recipe for disaster from a clinical standpoint. We were only without water for a little over 12 hours. The mayor was informing me multiple times a day and that being said the OPH was contacting me three times a day for updates on our water, where we were, how much water pressure we had because of the situation that was going on in Shreveport and the dire straits that the hospitals were in. That effort did not go unnoticed by our staff and me, as the CEO, would like to take an opportunity to thank him for what he did for us and the town and the community. That being said, I would also like to take an opportunity to say that Dr. Woods spent about three consecutive days up here to prevent other physicians from having to drive up. But, Dr. May came three days during the week, drove from Shreveport to here. Dr. Sharpe did, I think, three days from Shreveport to here on her own. Dr. Chance, Dr. Chandler, Dr. Taylor all worked shifts during that storm. They kept the hospital, from a treatment standpoint, going, but one physician in particular, because he spent as much time as I did here during that week, the one constant I saw was Dr. Brussow, our chief resident, was here the entire time along with me. He is a solid young physician that will be an asset wherever he goes. He is going to work in the Washington state area. He is a unique individual, and like I said, I don’t have a crystal ball but if I was a betting man he is going to have an excellent career as a physician. His father is a physician in an extreme remote area of Canada. He did an outstanding job in support of the attendings and the frontline standpoint and support of the nursing staff. They definitely felt his presence here from medical the staff. That being said, Junior and Brandon, our head of housekeeping, probably brought between 10 and 15 employees to work every single day. They’ve lived in the Vivian area their entire life. Brandon had a brief excursion in the military but other than that, these two young guys worked all morning long trying to get employees here and trying to get patients home, risking themselves in the process. They did an outstanding job. We have a couple of non-employees I want to take time to single out. Dee Hughes, the better half of one of our administrative team, and Greg LaCaze, both also brought numerous employees to work. Mr. Hughes was going way out on the other side of Mooringsport bringing a bunch in. Mr. LaCaze kind of centered in this area right here bringing them to and fro to work. Without them those employees had no way to get here. Without people like that to step up and come and volunteer their vehicles and their time to get people here, it just would not have happened. I’m going to give kudos to our Laboratory Manager, Greg Guest, stayed here pretty much the entire week as well and worked through to make sure the laboratory was staffed. He assisted me before Mrs. Hughes came here and helped to feed the staff and did an outstanding job as well. Last, Mrs. Hughes spent numerous days here. I don’t know if you have ever tried to out-work Mrs. Hughes but good luck with that, that’s all I’ve got to tell you because she is not going to quit until way after you do. It was a team effort and numerous nursing, respiratory therapy and laboratory staff, housekeeping staff, the dietary staff had several employees that came every single day came to work. We had to come get them but it didn’t matter, they were ready and they were patient with us in getting them home. Just the whole team did an outstanding job. I can’t brag on them enough. The community stepped up also. We really didn’t miss a beat when it could have been a whole lot worse. I just wanted to take that time to brag on several. Mary Irvin said a big thank you to a lot of people. XIII. Medical Staff Report – 1) Recommendations – Dakota Robinson: Dakota Robinson presented the Medical Staff recommendations for the Governing Board approval. MEDICAL STAFF APPOINTMENTS: None. MEDICAL STAFF REAPPOINTMENT: 1.) Ann Marie Marciel M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 23, 2021 through February 28, 2023. 2.) James Turner III M.D. – Request Courtesy Privileges in the field of Radiology for the period of February 23, 2021 through February 28, 2023. 3.) Kimberly Miller M.D. – Requests Courtesy Privileges in the field of Radiology for the period of February 23, 2021 through February 28, 2023. 4.) Jody Chance M.D. – Requests Active Privileges in the field of Family Medicine for the period of February 23, 2021 through February 28, 2023. 5.) Michael Banda M.D. – Requests Courtesy Privileges in the field of General Surgeon for the period of February 23, 2021 through January 31, 2023. 6.) Walker May M.D. – Requests Active privileges in the field of Family Medicine for the period of February 23, 2021 through January 31, 2023. ADVANCE PRACTICE PROFESSIONALS APPOINTMENTS/REAPPOINTMENT: 1.) Brady Thompson CRNA – Requests Affiliate Privileges in the field of Anesthesia for the period of February 23, 2021 through February 28, 2022. 2.) Kevin McElhaney CRNA – Requests Affiliate Privileges in the field of Anesthesia for the period of February 23, 2021 through February 28, 2023. 3.) Pamela Hall CST – Request Courtesy Privileges in the field of Surgical Asst. for the period of February 23, 2021 through January 31, 2023. EXTENSION REQUEST: 1.) Stephen Taylor M.D. – Request Extension pending completion of reappointment application and health statement. VOLUNTARY RESIGNATIONS: None. Helen Godfrey-Smith made a motion to approve the (6) Medical Staff Reappointments, (3) Advance practice Professionals Appointment/Reappointment and (1) Extension Request as presented. David Norman seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. XIV. Executive Session: There is no business for Executive Session. XV. Adjourn – There being no further business Mary Irvin called for a motion to adjourn. Kenneth Clay made a motion to adjourn. Pat White seconded the motion. The verbal vote: Yeas: Pat White, Kenneth Clay, Ronnie Festavan, Mary Irvin, David Norman, Helen Godfrey-Smith, Brenda Smith, Kenneth Cochran. Nays: None. Absent: Robert Green. Abstain: None. The motion passed by unanimous vote in favor. The meeting adjourned at 6:09 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 March 23, 2021